Mechanical Thrombectomy for Acute Ischemic Stroke in a Patient with Concomitant Spontaneous Intracerebral Hemorrhage.
Data from randomized clinical trials and current guidelines suggest that patients with anterior circulation occlusion with contraindications to intravenous thrombolysis may benefit from direct mechanical thrombectomy. Nevertheless, no data are available on the efficacy and safety of direct mechanical thrombectomy in patients with concomitant spontaneous intracerebral hemorrhage. We report the case of a 51-year-old woman with a spontaneous intracerebral hemorrhage in the right parietal and occipital lobes, who experienced, 7 days later, an occlusion of the proximal left middle cerebral artery. Direct mechanical thrombectomy was performed, with complete recanalization of the left middle cerebral artery and good clinical outcome. To our knowledge, this is the first case report of direct mechanical thrombectomy for acute ischemic stroke in the setting of concomitant spontaneous intracerebral hemorrhage in a different vascular territory.
['Forlivesi|Stefano|S|', 'Bovi|Paolo|P|', 'Cappellari|Manuel|M|']
D002533:Cerebral Angiography D002543:Cerebral Hemorrhage D002560:Cerebrovascular Circulation D000072226:Computed Tomography Angiography D005260:Female D006801:Humans D020244:Infarction, Middle Cerebral Artery D008875:Middle Aged D017131:Thrombectomy D016896:Treatment Outcome
mechanical thrombectomy ischemic stroke Intracerebral hemorrhage large vessel occlusion