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Mechanical Thrombectomy for Postoperative Stroke in a Patient with Acute Aortic Dissection Type A

Authors :
Takamitsu Terasaki
Hiromu Kehara
Kenji Okada
Syuichi Urashita
Toshihito Gomibuchi
Jun-ichi Koyama
Kouhei Takahashi
Kazunori Komatsu
Yukinari Kakizawa
Tetsuya Kono
Naomichi Wada
Katsuaki Tsukioka
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.

Details

Language :
English
ISSN :
21884226
Volume :
7
Issue :
2
Database :
OpenAIRE
Journal :
NMC Case Report Journal
Accession number :
edsair.doi.dedup.....9008d98e1bc142c3484791742ce223ce