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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2023; 07(03): 190-193
DOI: 10.1055/s-0042-1757579
Case Report

Bilateral Simultaneous Middle Cerebral Artery Mechanical Thrombectomy for Periprocedural Transcatheter Aortic Valve Implantation Stroke: A Case Report

Sharath Kumar Goddu Govindappa
1   Department of Radiology and Neurointervention, Apollo Hospitals, Sheshadripuram, Karnataka, India
,
Jayranganath M.
2   Department of Cardiology, Apollo Hospitals, Sheshadripuram, Karnataka, India
,
John Jose
3   Department of Cardiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Somashekar C M.
2   Department of Cardiology, Apollo Hospitals, Sheshadripuram, Karnataka, India
,
Chaitra Parameshwara Adiga 
4   Department of Radiology, Apollo Hospitals, Sheshadripuram, Karnataka, India
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Abstract

Mechanical thrombectomy has been described as the prompt procedure for emergent large vessel occlusion strokes resulting from cardioembolic events, arterial lesion-to-artery embolism, or from in situ atherosclerosis. This is the first reported case of an elderly woman who presented with bilateral paresis, progressive drowsiness, and dysarthria due to bilateral middle cerebral arterial occlusion, originating from the aortic valve, after transcatheter aortic valve implantation, leading to stroke. Despite intravenous thrombolysis being begun for this patient, it proved ineffective and she underwent mechanical thrombectomy, which led to complete revascularization of bilateral middle cerebral arteries following which she completely recovered without any deficits.

Keywords

mechanical thrombectomy - TAVI - acute ischemic stroke


Publication History

Article published online:
14 October 2022

© 2022. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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