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By Correspondence To Yang-ha Hwang


The restoration of antegrade perfusion following acute ischemic stroke with a large vessel occlusion is associated with better clinical outcomes and reduced mortality. However, in the case of stroke caused by infective endocarditis, the safety and eff icacy of intravenous and/or intra-arterial (IA) thrombolytic therapy is not well established in the literature, and there are some reports of an increased risk of intracere-bral hemorrhage (ICH) [1, 2]. So, clinicians sought alternative methods for revascularization, and mechani-cal thrombectomy alone using up-to-date devices might have outcomes at least as good, and without a risk of ICH, but there are few case reports to support this claim [3-5]. We herein describe a case of acute middle cerebral artery (MCA) occlusion due to infective endocarditis, which was successfully treated with IA mechanical thrombectomy using the forced arterial suction thrombectomy (FAST) technique [6]. We also present pathologic findings of the retrieved clots and we review currently available literature on this issue

Topics: Infective Endocarditis, an Illustrative Case and
Year: 2014
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