Ali JM, Wolff I, Falconieri F, Aresu G, Coonar AS, Joshi Y, Peryt A. Mechanical thrombectomy for the treatment of acute ischaemic stroke following pulmonary lobectomy.
Ann R Coll Surg Engl 2019;
101:e115-e118. [PMID:
30855160 PMCID:
PMC6513363 DOI:
10.1308/rcsann.2019.0028]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/16/2019] [Indexed: 11/22/2022] Open
Abstract
Acute ischaemic stroke is a devastating postoperative complication that significantly impacts upon a patient's quality of life. Endovascular retrieval of thromboembolic material from proximal cerebral arteries by mechanical thrombectomy is the new standard of care for patients presenting with a proximal artery occlusion. We report the case of a patient developing an acute ischaemic stroke following pulmonary lobectomy, who was transferred to the regional neurosciences unit, despite the absence of an established referral pathway, to undergo mechanical thrombectomy, with significant prognostic neurological benefit. We would advocate all cardiothoracic centres identify their regional neurosciences unit and initiate discussion to establish a referral pathway.
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