TY - JOUR
T1 - Simultaneous bilateral mechanical thrombectomy in a patient with COVID-19
AU - Khanna, Omaditya
AU - Hafazalla, Karim
AU - Saiegh, Fadi Al
AU - Tahir, Rizwan
AU - Schunemann, Victoria
AU - Theofanis, Thana N.
AU - Mouchtouris, Nikolaos
AU - Gooch, M. Reid
AU - Tjoumakaris, Stavropoula
AU - Rosenwasser, Robert H.
AU - Jabbour, Pascal M.
N1 - Publisher Copyright:
© 2021 Elsevier B.V.
PY - 2021/7
Y1 - 2021/7
N2 - 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.
AB - 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.
KW - COVID-19
KW - Cerebrovascular disease
KW - Inflammation
KW - Stroke
KW - Thrombectomy
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U2 - 10.1016/j.clineuro.2021.106677
DO - 10.1016/j.clineuro.2021.106677
M3 - Article
C2 - 34020326
AN - SCOPUS:85106336971
SN - 0303-8467
VL - 206
JO - Clinical Neurology and Neurosurgery
JF - Clinical Neurology and Neurosurgery
M1 - 106677
ER -