Catheter thrombectomy for basilar artery stroke immediately after insertion of durable left ventricular assist device.

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    • Subject Terms:
      BASILAR artery; VENTRICULAR ejection fraction; HEART assist devices; COMPUTED tomography; TREATMENT effectiveness; ENDOVASCULAR surgery; SURGICAL complications; ISCHEMIC stroke; CATHETERS; THROMBECTOMY; STROKE volume (Cardiac output); CORONARY artery disease
    • Abstract:
      Background : Acute ischemic stroke (AIS) following left ventricular assist device (LVAD) implantation is a serious complication associated with device morbidity. AIS development following LVAD placement typically presents between 6- and 24-months post implantation. Case/Results : We report a case of a 67-year-old male who initially presented with reduced ejection fraction and severe coronary vessel disease. Following coronary artery bypass graft surgery, the patient remained in a low output state necessitating placement of an LVAD device. Approximately 4.5 hours following LVAD implantation, a severe acute decrease in mental status revealed new development of ischemic stroke of the basilar artery, which was successfully treated in one pass with catheter endovascular thrombectomy. Conclusion : While embolic stroke management in these cases remains difficult as patients are usually anticoagulated, our case demonstrates the utilization of endovascular thrombectomy as a viable therapeutic option in the setting of an uncommon occurrence of embolic stroke in the hours following LVAD implantation. [ABSTRACT FROM AUTHOR]
    • Abstract:
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