Recurrent Cardioembolic Stroke Treated Successfully with Repeated Mechanical Thrombectomy within the Acute Index Stroke Period |
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| Authors: | Yoonju Lee Han Yi Byoung Moon Kim Dong Joon Kim Se Hoon Kim Hyo Suk Nam Ji Hoe Heo Young Dae Kim |
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| Institution: | aDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.;bDepartment of Radiology, Yonsei University College of Medicine, Seoul, Korea.;cDepartment of Pathology, Yonsei University College of Medicine, Seoul, Korea. |
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| Abstract: | BackgroundThe 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 ReportA 50-year-old woman with atrial fibrillation presented with left-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 after the first treatment, at which time her international normalized ratio (INR) was 2.3. Endovascular thrombectomy was reattempted rapidly and complete recanalization was achieved again. Her neurologic symptoms resolved after the thrombectomy.ConclusionsThis 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 after the index stroke. |
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| Keywords: | stroke atrial fibrillation repeated thrombectomy |
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