NYMC Faculty Publications

Catheter Thrombectomy for Basilar Artery Stroke Immediately After Insertion of Durable Left Ventricular Assist Device

Author Type(s)

Student, Resident/Fellow, Faculty

DOI

10.1177/02676591231216793

Journal Title

Perfusion United Kingdom

First Page

1753

Last Page

1756

Document Type

Article

Publication Date

11-1-2024

Department

Medicine

Second Department

Neurology

Third Department

Surgery

Keywords

acute ischemic stroke, endovascular thrombectomy, left ventricular assist device

Disciplines

Medicine and Health Sciences

Abstract

Background: Acute ischemic stroke (AIS) following left ventricular assist device (LVAD) implantation is a serious complication associated with device morbidity. AIS development following LVAD placement typically presents between 6- and 24-months post implantation. Case/Results: We report a case of a 67-year-old male who initially presented with reduced ejection fraction and severe coronary vessel disease. Following coronary artery bypass graft surgery, the patient remained in a low output state necessitating placement of an LVAD device. Approximately 4.5 hours following LVAD implantation, a severe acute decrease in mental status revealed new development of ischemic stroke of the basilar artery, which was successfully treated in one pass with catheter endovascular thrombectomy. Conclusion: While embolic stroke management in these cases remains difficult as patients are usually anticoagulated, our case demonstrates the utilization of endovascular thrombectomy as a viable therapeutic option in the setting of an uncommon occurrence of embolic stroke in the hours following LVAD implantation.

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