Key result
Emergent mechanical thrombectomy manages immediate large-vessel occlusive stroke following carotid endarterectomy.
Emergent mechanical thrombectomy is a viable management strategy for perioperative large-vessel occlusive stroke following carotid endarterectomy when thrombolysis is contraindicated.
Report a perioperative large-vessel occlusive stroke immediately after carotid endarterectomy for severe left internal carotid artery stenosis with intraluminal thrombus, managed with emergent mechanical thrombectomy when thrombolysis was contraindicated.
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Steiner et al. (2026) studied this question. Carotid endarterectomy for severe stenosis with intraluminal thrombus resulted in an immediate large-vessel occlusive stroke, which was managed with emergent mechanical thrombectomy.
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