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

19 Scopus citations

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

Keywords

  • Embolic
  • guidewire
  • Infection
  • Thrombectomy

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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