Endovascular management of cerebral septic embolism: Three recent cases and review of the literature

Eugene L. Scharf, Tia Chakraborty, Alejandro Rabinstein, Amrendra S. Miranpuri

Research output: Contribution to journalReview article

13 Citations (Scopus)

Abstract

Endovascular management of acute ischemic stroke secondary to septic emboli from bacterial endocarditis is case-specific and outside established guidelines. We report three new cases of an acute ischemic stroke secondary to septic embolus from two different centers. All cases reported here were large vessel occlusions of the middle cerebral artery in anticoagulated patients. In one case the embolus was noted to be firm and aspiration thrombectomy was attempted in lieu of stent retrieval. Thrombolysis in Cerebral Ischemia (TICI) 3 recanalization was achieved and the patient experienced a good outcome with resolution of deficits. In this case, pathologic analysis of the embolus was available. These additional three cases from two centers add to the small but growing literature for interventional management of acute ischemic stroke in bacterial endocarditis.

Original languageEnglish (US)
Pages (from-to)463-465
Number of pages3
JournalJournal of NeuroInterventional Surgery
Volume9
Issue number5
DOIs
StatePublished - May 1 2017

Fingerprint

Intracranial Embolism
Embolism
Bacterial Endocarditis
Stroke
Thrombectomy
Middle Cerebral Artery Infarction
Brain Ischemia
Stents
Guidelines

Keywords

  • Embolic
  • guidewire
  • Infection
  • Thrombectomy

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Endovascular management of cerebral septic embolism : Three recent cases and review of the literature. / Scharf, Eugene L.; Chakraborty, Tia; Rabinstein, Alejandro; Miranpuri, Amrendra S.

In: Journal of NeuroInterventional Surgery, Vol. 9, No. 5, 01.05.2017, p. 463-465.

Research output: Contribution to journalReview article

@article{c743cfa6170342b0920601e7a68ec8e9,
title = "Endovascular management of cerebral septic embolism: Three recent cases and review of the literature",
abstract = "Endovascular management of acute ischemic stroke secondary to septic emboli from bacterial endocarditis is case-specific and outside established guidelines. We report three new cases of an acute ischemic stroke secondary to septic embolus from two different centers. All cases reported here were large vessel occlusions of the middle cerebral artery in anticoagulated patients. In one case the embolus was noted to be firm and aspiration thrombectomy was attempted in lieu of stent retrieval. Thrombolysis in Cerebral Ischemia (TICI) 3 recanalization was achieved and the patient experienced a good outcome with resolution of deficits. In this case, pathologic analysis of the embolus was available. These additional three cases from two centers add to the small but growing literature for interventional management of acute ischemic stroke in bacterial endocarditis.",
keywords = "Embolic, guidewire, Infection, Thrombectomy",
author = "Scharf, {Eugene L.} and Tia Chakraborty and Alejandro Rabinstein and Miranpuri, {Amrendra S.}",
year = "2017",
month = "5",
day = "1",
doi = "10.1136/neurintsurg-2016-012792",
language = "English (US)",
volume = "9",
pages = "463--465",
journal = "Journal of NeuroInterventional Surgery",
issn = "1759-8478",
publisher = "BMJ Publishing Group",
number = "5",

}

TY - JOUR

T1 - Endovascular management of cerebral septic embolism

T2 - Three recent cases and review of the literature

AU - Scharf, Eugene L.

AU - Chakraborty, Tia

AU - Rabinstein, Alejandro

AU - Miranpuri, Amrendra S.

PY - 2017/5/1

Y1 - 2017/5/1

N2 - Endovascular management of acute ischemic stroke secondary to septic emboli from bacterial endocarditis is case-specific and outside established guidelines. We report three new cases of an acute ischemic stroke secondary to septic embolus from two different centers. All cases reported here were large vessel occlusions of the middle cerebral artery in anticoagulated patients. In one case the embolus was noted to be firm and aspiration thrombectomy was attempted in lieu of stent retrieval. Thrombolysis in Cerebral Ischemia (TICI) 3 recanalization was achieved and the patient experienced a good outcome with resolution of deficits. In this case, pathologic analysis of the embolus was available. These additional three cases from two centers add to the small but growing literature for interventional management of acute ischemic stroke in bacterial endocarditis.

AB - Endovascular management of acute ischemic stroke secondary to septic emboli from bacterial endocarditis is case-specific and outside established guidelines. We report three new cases of an acute ischemic stroke secondary to septic embolus from two different centers. All cases reported here were large vessel occlusions of the middle cerebral artery in anticoagulated patients. In one case the embolus was noted to be firm and aspiration thrombectomy was attempted in lieu of stent retrieval. Thrombolysis in Cerebral Ischemia (TICI) 3 recanalization was achieved and the patient experienced a good outcome with resolution of deficits. In this case, pathologic analysis of the embolus was available. These additional three cases from two centers add to the small but growing literature for interventional management of acute ischemic stroke in bacterial endocarditis.

KW - Embolic

KW - guidewire

KW - Infection

KW - Thrombectomy

UR - http://www.scopus.com/inward/record.url?scp=85019047582&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85019047582&partnerID=8YFLogxK

U2 - 10.1136/neurintsurg-2016-012792

DO - 10.1136/neurintsurg-2016-012792

M3 - Review article

C2 - 27899517

AN - SCOPUS:85019047582

VL - 9

SP - 463

EP - 465

JO - Journal of NeuroInterventional Surgery

JF - Journal of NeuroInterventional Surgery

SN - 1759-8478

IS - 5

ER -