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First reported use of retrievable stent technology for removal of a large septic embolus in the middle cerebral artery

  • Peter Kan
  • , Sharon Webb
  • , Adnan H. Siddiqui
  • , Elad I. Levy

Research output: Contribution to journalReview articlepeer-review

Abstract

Background: The treatment of acute ischemic stroke in the setting of infective endocarditis (IE) is not well established. Although there have been a few reports on the use of intravenous thrombolysis, the role of mechanical thrombolysis through embolectomy is unknown. Case Description: A 78-year-old woman with an acute middle cerebral artery stroke secondary to septic embolization underwent successful stent retrieval of the septic embolus, followed by complete revascularization and neurologic improvement. Conclusions: Mechanical thrombolysis with embolectomy may be a safe and efficacious option for selected patients with acute ischemic stroke secondary to IE.

Original languageEnglish (US)
Pages (from-to)591.e1-591.e5
JournalWorld Neurosurgery
Volume77
Issue number3-4
DOIs
StatePublished - 2012
Externally publishedYes

Keywords

  • Acute ischemic stroke
  • Infective endocarditis
  • Mechanical embolectomy
  • Stent retrieval

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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