Artigo Acesso aberto Revisado por pares

Successful reperfusion of bilateral middle cerebral artery embolic occlusions using stent retriever thrombectomy

2018; Taylor & Francis; Volume: 31; Issue: 3 Linguagem: Inglês

10.1080/08998280.2018.1447182

ISSN

1525-3252

Autores

A. Cate Miller, Anthony Onofrio, Dion Graybeal, Osman Mir, Megan B. Linebarger, Kennith F. Layton,

Tópico(s)

Venous Thromboembolism Diagnosis and Management

Resumo

A 40-year-old woman presented to our stroke center for a left middle cerebral artery embolic occlusion. This was successfully treated with mechanical thrombectomy using a stent retriever and balloon guide catheter aspiration. The patient was discharged home in good condition on clopidogrel but returned 2 months later with a contralateral right middle cerebral artery embolic occlusion. This was also successfully treated, this time with a stent retriever and local aspiration (Sol-Arc technique). She was once again discharged in good condition but with warfarin and an implanted loop recorder. This case demonstrates the feasibility of short-term bilateral mechanical thrombectomy for embolic middle cerebral artery occlusions.

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