Multiple Recurrent Acute Ischemic Strokes Treated by Thrombectomy in a Patient with Acute Pulmonary Embolism

Thrombectomy is recommended to treat for an acute ischemic stroke (AIS) patient with anterior large vessel occlusion. However, there were neither detailed guidelines nor systematic reviews of acute ischemic stroke patients having multiple times or re-occluded arteries. In our case report, we struggl...

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Bibliographic Details
Published in:Open access Macedonian journal of medical sciences 2019-03, Vol.7 (5), p.801-804
Main Authors: Duy, Ton Mai, Dang, Luu Vu, Viet, Phuong Dao, Van, Chi Nguyen, Nguyen, Quang Anh, Minh, Thong Pham, Dat, Anh Nguyen, Lien, Nguyen Vu Thai, Nga, Vu Thi, Chu, Dinh Toi
Format: Article
Language:English
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Case Report
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Summary:Thrombectomy is recommended to treat for an acute ischemic stroke (AIS) patient with anterior large vessel occlusion. However, there were neither detailed guidelines nor systematic reviews of acute ischemic stroke patients having multiple times or re-occluded arteries. In our case report, we struggled a multiple (4-times) AIS patient underwent by one intravenous r-tpA and 3 remaining of endovascular treatment of thrombectomy. Especially, the finding of both pulmonary embolism and cerebral arteries occlusion in this patient made us difficult to decide the appropriate treatment plan. The patient was considered having multiple cardiac thrombi pumping out to the brain and pulmonary vessels even in treatment with NOAC (New Oral Anticoagulant). Our priority, normally, was to recanalize the brain vessels compared to the pulmonary arteries. In conclusion, based on this noticed case study, we want to share our experiences on the diagnosis of ischemic stroke, the strategy in treatment and prevention with anticoagulant therapy.
ISSN:1857-9655
1857-9655
DOI:10.3889/oamjms.2019.187