RT Journal Article
SR Electronic
T1 Endovascular management of cerebral septic embolism: three recent cases and review of the literature
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP 463
OP 465
DO 10.1136/neurintsurg-2016-012792
VO 9
IS 5
A1 Eugene L Scharf
A1 Tia Chakraborty
A1 Alejandro Rabinstein
A1 Amrendra S Miranpuri
YR 2017
UL http://jnis.bmj.com/content/9/5/463.abstract
AB Endovascular management of acute ischemic stroke secondary to septic emboli from bacterial endocarditis is case-specific and outside established guidelines. We report three new cases of an acute ischemic stroke secondary to septic embolus from two different centers. All cases reported here were large vessel occlusions of the middle cerebral artery in anticoagulated patients. In one case the embolus was noted to be firm and aspiration thrombectomy was attempted in lieu of stent retrieval. Thrombolysis in Cerebral Ischemia (TICI) 3 recanalization was achieved and the patient experienced a good outcome with resolution of deficits. In this case, pathologic analysis of the embolus was available. These additional three cases from two centers add to the small but growing literature for interventional management of acute ischemic stroke in bacterial endocarditis.