Catheter thrombectomy for basilar artery stroke immediately after insertion of durable left ventricular assist device.

Autor:	Gregory V; New York Medical College, Valhalla, NY, USA., Isath A; Department of Cardiology, Westchester Medical Center, New York Medical College, Valhalla, NY, USA., Bali AD; Department of Cardiology, Westchester Medical Center, New York Medical College, Valhalla, NY, USA., Al-Mufti F; Department of Neurosurgery, Westchester Medical Center, New York Medical College, Valhalla, NY, USA., Levine A; Department of Cardiology, Westchester Medical Center, New York Medical College, Valhalla, NY, USA., Kai M; Beth Israel Deaconess Medical Center, Cardiac Surgery, Boston, MA, USA., Ohira S; Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, Valhalla, NY, USA.
Jazyk:	angličtina
Zdroj:	Perfusion [Perfusion] 2024 Nov; Vol. 39 (8), pp. 1753-1756. Date of Electronic Publication: 2023 Nov 15.
DOI:	10.1177/02676591231216793
Abstrakt:	Background : Acute ischemic stroke (AIS) following left ventricular assist device (LVAD) implantation is a serious complication associated with device morbidity. AIS development following LVAD placement typically presents between 6- and 24-months post implantation. Case/Results : We report a case of a 67-year-old male who initially presented with reduced ejection fraction and severe coronary vessel disease. Following coronary artery bypass graft surgery, the patient remained in a low output state necessitating placement of an LVAD device. Approximately 4.5 hours following LVAD implantation, a severe acute decrease in mental status revealed new development of ischemic stroke of the basilar artery, which was successfully treated in one pass with catheter endovascular thrombectomy. Conclusion : While embolic stroke management in these cases remains difficult as patients are usually anticoagulated, our case demonstrates the utilization of endovascular thrombectomy as a viable therapeutic option in the setting of an uncommon occurrence of embolic stroke in the hours following LVAD implantation. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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