AI Article Synopsis
- Thrombectomy is a common treatment for acute ischemic stroke when there's an obstruction in major brain arteries, but guidelines for patients with multiple occlusions are lacking.
- The case report describes a patient who suffered from multiple ischemic strokes (4 times) and faced complicated decisions due to simultaneous pulmonary embolism and cerebral artery occlusions, despite being on anticoagulant medication.
- The authors aim to share insights on diagnosing and treating ischemic stroke effectively while exploring strategies for prevention and anticoagulant therapy.
Article Abstract
Background: Thrombectomy is recommended to treat for an acute ischemic stroke (AIS) patient with anterior large vessel occlusion. However, there were neither detailed guidelines nor systematic reviews of acute ischemic stroke patients having multiple times or re-occluded arteries.
Case Report: In our case report, we struggled a multiple (4-times) AIS patient underwent by one intravenous r-tpA and 3 remaining of endovascular treatment of thrombectomy. Especially, the finding of both pulmonary embolism and cerebral arteries occlusion in this patient made us difficult to decide the appropriate treatment plan. The patient was considered having multiple cardiac thrombi pumping out to the brain and pulmonary vessels even in treatment with NOAC (New Oral Anticoagulant). Our priority, normally, was to recanalize the brain vessels compared to the pulmonary arteries.
Conclusion: In conclusion, based on this noticed case study, we want to share our experiences on the diagnosis of ischemic stroke, the strategy in treatment and prevention with anticoagulant therapy.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6447334 | PMC |
| http://dx.doi.org/10.3889/oamjms.2019.187 | DOI Listing |
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