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Recurrent Cardioembolic Stroke Treated Successfully with Repeated Mechanical Thrombectomy within the Acute Index Stroke Period

Authors
 Yoonju Lee  ;  Han Yi  ;  Byoung Moon Kim  ;  Dong Joon Kim  ;  Se Hoon Kim  ;  Hyo Suk Nam  ;  Ji Hoe Heo  ;  Young Dae Kim 
Citation
 Journal of Clinical Neurology, Vol.11(3) : 275-278, 2015 
Journal Title
 Journal of Clinical Neurology 
ISSN
 1738-6586 
Issue Date
2015
Abstract
BACKGROUND: The safety of repeated mechanical thrombectomy within the acute stroke period has not yet been clearly demonstrated. We describe herein a patient who was successfully treated with repeated mechanical thrombectomy within the acute index stroke period. CASE REPORT: A 50-year-old woman with atrial fibrillation presented with left-sided weakness caused by occlusion of the right middle cerebral artery (MCA). Emergent mechanical thrombectomy with the Solitaire device achieved complete recanalization. The left MCA occlusion redeveloped at 6 days after the first treatment, at which time her international normalized ratio (INR) was 2.3. Endovascular thrombectomy was reattempted rapidly and complete recanalization was achieved again. Her neurologic symptoms resolved after the thrombectomy. CONCLUSIONS: This case demonstrates that repeated mechanical thrombectomy can be safely and successfully performed even in a patient with a high INR and a recurrent stroke during the acute period after the index stroke.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/140615
DOI
10.3988/jcn.2015.11.3.275
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실)
Yonsei Authors
김동준(Kim, Dong Joon) ; 김병문(Kim, Byung Moon) ; 김세훈(Kim, Se Hoon) ; 김영대(Kim, Young Dae) ; 남효석(Nam, Hyo Suk) ; 이윤주(Lee, Yoon Ju) ; 허지회(Heo, Ji Hoe)
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