Related Experiment Video
Updated: Apr 9, 2026
14:58
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
10.4K
Frequent flyers: recurrent large vessel occlusion requiring thrombectomy
Mikiya Beppu1,2, Yohanna Kusuma3,4, Peter J Mitchell5
1Neurology, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Stroke and Vascular Neurology
|April 7, 2026
Summary
Repeat large vessel occlusion (LVO) thrombectomy shows distinct patterns. Early recurrence links to vessel issues, while delayed recurrence suggests atrial fibrillation, guiding targeted evaluations for stroke patients.
Area of Science:
- Neurology
- Cardiology
- Vascular Surgery
Background:
- Recurrent large vessel occlusion (LVO) after thrombectomy is uncommon but significant.
- Understanding the causes of recurrent LVO, especially the timing and link to atrial fibrillation, needs further characterization.
Purpose of the Study:
- To investigate the association between the timing of recurrent LVO after thrombectomy and its underlying aetiology.
- To compare clinical characteristics, aetiology, and procedural variables between early and delayed recurrence groups.
Main Methods:
- Retrospective study of patients undergoing repeat thrombectomy for recurrent LVO (January 2020 - December 2024).
- Stratification of recurrence timing into early (≤1 day) and delayed (≥2 days).
- Comparison of clinical, aetiological, and procedural factors between early and delayed groups.
Main Results:
- 1.4% of thrombectomy procedures (16/1116) involved recurrent LVO.
- Early recurrence (n=8) was consistently same-vessel and linked to non-atrial fibrillation causes (atherosclerosis, dissection).
- Delayed recurrence (n=8) was strongly associated with atrial fibrillation (87.5%), with many patients not on anticoagulation.
Conclusions:
- Recurrent LVO after thrombectomy exhibits time-dependent patterns.
- Early recurrence suggests a need for vascular imaging and plaque assessment.
- Delayed recurrence points to the importance of intensified rhythm monitoring for atrial fibrillation.
Related Concept Videos
01:29Venous Thrombosis III: Interprofessional Care
466
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
466
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
676
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
676
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
296
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
296