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Mechanical thrombectomy in acute ischemic stroke patients under venoarterial extracorporeal membrane oxygenation

2019; BMJ; Volume: 12; Issue: 5 Linguagem: Inglês

10.1136/neurintsurg-2019-015407

1759-8486

Loïc Le Guennec, Matthieu Schmidt, Frédéric Clarençon, Ahmed Mohamed Elhfnawy, Flore Baronnet, Michel Kalamarides, Guillaume Lebreton, Charles‐Édouard Luyt,

Central Venous Catheters and Hemodialysis

Background Use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in adult patients to treat refractory cardiogenic shock has increased in recent years, and ischemic stroke is the most frequent VA-ECMO-induced cerebrovascular complication. No adult case of mechanical thrombectomy (MT) has been reported. Methods Retrospective observational study of hospital medical records of patients who received circulatory support with VA-ECMO with acute ischemic stroke treated with MT, from 2006 to 2018. Results Two adult patients on VA-ECMO with acute ischemic stroke treated with MT were found. Both cases were successfully treated. Conclusion These cases illustrate the feasibility of performing MT in adult patients on ECMO.