Repeated Intra-Arterial Thrombectomy within 72 Hours in a Patient with a Clear Contraindication for Intravenous Thrombolysis
Introduction. Treating patients with acute ischemic stroke, proximal arterial vessel occlusion, and absolute contraindication for administering intravenous recombinant tissue plasminogen activator (rtPA) poses a therapeutic challenge. Intra-arterial thrombectomy constitutes an alternative treatment...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/872817 |
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| author | Mona Laible Markus Möhlenbruch Werner Hacke Martin Bendszus Peter Arthur Ringleb Timolaos Rizos |
| author_facet | Mona Laible Markus Möhlenbruch Werner Hacke Martin Bendszus Peter Arthur Ringleb Timolaos Rizos |
| author_sort | Mona Laible |
| collection | DOAJ |
| description | Introduction. Treating patients with acute ischemic stroke, proximal arterial vessel occlusion, and absolute contraindication for administering intravenous recombinant tissue plasminogen activator (rtPA) poses a therapeutic challenge. Intra-arterial thrombectomy constitutes an alternative treatment option. Materials and Methods. We report a case of a 57-year-old patient with concomitant gastric adenocarcinoma, who received three intra-arterial thrombectomies in 72 hours due to repeated occlusion of the left medial cerebral artery (MCA). Findings. Intra-arterial recanalization of the left medial cerebral artery was performed three times with initially good success. However, two days later, the right medial cerebral artery became occluded. Owing to the overall poor prognosis at that time and knowing the wishes of the patient, we decided not to perform another intra-arterial recanalization procedure. Conclusion. To our knowledge, this is the first case illustrating the use of repeated intra-arterial recanalization in early reocclusion of intracranial vessels. |
| format | Article |
| id | doaj-art-01a3efc0b2734df78775bcbe9102ab41 |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-01a3efc0b2734df78775bcbe9102ab412025-02-03T01:11:07ZengWileyCase Reports in Vascular Medicine2090-69862090-69942015-01-01201510.1155/2015/872817872817Repeated Intra-Arterial Thrombectomy within 72 Hours in a Patient with a Clear Contraindication for Intravenous ThrombolysisMona Laible0Markus Möhlenbruch1Werner Hacke2Martin Bendszus3Peter Arthur Ringleb4Timolaos Rizos5Department of Neurology, University Hospital Heidelberg, 69120 Heidelberg, GermanyDepartment of Neuroradiology, University Hospital Heidelberg, 69120 Heidelberg, GermanyDepartment of Neurology, University Hospital Heidelberg, 69120 Heidelberg, GermanyDepartment of Neuroradiology, University Hospital Heidelberg, 69120 Heidelberg, GermanyDepartment of Neurology, University Hospital Heidelberg, 69120 Heidelberg, GermanyDepartment of Neurology, University Hospital Heidelberg, 69120 Heidelberg, GermanyIntroduction. Treating patients with acute ischemic stroke, proximal arterial vessel occlusion, and absolute contraindication for administering intravenous recombinant tissue plasminogen activator (rtPA) poses a therapeutic challenge. Intra-arterial thrombectomy constitutes an alternative treatment option. Materials and Methods. We report a case of a 57-year-old patient with concomitant gastric adenocarcinoma, who received three intra-arterial thrombectomies in 72 hours due to repeated occlusion of the left medial cerebral artery (MCA). Findings. Intra-arterial recanalization of the left medial cerebral artery was performed three times with initially good success. However, two days later, the right medial cerebral artery became occluded. Owing to the overall poor prognosis at that time and knowing the wishes of the patient, we decided not to perform another intra-arterial recanalization procedure. Conclusion. To our knowledge, this is the first case illustrating the use of repeated intra-arterial recanalization in early reocclusion of intracranial vessels.http://dx.doi.org/10.1155/2015/872817 |
| spellingShingle | Mona Laible Markus Möhlenbruch Werner Hacke Martin Bendszus Peter Arthur Ringleb Timolaos Rizos Repeated Intra-Arterial Thrombectomy within 72 Hours in a Patient with a Clear Contraindication for Intravenous Thrombolysis Case Reports in Vascular Medicine |
| title | Repeated Intra-Arterial Thrombectomy within 72 Hours in a Patient with a Clear Contraindication for Intravenous Thrombolysis |
| title_full | Repeated Intra-Arterial Thrombectomy within 72 Hours in a Patient with a Clear Contraindication for Intravenous Thrombolysis |
| title_fullStr | Repeated Intra-Arterial Thrombectomy within 72 Hours in a Patient with a Clear Contraindication for Intravenous Thrombolysis |
| title_full_unstemmed | Repeated Intra-Arterial Thrombectomy within 72 Hours in a Patient with a Clear Contraindication for Intravenous Thrombolysis |
| title_short | Repeated Intra-Arterial Thrombectomy within 72 Hours in a Patient with a Clear Contraindication for Intravenous Thrombolysis |
| title_sort | repeated intra arterial thrombectomy within 72 hours in a patient with a clear contraindication for intravenous thrombolysis |
| url | http://dx.doi.org/10.1155/2015/872817 |
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