Why the study?
Does mechanical thrombectomy improve outcomes in patients with acute proximal anterior circulation occlusion after pulmonary lobectomy?
Does mechanical thrombectomy improve outcomes in patients with acute proximal anterior circulation occlusion after pulmonary lobectomy?
Prompt mechanical thrombectomy is effective for acute proximal anterior circulation occlusion following pulmonary lobectomy.
Supports feasibility of thrombectomy for post-lobectomy anterior circulation occlusion; hypothesis-generating and should not change practice without prospective data.
Objective: We report two cases of acute proximal anterior circulation occlusion after pulmonary lobectomy. Case Presentation: Case 1 was a 64-year-old male who presented with occlusion of the right middle cerebral artery (MCA) one day after left lower lobectomy. Case 2 was a 68-year-old male who presented with occlusion of the right internal carotid artery (ICA). In both cases, mechanical thrombectomy was performed for complete recanalization and symptoms were improved. Conclusion: Prompt mechanical thrombectomy in the acute phase after pulmonary lobectomy improved the prognosis of patients with acute proximal anterior circulation occlusion. It is important to share information about ischemic complications with medical staff engaged in thoracic surgery.
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Masahira et al. (2020) studied this question.
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