title: First reported use of retrievable stent technology for removal of a large septic embolus in the middle cerebral artery.
abstract: BACKGROUND
  The treatment of acute ischemic stroke in the setting of infective endocarditis (IE) is not well established. Although there have been a few reports on the use of intravenous thrombolysis, the role of mechanical thrombolysis through embolectomy is unknown.
  
  
  METHODS
  A 78-year-old woman with an acute middle cerebral artery stroke secondary to septic embolization underwent successful stent retrieval of the septic embolus, followed by complete revascularization and neurologic improvement.
  
  
  CONCLUSIONS
  Mechanical thrombolysis with embolectomy may be a safe and efficacious option for selected patients with acute ischemic stroke secondary to IE.
authors: Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, New York, USA.
authors: Peter
authors: P
authors: Kan
authors: Sharon
authors: S
authors: Webb
authors: Adnan H
authors: AH
authors: Siddiqui
authors: Elad I
authors: EI
authors: Levy
mesh_terms: D000368:Aged; D002545:Brain Ischemia / Q000209:etiology / Q000628:therapy; D002533:Cerebral Angiography; D002548:Cerebral Revascularization / Q000379:methods*; D017128:Embolectomy / Q000379:methods; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D020244:Infarction, Middle Cerebral Artery / Q000150:complications / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D019635:Neurosurgical Procedures / Q000379:methods*; D018805:Sepsis / Q000601:surgery*; D015607:Stents; D020521:Stroke / Q000209:etiology / Q000628:therapy; D015912:Thrombolytic Therapy; D014057:Tomography, X-Ray Computed