Intra-Arterial Mechanical Thrombectomy: An Effective Treatment for Ischemic Stroke Caused by Endocarditis

Olafur Sveinsson*, Lars Herrman, Staffan Holmin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

22 Citations (Scopus)

Abstract

Patients with stroke secondary to infectious endocarditis have a high in-hospital morbidity and mortality, with only one-third becoming functionally independent. Infective endocarditis is usually considered a relative contraindication to thrombolytic therapy. We describe 3 consecutive cases of acute middle cerebral artery occlusion due to infective endocarditis, who were all successfully treated with intra-arterial mechanical thrombectomy using the Solitaire device. From this limited experience, mechanical thrombectomy could be used as an effective acute treatment for ischemic stroke in patients with infective endocarditis. Mechanical thrombectomy is most likely a more effective and safer treatment than intravenous thrombolysis in this patient group.

Original languageEnglish
Pages (from-to)229-233
Number of pages5
JournalCase Reports in Neurology
Volume8
Issue number3
DOIs
Publication statusPublished - 12 Sept 2016

Bibliographical note

Publisher Copyright:
© 2016 The Author(s) Published by S. Karger AG, Basel.

Other keywords

  • Infective endocarditis
  • Intra-arterial mechanical thrombectomy
  • Ischemic stroke
  • Middle cerebral artery occlusion

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