September 30, 2022NeurointerventionOpen Access

Mechanical Thrombectomy for Acute Ischemic Stroke due to Thrombus in the Pulmonary Vein Stump after Left Pulmonary Lobectomy: A Case Series

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Why the study?

Cerebral embolic stroke caused by a thrombus in the pulmonary vein stump after left pulmonary lobectomy is a serious complication.

Does mechanical thrombectomy improve outcomes in patients with acute ischemic stroke due to pulmonary vein stump thrombus after left pulmonary lobectomy?

Design

Retrospective case series

Follow-up

90 days

Authors

YTYuichiro TsujiOsaka University of Pharmaceutical Sciences RYRyokichi YagiOsaka University of Pharmaceutical Sciences RHRyo HiramatsuOsaka University of Pharmaceutical Sciences

Discussion

Member takes

Implication

MT may be considered for early LVO after left lobectomy; leaves open PVS-thrombus prevention and anticoagulation duration.

Structured PICO

Does mechanical thrombectomy improve outcomes in patients with acute ischemic stroke due to pulmonary vein stump thrombus after left pulmonary lobectomy?

Population

4 female patients, median age 73, who presented with large-vessel occlusion acute ischemic stroke after left pulmonary lobectomy (2 left upper, 2 left lower) between January 2014 and March 2022.

Intervention

Mechanical thrombectomy using stent retrievers or aspiration catheters.

Outcome

Angiographic reperfusion (TICI grade) and clinical outcome (modified Rankin Scale at 90 days).hard clinical

Mechanical thrombectomy is an effective and feasible treatment for acute large-vessel occlusion stroke caused by a thrombus in the pulmonary vein stump following left pulmonary lobectomy.

Limitations

The presence of a thrombus in the PVS was not proven in three cases.
Contrast-enhanced CT scans of the chest could not be performed in two cases after MT.
No data on cases of cerebral infarction after lung cancer surgery that were treated with conservative therapy.

Cite This Study

Tsuji et al. (2022) studied this question.

synapsesocial.com/papers/6a7fe5ef2e9fdc2434502888 https://doi.org/10.5469/neuroint.2022.00367

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Mechanical Thrombectomy for Acute Ischemic Stroke due to Thrombus in the Pulmonary Vein Stump after Left Pulmonary Lobectomy: A Case Series

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Mechanical Thrombectomy for Acute Ischemic Stroke due to Thrombus in the Pulmonary Vein Stump after Left Pulmonary Lobectomy: A Case Series

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider