Dual-stent thrombectomy for recanalization of cerebral embolism caused by infective endocarditis: a case report

被引:0
作者
Zhang, Haiqi [1 ]
Chen, Jianfei [1 ]
Chang, Wansheng [1 ]
Lin, Feng [1 ]
Yin, Jijun [1 ]
机构
[1] Shandong First Med Univ, Peoples Hosp Liaocheng 2, Hosp Liaocheng 2, Dept Neurol, Linqing, Peoples R China
来源
FRONTIERS IN NEUROLOGY | 2024年 / 15卷
关键词
dual-stent thrombectomy; infective endocarditis; large-vessel occlusion; valve replacement surgery; clinical outcomes; MECHANICAL THROMBECTOMY; STROKE; CLOT;
D O I
10.3389/fneur.2024.1484492
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Methods In this case report, we present an in-depth narrative of a patient who was subjected to mechanical thrombectomy (MT) for an obstruction in the main trunk and bifurcation of the left middle cerebral artery subsequent to Infective Endocarditis (IE). Initial intervention using a solitary-stent technique proved to be ineffective; thus, we shifted to a dual-stent strategy, which successfully recanalized the compromised blood vessel.Results The dual-stent retriever method can be especially advantageous for treating persistent clots that occur at arterial bifurcations resisting the efforts of a single-stent retriever during the MT process.Conclusion Dual-stent thrombectomy increases the likelihood of clot extraction due to its ability to encompass a larger area of the thrombus within the stent's framework, potentially improving the clinical outcomes.
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页数:6
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  • [1] Thiene G., Basso C., Pathology and pathogenesis of infective endocarditis in native heart valves, Cardiovasc Pathol, 15, pp. 256-263, (2006)
  • [2] Ong E., Mechtouff L., Bernard E., Cho T.H., Diallo L.L., Nighoghossian N., Et al., Thrombolysis for stroke caused by infective endocarditis: an illustrative case and review of the literature, J Neurol, 260, pp. 1339-1342, (2013)
  • [3] Goyal M., Menon B.K., van Zwam W.H., Dippel D.W., Mitchell P.J., Demchuk A.M., Et al., HERMES collaborators. Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials, Lancet, 387, pp. 1723-1731, (2016)
  • [4] Aydin K., Barburoglu M., Oztop Cakmak O., Yesilot N., Vanli E.N.Y., Akpek S., Crossing Y-Solitaire thrombectomy as a rescue treatment for refractory acute occlusions of the middle cerebral artery, J Neurointerv Surg, 11, pp. 246-250, (2019)
  • [5] Li Z., Liu P., Zhang L., Zhang Y., Fang Y., Xing P., Et al., Y-stent rescue technique for failed thrombectomy in patients with large vessel occlusion: a case series and pooled analysis, Front Neurol, 11, (2020)
  • [6] Cabral L.S., Mont'Alverne F., Silva H.C., Passos Filho P.E., Magalhaes P.S.C., Bianchin M.M., Et al., Device size selection can enhance Y-stentrieving efficacy and safety as a rescue strategy in stroke thrombectomy, J Neurointerv Surg, 14, pp. 558-563, (2022)
  • [7] Mohananey D., Mohadjer A., Pettersson G., Navia J., Gordon S., Shrestha N., Et al., Association of vegetation size with embolic risk in patients with infective endocarditis: a systematic review and meta-analysis, JAMA Intern Med, 178, pp. 502-510, (2018)
  • [8] Papadimitriou-Olivgeris M., Guery B., Ianculescu N., Dunet V., Messaoudi Y., Pistocchi S., Et al., Role of cerebral imaging on diagnosis and management in patients with Suspected Infective Endocarditis, Clin Infect Dis, 77, pp. 371-379, (2023)
  • [9] Ying M., Hong Z., Yanyan L., Shinong P., Qingping M., Clinical and imaging characteristics of infectious endocarditis complicated with cerebrovascular disease, Chin J Mod Med, 18, (2008)
  • [10] Misfeld M., Girrbach F., Etz C.D., Binner C., Aspern K.V., Dohmen P.M., Et al., Surgery for infective endocarditis complicated by cerebral embolism: a consecutive series of 375 patients, J Thorac Cardiovasc Surg, 147, pp. 1837-1846, (2014)