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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Mechanical Thrombectomy for Stroke After Cardiac Surgery
Márcio Madeira1, Catarina Martins2, Giovanna Koukoulis1
1Department of Cardiothoracic Surgery, Hospital de Santa Cruz, Carnaxide, Portugal.
Insights
Stroke after cardiac surgery is a serious complication with limited treatments. Mechanical thrombectomy offers a safer option, successfully treating three patients and reviewed in this literature analysis.
Area of Science:
- Cardiovascular Surgery
- Neurology
- Interventional Radiology
Background:
- Stroke is a severe complication following cardiac surgery.
- Limited treatment options exist due to bleeding risks with systemic treatments.
- Emerging endovascular therapies offer safer alternatives.
Observation:
- Presents three cases of stroke post-cardiac surgery.
- Details successful mechanical thrombectomy interventions for these patients.
- Reviews existing literature on endovascular approaches for post-cardiac surgery stroke.
Findings:
- Mechanical thrombectomy was a successful treatment in the presented cases.
- Endovascular therapy and intra-arterial fibrinolysis are viable, safer options.
- Literature supports mechanical thrombectomy for post-cardiac surgery stroke.
Implications:
- Mechanical thrombectomy should be considered for stroke management post-cardiac surgery.
- This approach may improve outcomes and reduce complications.
- Further research into endovascular techniques is warranted.
Abstract:
Stroke after cardiac surgery remains a devastating complication and its treatment options are limited. Systemic fibrinolysis is a relative contraindication, because it raises the risk of systemic hemorrhage. Endovascular therapy, mechanical thrombectomy, and intra-arterial fibrinolysis have emerged as safer options. We present three patients who developed strokes following cardiac surgery who underwent successful mechanical thrombectomy and review the literature on this subject. doi: 10.1111/jocs.12776 (J Card Surg 2016;31:517-520).
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