title: Intraarterial mechanical thrombectomy for the treatment of postoperative cerebral infarction: a case report.
abstract: Perioperative ischemic stroke is an uncommon event associated with significant morbidity and mortality. The complexity of the surgical procedure and surgery induced hypercoagulable status also influence the incidence of stroke. The management of stroke involves a decision regarding the quickest suitable revascularization method. Endovascular mechanical thrombectomy, such as intra-arterial mechanical thrombectomy (IAMT), can restore vascular patency of the vessels, providing an alternative or synergistic method to restore blood flow. Although, there are no recommended treatment guidelines, IAMT is eligible to be a treatment of choice for perioperative ischemic stroke. We experienced a case of a patient who demonstrated hemiplegia and aphasia, the early symptom of acute ischemic stroke, in the post-anesthesia care unit and performed IAMT successfully. Thus we report the case with a review of the relevant literature.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Myoungji Hospital, Goyang, Korea.
authors.forename: Jong-Won
authors.initials: JW
authors.lastname: Yun
authors.affiliation: Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
authors.forename: So Woon
authors.initials: SW
authors.lastname: Ahn
authors.affiliation: Department of Anesthesiology and Pain Medicine, Myoungji Hospital, Goyang, Korea.
authors.forename: Yong-Ho
authors.initials: YH
authors.lastname: Kim
authors.affiliation: Department of Anesthesiology and Pain Medicine, Myoungji Hospital, Goyang, Korea.
authors.forename: Jinhye
authors.initials: J
authors.lastname: Min
authors.affiliation: Department of Anesthesiology and Pain Medicine, Kwandong Uiversity Medical School, Seoul, Korea.
authors.forename: Young Soon
authors.initials: YS
authors.lastname: Choi
authors.affiliation: Department of Anesthesiology and Pain Medicine, Myoungji Hospital, Goyang, Korea.
authors.forename: Young Keun
authors.initials: YK
authors.lastname: Chae
authors.affiliation: Department of Anesthesiology and Pain Medicine, Myoungji Hospital, Goyang, Korea.
authors.forename: Eun Sang
authors.initials: ES
authors.lastname: Lee
authors.affiliation: Department of Anesthesiology and Pain Medicine, Myoungji Hospital, Goyang, Korea.
authors.forename: Yoo
authors.initials: Y
authors.lastname: Kang
keywords: Acute stroke; Mechanical thrombolysis; Perioperative care; Thrombectomy