A case of mechanical thrombectomy in ischemic stroke after coronary artery bypass grafting
Abstract
A case of mechanical thrombectomy successful use in a patient with a stroke after coronary bypass surgery is presented. The cause of the middle cerebral artery M2-segment occlusion with the development of severe neurological deficit was postoperative atrial fibrillation. As a result of the procedure, complete recanalization of the stroke-related artery with good clinical recovery was achieved. The possibilities of ischemic stroke treating after cardiac surgery are significantly limited – systemic thrombolysis is associated with a high risk of bleeding. Thus, mechanical thrombectomy is the only method of reperfusion therapy in a given patient population.
Keywords:ischemic stroke, CABG, mechanical thrombectomy, stent-retriever
For citation: Larionov A.A., Demin D.A., Nikolaeva E.V., Klimchuk D.O., Pasyuga V.V., Gaponov D.P., Korzh D.A., Gorbunov M.G. A case of mechanical thrombectomy in ischemic stroke after coronary artery bypass grafting. Clin Experiment Surg. Petrovsky J. 2019; 7 (1): 78–83. doi: 10.24411/2308-1198-2019-11011. (in Russian)
Received 15.09.2018. Accepted 06.02.2019
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