Recurrent Cardioembolic Stroke Treated Successfully with Repeated Mechanical Trombectomy within the Acute Index Stroke Period

Recurrent Cardioembolic Stroke Treated Successfully with Repeated Mechanical Trombectomy within the Acute Index Stroke Period

Background The safety of repeated mechanical thrombectomy within the acute stroke period has not yet been clearly demonstrated. We describe herein a patient who was successfully treated with repeated mechanical thrombectomy within the acute index stroke period. Case Report A 50-year-old woman with atrial fbrillation presented with lef-sided weakness caused by occlusion of the right middle cerebral artery (MCA). Emergent mechanical thrombectomy with the Solitaire device achieved complete recanalization. Te lef MCA occlusion redeveloped at 6 days afer the frst treatment, at which time her international normalized ratio (INR) was 2.3. Endovascular thrombectomy was reattempted rapidly and complete recanalization was achieved again. Her neurologic symptoms resolved afer the thrombectomy. Conclusions This case demonstrates that repeated mechanical thrombectomy can be safely and successfully performed even in a patient with a high INR and a recurrent stroke during the acute period afer the index stroke.

Background The safety of repeated mechanical thrombectomy within the acute stroke period has not yet been clearly demonstrated. We describe herein a patient who was successfully treated with repeated mechanical thrombectomy within the acute index stroke period. Case Report A 50-year-old woman with atrial fbrillation presented with lef-sided weakness caused by occlusion of the right middle cerebral artery (MCA). Emergent mechanical thrombectomy with the Solitaire device achieved complete recanalization. Te lef MCA occlusion redeveloped at 6 days afer the frst treatment, at which time her international normalized ratio (INR) was 2.3. Endovascular thrombectomy was reattempted rapidly and complete recanalization was achieved again. Her neurologic symptoms resolved afer the thrombectomy. Conclusions This case demonstrates that repeated mechanical thrombectomy can be safely and successfully performed even in a patient with a high INR and a recurrent stroke during the acute period afer the index stroke.