Mechanical thrombectomy in acute ischemic stroke patients under venoarterial extracorporeal membrane oxygenation.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 31744852.
- Also identified by DOI 10.1136/neurintsurg-2019-015407.
- No licence information is recorded for this record.
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Abstract
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. 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. Two adult patients on VA-ECMO with acute ischemic stroke treated with MT were found. Both cases were successfully treated. These cases illustrate the feasibility of performing MT in adult patients on ECMO.
Medical subject headings
- Brain Ischemia
- Extracorporeal Membrane Oxygenation
- Shock, Cardiogenic
- Stroke
- Thrombectomy