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

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...

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Veröffentlicht in:Perfusion 2024-11, Vol.39 (8), p.1753-1756
Hauptverfasser: Gregory, Vasiliki, Isath, Ameesh, Bali, Atul D., Al-Mufti, Fawaz, Levine, Avi, Kai, Masashi, Ohira, Suguru
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Sprache:eng
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Zusammenfassung: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.
ISSN:0267-6591
1477-111X
1477-111X
DOI:10.1177/02676591231216793