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DOI: 10.1055/s-0042-1757579
Bilateral Simultaneous Middle Cerebral Artery Mechanical Thrombectomy for Periprocedural Transcatheter Aortic Valve Implantation Stroke: A Case Report
Autoren
Abstract
Mechanical thrombectomy has been described as the prompt procedure for emergent large vessel occlusion strokes resulting from cardioembolic events, arterial lesion-to-artery embolism, or from in situ atherosclerosis. This is the first reported case of an elderly woman who presented with bilateral paresis, progressive drowsiness, and dysarthria due to bilateral middle cerebral arterial occlusion, originating from the aortic valve, after transcatheter aortic valve implantation, leading to stroke. Despite intravenous thrombolysis being begun for this patient, it proved ineffective and she underwent mechanical thrombectomy, which led to complete revascularization of bilateral middle cerebral arteries following which she completely recovered without any deficits.
Publikationsverlauf
Artikel online veröffentlicht:
14. Oktober 2022
© 2022. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Mechanical thrombectomy for transcatheter aortic valve insertion (TAVI)-related periprocedural stroke: Current literature and future directions. EMJ Int Cardiol. Published online 2020
- 2 Huded CP, Tuzcu EM, Krishnaswamy A. et al. Association between transcatheter aortic valve replacement and early postprocedural stroke. JAMA 2019; 321 (23) 2306-2315
- 3 Serna Candel C, Aguilar Pérez M, Hellstern V, AlMatter M, Bäzner H, Henkes H. Recanalization of emergent large intracranial vessel occlusion through intravenous thrombolysis: frequency, clinical outcome, and reperfusion pattern. Cerebrovasc Dis 2019; 48 (3-6): 115-123
- 4 Burke H, Boron A, Lee JH, Kahlon KR. Exploring the difference in post-procedural stroke rates between patients with aortic stenosis who undergo transcatheter aortic valve replacement versus surgical aortic valve replacement. Cureus 2018; 10 (04) e2494
- 5 Synnott P, Murphy RP, Judge C. et al. Stroke severity in transcatheter aortic valve implantation versus surgical aortic valve replacement: a systematic review and meta-analysis. J Stroke Cerebrovasc Dis 2021; 30 (09) 105927
- 6 Armijo G, Nombela-Franco L, Tirado-Conte G. Cerebrovascular events after transcatheter aortic valve implantation. Front Cardiovasc Med 2018; 5: 104
- 7 Davlouros PA, Mplani VC, Koniari I, Tsigkas G, Hahalis G. Transcatheter aortic valve replacement and stroke: a comprehensive review. J Geriatr Cardiol 2018; 15 (01) 95-104
- 8 Thiele H, Abdel-Wahab M, Desch S. Stroke rates after transcatheter aortic valve replacement: does valve choice play a role?. Eur Heart J 2020; 41 (45) 4362
- 9 Dobrocky T, Piechowiak E, Cianfoni A. et al. Thrombectomy of calcified emboli in stroke. Does histology of thrombi influence the effectiveness of thrombectomy?. J Neurointerv Surg 2018; 10 (04) 345-350
- 10 Mokin M, Ansari SA, McTaggart RA. et al; Society of NeuroInterventional Surgery. Indications for thrombectomy in acute ischemic stroke from emergent large vessel occlusion (ELVO): report of the SNIS Standards and Guidelines Committee. J Neurointerv Surg 2019; 11 (03) 215-220
- 11 Shin JW, Jeong HS, Kwon HJ, Song KS, Kim J. High red blood cell composition in clots is associated with successful recanalization during intra-arterial thrombectomy. PLoS One 2018; 13 (05) e0197492