Recurrent Cardioembolic Stroke Treated Successfully with Repeated Mechanical Thrombectomy within the Acute Index Stroke Period
Journal of Clinical Neurology
; : 275-278, 2015.
Article
en En
| WPRIM
| ID: wpr-165902
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND: The safety of repeated mechanical thrombectomy within the acute stroke period has not yet been clearly demonstrated. We describe herein a patient who was successfully treated with repeated mechanical thrombectomy within the acute index stroke period. CASE REPORT: A 50-year-old woman with atrial fibrillation presented with left-sided weakness caused by occlusion of the right middle cerebral artery (MCA). Emergent mechanical thrombectomy with the Solitaire device achieved complete recanalization. The left MCA occlusion redeveloped at 6 days after the first treatment, at which time her international normalized ratio (INR) was 2.3. Endovascular thrombectomy was reattempted rapidly and complete recanalization was achieved again. Her neurologic symptoms resolved after the thrombectomy. CONCLUSIONS: This case demonstrates that repeated mechanical thrombectomy can be safely and successfully performed even in a patient with a high INR and a recurrent stroke during the acute period after the index stroke.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Fibrilación Atrial
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Trombectomía
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Relación Normalizada Internacional
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Arteria Cerebral Media
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Accidente Cerebrovascular
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Manifestaciones Neurológicas
Límite:
Female
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Humans
Idioma:
En
Revista:
Journal of Clinical Neurology
Año:
2015
Tipo del documento:
Article