Mechanical thrombectomy as an alternative reperfusion therapy in acute ischaemic stroke associated with recent late presentation of ST elevation myocardial infarction
Concomitant recent myocardial infarction (MI) in patients presenting with acute ischaemic stroke (AIS) is considered a relative contraindication for thrombolysis. Mechanical thrombectomy is recognised as an alternative recanalisation therapy to avoid risk of haemorrrhagic complications. We report...
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| Format: | Article |
| Language: | en |
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Pusat Perubatan Universiti Kebangsaan Malaysia
2018
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| Online Access: | http://journalarticle.ukm.my/20213/1/20_ms0164_pdf_17290.pdf http://journalarticle.ukm.my/20213/ https://www.medicineandhealthukm.com/toc/13/1 |
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| _version_ | 1834433899458985984 |
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| author | Hashim Embong, Samshiyah AS, Azuan NI, |
| author_facet | Hashim Embong, Samshiyah AS, Azuan NI, |
| author_sort | Hashim Embong, |
| building | Tun Sri Lanang Library |
| collection | Institutional Repository |
| content_provider | Universiti Kebangsaan Malaysia |
| content_source | UKM Journal Article Repository |
| continent | Asia |
| country | Malaysia |
| description | Concomitant recent myocardial infarction (MI) in patients presenting with acute
ischaemic stroke (AIS) is considered a relative contraindication for thrombolysis.
Mechanical thrombectomy is recognised as an alternative recanalisation therapy
to avoid risk of haemorrrhagic complications. We report a 77-year-old patient who
previously had recent admission for late presentation ST elevation myocardial
infarction (STEMI) and currently presented with right-sided hemiplegia, dysphasia
and reduced level of consciousness at 30 minutes from the onset. An urgent cerebralangiography showed total occlusion of the left middle cerebral artery (MCA).
Successful mechanical thrombectomy was performed instead of administration
of intravenous (IV) thrombolysis with excellent neurological recovery. This case
report highlights the importance of patient transfer to a more comprehensive stroke
center in the management strategies of the AIS. |
| format | Article |
| id | my-ukm.journal.20213 |
| institution | Universiti Kebangsaan Malaysia |
| language | en |
| publishDate | 2018 |
| publisher | Pusat Perubatan Universiti Kebangsaan Malaysia |
| record_format | eprints |
| spelling | my-ukm.journal.202132022-10-21T08:35:35Z http://journalarticle.ukm.my/20213/ Mechanical thrombectomy as an alternative reperfusion therapy in acute ischaemic stroke associated with recent late presentation of ST elevation myocardial infarction Hashim Embong, Samshiyah AS, Azuan NI, Concomitant recent myocardial infarction (MI) in patients presenting with acute ischaemic stroke (AIS) is considered a relative contraindication for thrombolysis. Mechanical thrombectomy is recognised as an alternative recanalisation therapy to avoid risk of haemorrrhagic complications. We report a 77-year-old patient who previously had recent admission for late presentation ST elevation myocardial infarction (STEMI) and currently presented with right-sided hemiplegia, dysphasia and reduced level of consciousness at 30 minutes from the onset. An urgent cerebralangiography showed total occlusion of the left middle cerebral artery (MCA). Successful mechanical thrombectomy was performed instead of administration of intravenous (IV) thrombolysis with excellent neurological recovery. This case report highlights the importance of patient transfer to a more comprehensive stroke center in the management strategies of the AIS. Pusat Perubatan Universiti Kebangsaan Malaysia 2018 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/20213/1/20_ms0164_pdf_17290.pdf Hashim Embong, and Samshiyah AS, and Azuan NI, (2018) Mechanical thrombectomy as an alternative reperfusion therapy in acute ischaemic stroke associated with recent late presentation of ST elevation myocardial infarction. Medicine & Health, 13 (1). pp. 215-219. ISSN 2289-5728 https://www.medicineandhealthukm.com/toc/13/1 |
| spellingShingle | Hashim Embong, Samshiyah AS, Azuan NI, Mechanical thrombectomy as an alternative reperfusion therapy in acute ischaemic stroke associated with recent late presentation of ST elevation myocardial infarction |
| title | Mechanical thrombectomy as an alternative reperfusion therapy in acute ischaemic stroke associated with recent late presentation of ST elevation myocardial infarction |
| title_full | Mechanical thrombectomy as an alternative reperfusion therapy in acute ischaemic stroke associated with recent late presentation of ST elevation myocardial infarction |
| title_fullStr | Mechanical thrombectomy as an alternative reperfusion therapy in acute ischaemic stroke associated with recent late presentation of ST elevation myocardial infarction |
| title_full_unstemmed | Mechanical thrombectomy as an alternative reperfusion therapy in acute ischaemic stroke associated with recent late presentation of ST elevation myocardial infarction |
| title_short | Mechanical thrombectomy as an alternative reperfusion therapy in acute ischaemic stroke associated with recent late presentation of ST elevation myocardial infarction |
| title_sort | mechanical thrombectomy as an alternative reperfusion therapy in acute ischaemic stroke associated with recent late presentation of st elevation myocardial infarction |
| url | http://journalarticle.ukm.my/20213/1/20_ms0164_pdf_17290.pdf http://journalarticle.ukm.my/20213/ https://www.medicineandhealthukm.com/toc/13/1 |
| url_provider | http://journalarticle.ukm.my/ |