Simultaneous bilateral mechanical thrombectomy in a patient with COVID-19.
Clin Neurol Neurosurg
; 206: 106677, 2021 Jul.
Article
in English
| MEDLINE | ID: covidwho-1230410
ABSTRACT
Owing to systemic inflammation and widespread vessel endotheliopathy, SARS-CoV-2 has been shown to confer an increased risk of cryptogenic stroke, particularly in patients without any traditional risk factors. In this report, we present a case of a 67-year-old female who presented with acute stroke from bilateral anterior circulation large vessel occlusions, and was incidentally found to be COVID-positive on routine hospital admission screening. The patient had a large area of penumbra bilaterally, and the decision was made to pursue bilateral simultaneous thrombectomy, with two endovascular neurosurgeons working on each side to achieve a faster time to recanalization. Our study highlights the utility and efficacy of simultaneous bilateral thrombectomy, and this treatment paradigm should be considered for use in patients who present with multifocal large vessel occlusions.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Carotid Artery Thrombosis
/
Thrombectomy
/
Stroke
/
Infarction, Middle Cerebral Artery
/
Endovascular Procedures
/
COVID-19
Type of study:
Case report
/
Diagnostic study
/
Prognostic study
Topics:
Long Covid
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Clin Neurol Neurosurg
Year:
2021
Document Type:
Article
Affiliation country:
J.clineuro.2021.106677
Similar
MEDLINE
...
LILACS
LIS