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In-Hospital Mechanical Thrombectomy: A Case Report
1Department of Neurology and Stroke Center, Linkou Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan.
Case Reports in Neurology
|January 28, 2021
Summary
A patient on edoxaban for atrial fibrillation experienced a stroke after stopping the medication for dental work. Prompt mechanical thrombectomy led to significant recovery, highlighting the importance of timely interventions for in-hospital strokes.
Area of Science:
- Neurology
- Cardiology
Background:
- A 59-year-old female patient with atrial fibrillation was prescribed edoxaban.
- The patient discontinued edoxaban prior to a tooth extraction procedure.
Observation:
- Following tooth extraction, the patient presented with acute left-side weakness.
- Initial treatment involved replacing edoxaban with aspirin, but the patient developed recurrent cerebral embolism and conscious disturbance.
Findings:
- Urgent mechanical thrombectomy was performed due to left internal carotid artery occlusion.
- The patient showed remarkable recovery on the second day post-thrombectomy and was discharged with mild neurological deficit.
Implications:
- This case underscores the critical need for early recognition and assessment of in-hospital strokes.
- Prompt interventional treatment, such as mechanical thrombectomy, can significantly improve stroke outcomes in affected patients.
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