Key result
Urgent endovascular clot retrieval successfully treats acute MCA occlusion caused by ovarian hyperstimulation syndrome.
Why the study?
Ovarian hyperstimulation syndrome is a serious complication linked to thromboembolism events, with limited data on ischemic stroke following fresh embryo transplant.
Case Report (n=1)
No
Endovascular clot retrieval can be successfully performed in pregnant patients with acute ischemic stroke secondary to ovarian hyperstimulation syndrome.
Ovarian hyperstimulation syndrome (OHSS) is one of the most serious complications occurring from the growing field of artificial reproductive technology. The expanding literature points to a link between OHSS and thromboembolism events. We present a case of ischemic stroke secondary to a right middle cerebral artery occlusion in a female after a fresh embryo transplant. A CT of the abdomen demonstrated significant free fluid in the abdomen, in which hemoperitoneum from an ectopic pregnancy could not be excluded. A paracentesis was completed and demonstrated clear fluid, thus supporting a presumed diagnosis of OHSS. The patient was able to get urgent endovascular clot retrieval and continues to have a progressive pregnancy at the time of publication.
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Yi Hui Liu (2025) conducted a case report in Right middle cerebral artery occlusion secondary to ovarian hyperstimulation syndrome (n=1). Ovarian hyperstimulation syndrome was evaluated. A 39-year-old woman developed a right middle cerebral artery occlusion secondary to ovarian hyperstimulation syndrome following a fresh embryo transplant and was successfully treated with endovascular clot retrieval.
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