» Articles » PMID: 24910735

Intraarterial Mechanical Thrombectomy for the Treatment of Postoperative Cerebral Infarction: a Case Report

Overview
Specialty Anesthesiology
Date 2014 Jun 10
PMID 24910735
Citations 2
Authors
Affiliations
Soon will be listed here.
Abstract

Perioperative ischemic stroke is an uncommon event associated with significant morbidity and mortality. The complexity of the surgical procedure and surgery induced hypercoagulable status also influence the incidence of stroke. The management of stroke involves a decision regarding the quickest suitable revascularization method. Endovascular mechanical thrombectomy, such as intra-arterial mechanical thrombectomy (IAMT), can restore vascular patency of the vessels, providing an alternative or synergistic method to restore blood flow. Although, there are no recommended treatment guidelines, IAMT is eligible to be a treatment of choice for perioperative ischemic stroke. We experienced a case of a patient who demonstrated hemiplegia and aphasia, the early symptom of acute ischemic stroke, in the post-anesthesia care unit and performed IAMT successfully. Thus we report the case with a review of the relevant literature.

Citing Articles

Predictors and clinical outcomes of post-coronary artery bypass grafting cerebrovascular strokes.

Laimoud M, Maghirang M, Alanazi M, Al-Mutlaq S, Althibait S, Alanazi B Egypt Heart J. 2022; 74(1):76.

PMID: 36255549 PMC: 9579243. DOI: 10.1186/s43044-022-00315-4.


Mechanical thrombectomy for the treatment of acute ischaemic stroke following pulmonary lobectomy.

Ali J, Wolff I, Falconieri F, Aresu G, Coonar A, Joshi Y Ann R Coll Surg Engl. 2019; 101(5):e115-e118.

PMID: 30855160 PMC: 6513363. DOI: 10.1308/rcsann.2019.0028.

References
1.
John N, Mitchell P, Dowling R, Yan B . Is general anaesthesia preferable to conscious sedation in the treatment of acute ischaemic stroke with intra-arterial mechanical thrombectomy? A review of the literature. Neuroradiology. 2012; 55(1):93-100. DOI: 10.1007/s00234-012-1084-y. View

2.
Kam P, Calcroft R . Peri-operative stroke in general surgical patients. Anaesthesia. 1998; 52(9):879-83. DOI: 10.1111/j.1365-2044.1997.136-az0129.x. View

3.
Smith W, Sung G, Saver J, Budzik R, Duckwiler G, Liebeskind D . Mechanical thrombectomy for acute ischemic stroke: final results of the Multi MERCI trial. Stroke. 2008; 39(4):1205-12. DOI: 10.1161/STROKEAHA.107.497115. View

4.
Szeder V, Torbey M . Prevention and treatment of perioperative stroke. Neurologist. 2008; 14(1):30-6. DOI: 10.1097/NRL.0b013e31815a393e. View

5.
Peruto C, Ciccotti M, Cohen S . Shoulder arthroscopy positioning: lateral decubitus versus beach chair. Arthroscopy. 2009; 25(8):891-6. DOI: 10.1016/j.arthro.2008.10.003. View