Simultaneous bilateral mechanical thrombectomy in a patient with COVID-19.
Publication/Presentation Date
7-1-2021
Abstract
Owing to systemic inflammation and widespread vessel endotheliopathy, SARS-CoV-2 has been shown to confer an increased risk of cryptogenic stroke, particularly in patients without any traditional risk factors. In this report, we present a case of a 67-year-old female who presented with acute stroke from bilateral anterior circulation large vessel occlusions, and was incidentally found to be COVID-positive on routine hospital admission screening. The patient had a large area of penumbra bilaterally, and the decision was made to pursue bilateral simultaneous thrombectomy, with two endovascular neurosurgeons working on each side to achieve a faster time to recanalization. Our study highlights the utility and efficacy of simultaneous bilateral thrombectomy, and this treatment paradigm should be considered for use in patients who present with multifocal large vessel occlusions.
Volume
206
First Page
106677
Last Page
106677
ISSN
1872-6968
Published In/Presented At
Khanna, O., Hafazalla, K., Saiegh, F. A., Tahir, R., Schunemann, V., Theofanis, T. N., Mouchtouris, N., Gooch, M. R., Tjoumakaris, S., Rosenwasser, R. H., & Jabbour, P. M. (2021). Simultaneous bilateral mechanical thrombectomy in a patient with COVID-19. Clinical neurology and neurosurgery, 206, 106677. https://doi.org/10.1016/j.clineuro.2021.106677
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
34020326
Department(s)
Administration and Leadership
Document Type
Article