Korean J Anesthesiol.  2014 May;66(5):402-406. 10.4097/kjae.2014.66.5.402.

Intraarterial mechanical thrombectomy for the treatment of postoperative cerebral infarction: a case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Myoungji Hospital, Goyang, Korea.
  • 2Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea. iatria@hanmail.net
  • 3Department of Anesthesiology and Pain Medicine, Kwandong Uiversity Medical School, Seoul, Korea.

Abstract

Perioperative ischemic stroke is an uncommon event associated with significant morbidity and mortality. The complexity of the surgical procedure and surgery induced hypercoagulable status also influence the incidence of stroke. The management of stroke involves a decision regarding the quickest suitable revascularization method. Endovascular mechanical thrombectomy, such as intra-arterial mechanical thrombectomy (IAMT), can restore vascular patency of the vessels, providing an alternative or synergistic method to restore blood flow. Although, there are no recommended treatment guidelines, IAMT is eligible to be a treatment of choice for perioperative ischemic stroke. We experienced a case of a patient who demonstrated hemiplegia and aphasia, the early symptom of acute ischemic stroke, in the post-anesthesia care unit and performed IAMT successfully. Thus we report the case with a review of the relevant literature.

Keyword

Acute stroke; Mechanical thrombolysis; Perioperative care; Thrombectomy

MeSH Terms

Aphasia
Cerebral Infarction*
Hemiplegia
Humans
Incidence
Mechanical Thrombolysis
Mortality
Perioperative Care
Stroke
Thrombectomy*
Vascular Patency
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