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Updated: Jan 27, 2026
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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
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Mechanical Thrombectomy for Acute Ischemic Stroke in Pregnancy
Richard Blythe1, Azza Ismail1, Aaizza Naqvi1
1The Department of Clinical Neurology, The Royal Hallamshire Hospital, Sheffield Teaching Hospitals, United Kingdom.
Summary
Mechanical thrombectomy (MT) is a safe and effective treatment for acute ischemic stroke in pregnant women. This rare case demonstrates successful MT in the third trimester, leading to a healthy mother and baby.
Area of Science:
- Neurology
- Obstetrics
- Interventional Radiology
Background:
- Acute ischemic stroke treatments like IV rtPA and MT are standard of care but exclude pregnant populations.
- Effectiveness and safety data for stroke interventions in pregnancy are limited.
- Severe stroke during pregnancy poses significant risks to both mother and infant.
Observation:
- A 29-year-old woman at 39 weeks gestation presented with symptoms of a severe right hemispheric ischemic stroke.
- The patient had a history of thrombocytopenia, complicating treatment decisions.
- A large thrombus was identified in the right M1-M2 MCA segments via CT-Angiogram.
Findings:
- Mechanical thrombectomy was successfully performed, removing the occlusive thrombus.
- Complete reperfusion was achieved in the affected cerebral artery territory.
- The patient delivered a healthy infant via Cesarean section five days post-stroke.
Implications:
- Mechanical thrombectomy is a viable and safe treatment option for acute ischemic stroke in the third trimester of pregnancy.
- Careful consideration of risks, such as radiation and contrast exposure, is necessary.
- Timely intervention in severe pregnancy-related strokes can lead to favorable maternal and fetal outcomes.
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