Key result
Mechanical thrombectomy plus staged PCI restores TIMI 3 flow and enables functional recovery in cardio-cerebral infarction.
Case Report (n=1)
No
Answers are grounded in this paper and cite their sources.
Supports feasibility of combined thrombectomy and staged PCI in peri-procedural stroke; leaves open whether this approach improves outcomes in larger cohorts.
A 49-year-old patient with previously known multivessel disease presented with myocardial infarction and underwent cardiac catheterization, during which he sustained a severe ischemic stroke as a complication of the procedure. This operation involved re-opening the right coronary artery (RCA), mechanical thrombectomy (MT) for the right middle cerebral artery, and recanalization via a radial and femoral approach. After follow-up with rehabilitation. One week later, interventional revascularization of the left anterior descending artery (LAD) and left circumflex (LCx) was performed successfully.
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Abuheit et al. (2022) conducted a case report in Acute myocardial infarction with three-vessel coronary artery disease complicated by periprocedural acute ischemic stroke (n=1). Mechanical thrombectomy of the right middle cerebral artery and staged multivessel PCI was evaluated on Cerebral and coronary arterial recanalization and neurological recovery. Mechanical thrombectomy and staged PCI achieved TIMI 3 flow in the right MCA and all three coronary arteries within 50 minutes of stroke, leading to extremity recovery in 5 weeks and 58% LVEF.
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