Intra-Arterial Mechanical Thrombectomy: An Effective Treatment for Ischemic Stroke Caused by Endocarditis

被引:24
作者
Sveinsson, Olafur [1 ]
Herrman, Lars [2 ]
Holmin, Staffan [2 ]
机构
[1] Karolinska Univ Hosp, Dept Neurol, SE-17176 Stockholm, Sweden
[2] Karolinska Univ Hosp, Dept Neuroradiol, Stockholm, Sweden
来源
CASE REPORTS IN NEUROLOGY | 2016年 / 8卷 / 03期
关键词
Infective endocarditis; Ischemic stroke; Middle cerebral artery occlusion; Intra-arterial mechanical thrombectomy;
D O I
10.1159/000452213
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Patients with stroke secondary to infectious endocarditis have a high in-hospital morbidity and mortality, with only one-third becoming functionally independent. Infective endocarditis is usually considered a relative contraindication to thrombolytic therapy. We describe 3 consecutive cases of acute middle cerebral artery occlusion due to infective endocarditis, who were all successfully treated with intra-arterial mechanical thrombectomy using the Solitaire device. From this limited experience, mechanical thrombectomy could be used as an effective acute treatment for ischemic stroke in patients with infective endocarditis. Mechanical thrombectomy is most likely a more effective and safer treatment than intravenous thrombolysis in this patient group. (C) 2016 The Author(s) Published by S. Karger AG, Basel
引用
收藏
页码:229 / 233
页数:5
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