Intraarterial mechanical thrombectomy for the treatment of postoperative cerebral infarction: a case report.
10.4097/kjae.2014.66.5.402
- Author:
Jong Won YUN
1
;
So Woon AHN
;
Yong Ho KIM
;
Jinhye MIN
;
Young Soon CHOI
;
Young Keun CHAE
;
Eun Sang LEE
;
Yoo KANG
Author Information
1. Department of Anesthesiology and Pain Medicine, Myoungji Hospital, Goyang, Korea.
- Publication Type:Case Report
- Keywords:
Acute stroke;
Mechanical thrombolysis;
Perioperative care;
Thrombectomy
- MeSH:
Aphasia;
Cerebral Infarction*;
Hemiplegia;
Humans;
Incidence;
Mechanical Thrombolysis;
Mortality;
Perioperative Care;
Stroke;
Thrombectomy*;
Vascular Patency
- From:Korean Journal of Anesthesiology
2014;66(5):402-406
- CountryRepublic of Korea
- Language:English
-
Abstract:
Perioperative ischemic stroke is an uncommon event associated with significant morbidity and mortality. The complexity of the surgical procedure and surgery induced hypercoagulable status also influence the incidence of stroke. The management of stroke involves a decision regarding the quickest suitable revascularization method. Endovascular mechanical thrombectomy, such as intra-arterial mechanical thrombectomy (IAMT), can restore vascular patency of the vessels, providing an alternative or synergistic method to restore blood flow. Although, there are no recommended treatment guidelines, IAMT is eligible to be a treatment of choice for perioperative ischemic stroke. We experienced a case of a patient who demonstrated hemiplegia and aphasia, the early symptom of acute ischemic stroke, in the post-anesthesia care unit and performed IAMT successfully. Thus we report the case with a review of the relevant literature.