Mechanical Thrombectomy for Acute Ischemic Stroke in a Patient with Concomitant Spontaneous Intracerebral Hemorrhage

Abstract

Data from randomized clinical trials and current guidelines suggest that patients with anterior circulation occlusion with contraindications to intravenous thrombolysis may benefit from direct mechanical thrombectomy. Nevertheless, no data are available on the efficacy and safety of direct mechanical thrombectomy in patients with concomitant spontaneous intracerebral hemorrhage. We report the case of a 51-year-old woman with a spontaneous intracerebral hemorrhage in the right parietal and occipital lobes, who experienced, 7 days later, an occlusion of the proximal left middle cerebral artery. Direct mechanical thrombectomy was performed, with complete recanalization of the left middle cerebral artery and good clinical outcome. To our knowledge, this is the first case report of direct mechanical thrombectomy for acute ischemic stroke in the setting of concomitant spontaneous intracerebral hemorrhage in a different vascular territory.

Keywords: Intracerebral hemorrhage; ischemic stroke; large vessel occlusion; mechanical thrombectomy.