Mechanical Thrombectomy for Ischemic Stroke Secondary to Large Vessel Occlusions in Patients on Extracorporeal Membrane Oxygenation

Clinical Research in Stroke

Kohli G.a· George D.D.a· Grenga A.a· Santangelo G.a· Gosev I.b· Schartz D.c· Kessler A.Khan I.a· Barrus B.d· Gu Y.e· Bhalla T.a· Mattingly T.K.a· Bender M.T.a

Author affiliations

aDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA
bDivision of Cardiac Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, NY, USA
cDepartment of Imaging Sciences, University of Rochester Medical Center, Rochester, NY, USA
dBaptist Health Cardiothoracic Surgery Clinic, Little Rock, AR, USA
eDepartment of Anesthesiology and Perioperative Medicine, University of Rochester Medical Center, Rochester, NY, USA

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Article / Publication Details

First-Page Preview

Abstract of Clinical Research in Stroke

Received: July 03, 2022
Accepted: October 20, 2022
Published online: January 30, 2023

Number of Print Pages: 7
Number of Figures: 1
Number of Tables: 1

ISSN: 1015-9770 (Print)
eISSN: 1421-9786 (Online)

For additional information: https://www.karger.com/CED

Abstract

Introduction: The use of short-term mechanical circulatory support (MCS) devices and procedures for function- and life-sustaining therapy is becoming a routine practice at many centers. Concomitant with the increasing use of MCS is the increasing recognition of acute brain injuries, including acute ischemic stroke, which may be caused by a myriad of MCS-driven factors. The aim of this case series was to document our experience with mechanical thrombectomy (MT) for ischemic stroke in extracorporeal membrane oxygenation (ECMO) patients. Methods: We retrospectively reviewed a prospectively maintained database of patients undergoing endovascular thrombectomy for large vessel occlusion at our institution. We identified patients that were on ECMO and underwent thrombectomy. Baseline demographics and procedural and functional outcomes were collected. Results: Three patients on ECMO were identified to have a large vessel occlusion and underwent thrombectomy. Two patients had an internal carotid artery terminus occlusion and one had a basilar artery occlusion. An mTICI 3 recanalization was achieved in all patients without postoperative hemorrhagic complications. Two patients achieved a 3-month mRS of 1, while one had mRS 4. Conclusion: Ischemic stroke can be associated with significant morbidity in MCS patients. We demonstrate that MT can be safely performed in this patient population with good outcomes.

© 2023 S. Karger AG, Basel

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First-Page Preview

Abstract of Clinical Research in Stroke

Received: July 03, 2022
Accepted: October 20, 2022
Published online: January 30, 2023

Number of Print Pages: 7
Number of Figures: 1
Number of Tables: 1

ISSN: 1015-9770 (Print)
eISSN: 1421-9786 (Online)

For additional information: https://www.karger.com/CED

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