Peter Kan1, Sharon Webb, Adnan H Siddiqui, Elad I Levy. 1. Department 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.
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.
Authors: Morin Beyeler; Nebiyat F Belachew; Moritz Kielkopf; Enrique B Aleman; Alejandro Xavier León Betancourt; Kotryna Genceviciute; Christoph Kurmann; Lorenz Grunder; Barbara Birner; Thomas R Meinel; Adrian Scutelnic; Philipp Bücke; David J Seiffge; Tomas Dobrocky; Eike I Piechowiak; Sara Pilgram-Pastor; Heinrich P Mattle; Pasquale Mordasini; Marcel Arnold; Urs Fischer; Thomas Pabst; Jan Gralla; Martin D Berger; Simon Jung; Johannes Kaesmacher Journal: Front Neurol Date: 2022-07-14 Impact factor: 4.086