Background: Use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in adult patients to treat refractory cardiogenic shock has increased in recent years, and ischemic stroke is the most frequent VA-ECMO-induced cerebrovascular complication. No adult case of mechanical thrombectomy (MT) has been reported.

Methods: Retrospective observational study of hospital medical records of patients who received circulatory support with VA-ECMO with acute ischemic stroke treated with MT, from 2006 to 2018.

Results: Two adult patients on VA-ECMO with acute ischemic stroke treated with MT were found. Both cases were successfully treated.

Conclusion: These cases illustrate the feasibility of performing MT in adult patients on ECMO.

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http://dx.doi.org/10.1136/neurintsurg-2019-015407DOI Listing

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