Intensive Care, Pitié-Salpêtrière Hospital, Paris, France
Sorbonne Université, Paris, France.
J Neurointerv Surg. 2020 May;12(5):486-488. doi: 10.1136/neurintsurg-2019-015407. Epub 2019 Nov 19.
Use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in adult patients to treat refractory cardiogenic shock has increased in recent years, and ischemic stroke is the most frequent VA-ECMO-induced cerebrovascular complication. No adult case of mechanical thrombectomy (MT) has been reported.
Retrospective observational study of hospital medical records of patients who received circulatory support with VA-ECMO with acute ischemic stroke treated with MT, from 2006 to 2018.
Two adult patients on VA-ECMO with acute ischemic stroke treated with MT were found. Both cases were successfully treated.
These cases illustrate the feasibility of performing MT in adult patients on ECMO.
近年来，使用体外膜肺氧合（VA-ECMO）治疗成人难治性心源性休克的情况有所增加，而缺血性卒中是 VA-ECMO 最常见的脑血管并发症。尚未有关于机械取栓术（MT）治疗成人 VA-ECMO 相关缺血性卒中的报道。
回顾性观察性研究，纳入 2006 年至 2018 年期间接受 VA-ECMO 循环支持治疗并接受 MT 治疗的急性缺血性卒中患者的医院病历。
发现 2 例接受 MT 治疗的 VA-ECMO 支持的急性缺血性卒中成年患者，均成功治疗。
这些病例说明在 ECMO 支持的成年患者中进行 MT 的可行性。
