Successful thrombectomy in endocarditis-related stroke: Case report and review of the literature

Interv Neuroradiol. 2018 Oct;24(5):529-532. doi: 10.1177/1591019918774761. Epub 2018 May 16.

Abstract

Neurological complications of infective endocarditis are frequent, especially ischaemic strokes. As intravenous thrombolysis in infective endocarditis-related ischaemic stroke has a controversial benefit/risk ratio, alternative treatment regimens have to be considered. We present the case of a young patient with septic embolism of the middle cerebral artery who was successfully treated with mechanical thrombectomy, and give a short review of the existing literature.

Keywords: Endocarditis; septic emboli; stroke; thrombectomy.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Cerebral Angiography
  • Computed Tomography Angiography
  • Echocardiography, Transesophageal
  • Endocarditis, Bacterial / complications*
  • Endocarditis, Bacterial / diagnostic imaging
  • Endocarditis, Bacterial / drug therapy
  • Endocarditis, Bacterial / microbiology
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Streptococcal Infections / complications*
  • Streptococcal Infections / diagnostic imaging
  • Streptococcal Infections / drug therapy
  • Streptococcal Infections / microbiology
  • Stroke / diagnostic imaging
  • Stroke / microbiology*
  • Stroke / surgery*
  • Thrombectomy / methods*
  • Tomography, X-Ray Computed
  • Viridans Streptococci / isolation & purification