Simultaneous bilateral mechanical thrombectomy in a patient with COVID-19

Omaditya Khanna, Karim Hafazalla, Fadi Al Saiegh, Rizwan Tahir, Victoria Schunemann, Thana N. Theofanis, Nikolaos Mouchtouris, M. Reid Gooch, Stavropoula Tjoumakaris, Robert H. Rosenwasser, Pascal M. Jabbour

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

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.

Original languageEnglish (US)
Article number106677
JournalClinical Neurology and Neurosurgery
Volume206
DOIs
StatePublished - Jul 2021
Externally publishedYes

Keywords

  • COVID-19
  • Cerebrovascular disease
  • Inflammation
  • Stroke
  • Thrombectomy

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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