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Mechanical Thrombectomy for Postoperative Stroke in a Patient with Acute Aortic Dissection Type A
- Source :
- NMC Case Report Journal
- Publication Year :
- 2020
- Publisher :
- The Japan Neurosurgical Society, 2020.
-
Abstract
- Mechanical thrombectomy has been proposed to expand the treatment time window and enhance revascularization. However, it is unclear whether its use can be extended to patients with occlusions in acute aortic dissection, especially the thoracic aorta. A 55-year-old man underwent graft replacement for acute aortic dissection type A. On postoperative day 2, he developed stroke and computed tomography showed occlusion of the right middle cerebral artery. Mechanical thrombectomy was performed by transbrachial approach. Although successful recanalization was achieved, he suffered hemorrhagic stroke. Since there is no other effective treatment and the neurologic outcome with conservative management is poor, we consider mechanical thrombectomy to be a viable therapeutic option for the treatment of postoperative stroke in patients with acute aortic dissection type A. However, further study is warranted regarding the safety of this technique.
- Subjects :
- Aortic dissection
medicine.medical_specialty
business.industry
medicine.medical_treatment
transbrachial approach
Case Report
Revascularization
medicine.disease
Surgery
Mechanical thrombectomy
mechanical thrombectomy
Postoperative stroke
acute aortic dissection type A
medicine.artery
Occlusion
medicine
Thoracic aorta
In patient
business
Stroke
Subjects
Details
- Language :
- English
- ISSN :
- 21884226
- Volume :
- 7
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- NMC Case Report Journal
- Accession number :
- edsair.doi.dedup.....9008d98e1bc142c3484791742ce223ce