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Updated: Jun 16, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Perioperative management of acute ischemic stroke: a case report
Hla Phon1, Jeremy Jaffe, Jay Horrow
1Department of Anesthesiology, Drexel University College of Medicine, Philadelphia, PA 19102-1192, USA.
Abstract:
Interrupting anticoagulation in patients at high risk for thromboembolism, even for critically important surgery, may lead to devastating outcomes. The patient described developed "Locked-in Syndrome" from basilar arterial thrombosis within 24 hours of withholding anticoagulation for urgent airway surgery. Emergency thrombolysis partially restored arterial flow, with recovery of some function. The dangers of hemorrhage during surgery must be balanced against the potentially devastating consequences of withholding anticoagulation in patients at high risk for thrombosis.
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