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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
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Delayed stenosis following stentriever use in acute stroke intervention
Jeremy James Macke1, Michael P Bellew, Frank R Hellinger
1Department of Radiology, Florida Hospital, Orlando, Florida, USA.
BMJ Case Reports
|April 25, 2014
Summary
Delayed stenosis can occur after endovascular embolectomy, a complication previously unreported. This new vascular narrowing was observed in two patients following their initial embolectomy procedures.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Neurology
Background:
- Endovascular embolectomy is a common procedure for removing vascular blockages.
- Post-procedural complications are closely monitored in vascular interventions.
Observation:
- Two cases of delayed stenosis were identified in the vascular bed after endovascular embolectomy.
- The first case was an incidental finding during follow-up for cerebral aneurysms.
- The second case was detected during routine screening for stenosis.
Findings:
- Delayed post-embolectomy stenosis represents a new stenosis forming in the previously treated vascular area.
- This phenomenon has not been previously documented in medical literature.
- The stenosis was observed at a later time point after the initial embolectomy.
Implications:
- Highlights a potential, previously unrecognized complication of endovascular embolectomy.
- Suggests the need for increased surveillance for delayed stenosis in patients undergoing embolectomy.
- May influence future patient management and follow-up protocols for embolectomy procedures.
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