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World Neurosurg. 2012 Mar-Apr;77(3-4):591.e1-5. doi: 10.1016/j.wneu.2011.05.059. Epub 2011 Nov 7.

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

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  • 1Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, New York, USA.

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.

Copyright © 2012 Elsevier Inc. All rights reserved.

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PMID:
22120371
[PubMed - indexed for MEDLINE]
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