Mechanical Thrombectomy for Stroke After Cardiac Surgery.
Stroke after cardiac surgery remains a devastating complication and its treatment options are limited. Systemic fibrinolysis is a relative contraindication, because it raises the risk of systemic hemorrhage. Endovascular therapy, mechanical thrombectomy, and intra-arterial fibrinolysis have emerged as safer options. We present three patients who developed strokes following cardiac surgery who underwent successful mechanical thrombectomy and review the literature on this subject. doi: 10.1111/jocs.12776 (J Card Surg 2016;31:517-520).
Department of Cardiothoracic Surgery, Hospital de Santa Cruz, Carnaxide, Portugal.
Márcio
M
Madeira
Department of Neuroradiology, Centro Hospitalar Lisboa Central, Lisbon, Portugal.
Catarina
C
Martins
Department of Cardiothoracic Surgery, Hospital de Santa Cruz, Carnaxide, Portugal.
Giovanna
G
Koukoulis
Department of Cardiothoracic Surgery, Hospital de Santa Cruz, Carnaxide, Portugal.
Marta
M
Marques
Department of Neuroradiology, Centro Hospitalar Lisboa Central, Lisbon, Portugal.
João
J
Reis
Department of Cardiothoracic Surgery, Hospital de Santa Cruz, Carnaxide, Portugal.
Miguel
M
Abecassis
D000208:Acute Disease; D000328:Adult; D000368:Aged; D002545:Brain Ischemia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D000072226:Computed Tomography Angiography; D005260:Female; D006801:Humans; D061185:Mechanical Thrombolysis / Q000379:methods*; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy*; D055815:Young Adult