Mechanical thrombectomy for perioperative acute ischemic stroke: Two noncardiac and non-neurosurgical case reports and a literature review
Vol. 22 No. 9 (2020), Case reports
Vol. 22 No. 9 (2020)

Mechanical thrombectomy for perioperative acute ischemic stroke: Two noncardiac and non-neurosurgical case reports and a literature review

Case reports
https://doi.org/10.32592/ircmj.2020.22.9.108
Published 2020-10-07
Xun Zhu
1- Department of Neurosurgery, The Second Hospital of Tianjin Medical University, Tianjin 300000, China. 2- Department of Neurosurgery, 904th Hospital of Joint Logistic Support Force of PLA, Wuxi Clinical College of Anhui Medical University, Wuxi, China.
Hong Li
Department of Neurosurgery, The Second Hospital of Tianjin Medical University, Tianjin 300000, China.
Zhonghua Shi
Department of Neurosurgery, 904th Hospital of Joint Logistic Support Force of PLA, Wuxi Clinical College of Anhui Medical University, Wuxi, China.
Li Zhang
Department of Neurosurgery, 904th Hospital of Joint Logistic Support Force of PLA, Wuxi Clinical College of Anhui Medical University, Wuxi, China.
Xiaoyan Feng
Department of Neurosurgery, 904th Hospital of Joint Logistic Support Force of PLA, Wuxi Clinical College of Anhui Medical University, Wuxi, China.
Lixiang Yang
Department of Neurosurgery, 904th Hospital of Joint Logistic Support Force of PLA, Wuxi Clinical College of Anhui Medical University, Wuxi, China.
Jiaming Cao
Department of Neurosurgery, 904th Hospital of Joint Logistic Support Force of PLA, Wuxi Clinical College of Anhui Medical University, Wuxi, China.
Junhui Chen
1- Department of Neurosurgery, 904th Hospital of Joint Logistic Support Force of PLA, Wuxi Clinical College of Anhui Medical University, Wuxi, China. 2- Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan, China.
Iranian Red Crescent Medical Journal
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Keywords

Postoperative complications
Stroke
Thrombectomy

How to Cite

Zhu, X., Li, H., Shi, Z., Zhang, L., Feng, X., Yang, L., Cao, J., & Chen, J. (2020). Mechanical thrombectomy for perioperative acute ischemic stroke: Two noncardiac and non-neurosurgical case reports and a literature review. Iranian Red Crescent Medical Journal, 22(9). https://doi.org/10.32592/ircmj.2020.22.9.108
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Abstract

Background: Perioperative acute ischemic strokes (PAISs) are rare; however, they have potentially catastrophic complications and outcomes. Endovascular therapy is the standard care in appropriately selected patients with acute ischemic stroke; nonetheless, there are no guidelines on the treatment of PAIS, and the majority of the patients receive conservative treatments.

Objectives: This study aimed to present two cases of mechanical thrombectomy (MT) for the treatment of PAIS.

Clinical presentation: The first patient was a 43-year-old female who fell into a coma and had left limb dysfunction three h after undergoing hysteromyomectomy with a National Institute of Health Stroke Scale (NIHSS) score of 22. A right middle cerebral artery (M1) occlusion was detected on computed tomography angiography (CTA) leading to MT. The modified Rankin Scale (mRS) score was obtained at 1 three months after treatment. The second patient was a 59-year-old male who suddenly fell into a coma and had right limb dysfunction three h after undergoing a lung cancer operation with NIHSS score of 24. The CTA showed a left M1 occlusion leading to MT. The mRS score was 1 three months after treatment. Both patients were admitted to and treated in the Wuxi Clinical College of Anhui Medical University, Wuxi, China, in 2018.

Conclusion: The PAIS is a rare but serious complication after noncardiac surgery. In both cases, diagnosis and treatment were very difficult. Further evidence was provided to regard MT as a useful and safe method to treat PAIS.

https://doi.org/10.32592/ircmj.2020.22.9.108
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