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Ischemic Stroke
Case series
Mechanical thrombectomy in acute ischemic stroke patients under venoarterial extracorporeal membrane oxygenation
  1. Loic Le Guennec1,2,
  2. Matthieu Schmidt1,2,
  3. Frédéric Clarençon2,3,
  4. Ahmed Mohamed Elhfnawy2,3,
  5. Flore Baronnet2,4,
  6. Michel Kalamarides2,5,
  7. Guillaume Lebreton2,6,
  8. Charles-Edouard Luyt1,2
  1. 1 Intensive Care, Pitié-Salpêtrière Hospital, Paris, France
  2. 2 Sorbonne Université, Paris, France
  3. 3 Neuroradiology, Pitié-Salpêtrière Hospital, Paris, France
  4. 4 Vascular Neurology, Pitié-Salpêtrière Hospital, Paris, France
  5. 5 Neurosurgery, Pitié-Salpêtrière Hospital, Paris, France
  6. 6 Cardiac Surgery, Pitié-Salpêtrière Hospital, Paris, France
  1. Correspondence to Dr Loic Le Guennec, 1 Intensive Care, Pitié-Salpêtrière Hospital Sorbonne Université, Paris 2, France; loic.leguennec{at}yahoo.fr

Abstract

Background Use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in adult patients to treat refractory cardiogenic shock has increased in recent years, and ischemic stroke is the most frequent VA-ECMO-induced cerebrovascular complication. No adult case of mechanical thrombectomy (MT) has been reported.

Methods Retrospective observational study of hospital medical records of patients who received circulatory support with VA-ECMO with acute ischemic stroke treated with MT, from 2006 to 2018.

Results Two adult patients on VA-ECMO with acute ischemic stroke treated with MT were found. Both cases were successfully treated.

Conclusion These cases illustrate the feasibility of performing MT in adult patients on ECMO.

  • intervention
  • stroke
  • catheter
  • artery
  • blood Pressure

https://doi.org/10.1136/neurintsurg-2019-015407

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    Footnotes

    • Contributors All authors wrote the initial manuscript and approved the final version.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests FC reports conflict of interest with Medtronic, Guerbet, Balt Extrusion (payment for readings), Codman Neurovascular (core lab).

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.