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KMID : 0356920140660050402
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Korean Journal of Anesthesiology
2014 Volume.66 No. 5 p.402 ~ p.406
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Intraarterial mechanical thrombectomy for the treatment of postoperative cerebral infarction: a case report
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Yun Jong-Won
Ahn So-Woon
Kim Yong-Ho
Min Jin-Hye
Choi Young-Soon
Chae Young-Keun
Lee Eun-Sang
Kang Yoo
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Abstract
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Perioperative ischemic stroke is an uncommon event associated with significant morbidity and mortality. The complexity of the surgical procedure and surgery induced hypercoagulable status also influence the incidence of stroke. The management of stroke involves a decision regarding the quickest suitable revascularization method. Endovascular mechanical thrombectomy, such as intra-arterial mechanical thrombectomy (IAMT), can restore vascular patency of the vessels, providing an alternative or synergistic method to restore blood flow. Although, there are no recommended treatment guidelines, IAMT is eligible to be a treatment of choice for perioperative ischemic stroke. We experienced a case of a patient who demonstrated hemiplegia and aphasia, the early symptom of acute ischemic stroke, in the post-anesthesia care unit and performed IAMT successfully. Thus we report the case with a review of the relevant literature.
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KEYWORD
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Acute stroke, Mechanical thrombolysis, Perioperative care, Thrombectomy
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