Recurrent cardioembolic stroke treated successfully with repeated mechanical trombectomy within the acute index stroke period

Yoonju Lee, Han Yi, Byungmoon Kim, Dong Joon Kim, SeHoon Kim, Hyo Suk Nam, Jihoe Heo, Young Dae Kim

Research output: Contribution to journalArticle

5 Citations (Scopus)

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 atria fibrillation presented with lef-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 afar the first treatment, at which time her international normalized ratio (INR) was 2.3. Endovascular thrombectomy was reattempted rapidly and complete re-canalization was achieved again. Her neurologic symptoms resolved afar the thrombectomy. Conclusions Ties 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 afar the index stroke.

Original languageEnglish
Pages (from-to)275-278
Number of pages4
JournalJournal of Clinical Neurology (Korea)
Volume11
Issue number3
DOIs
Publication statusPublished - 2015 Jul 1

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Thrombectomy
Stroke
International Normalized Ratio
Middle Cerebral Artery Infarction
Neurologic Manifestations
Safety
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology

Cite this

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title = "Recurrent cardioembolic stroke treated successfully with repeated mechanical trombectomy within the acute index stroke period",
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 atria fibrillation presented with lef-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 afar the first treatment, at which time her international normalized ratio (INR) was 2.3. Endovascular thrombectomy was reattempted rapidly and complete re-canalization was achieved again. Her neurologic symptoms resolved afar the thrombectomy. Conclusions Ties 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 afar the index stroke.",
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Recurrent cardioembolic stroke treated successfully with repeated mechanical trombectomy within the acute index stroke period. / Lee, Yoonju; Yi, Han; Kim, Byungmoon; Kim, Dong Joon; Kim, SeHoon; Nam, Hyo Suk; Heo, Jihoe; Kim, Young Dae.

In: Journal of Clinical Neurology (Korea), Vol. 11, No. 3, 01.07.2015, p. 275-278.

Research output: Contribution to journalArticle

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AU - Lee, Yoonju

AU - Yi, Han

AU - Kim, Byungmoon

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AU - Kim, SeHoon

AU - Nam, Hyo Suk

AU - Heo, Jihoe

AU - Kim, Young Dae

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AB - 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 atria fibrillation presented with lef-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 afar the first treatment, at which time her international normalized ratio (INR) was 2.3. Endovascular thrombectomy was reattempted rapidly and complete re-canalization was achieved again. Her neurologic symptoms resolved afar the thrombectomy. Conclusions Ties 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 afar the index stroke.

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