Abstract
Successful invasive treatment of stroke in a patient with a left ventricle assist device – case report
- Department of Intensive Cardiac Therapy, National Institute of Cardiology, Warsaw, Poland
- 1st Neurological Department, Institute of Psychiatry and Neurology, Warsaw, Poland
- Department of Valvular Heart Disease, National Institute of Cardiology, Warsaw, Poland
- Neurology Consultant, National Institute of Cardiology, Warsaw, Poland
- Department of Radiology, National Institute of Cardiology, Warsaw, Poland
Purpose
The article presents a case of invasively treated stroke in a patient with heart failure (HF) and implanted left ventricle assist device (LVAD), and risk factors suspected as the reasons behind the stroke.
Case description
A 58-year-old patient with HF supported with LVAD, with atrial fibrillation (AF) and rapid heart rate, was admitted to intensive cardiac care unit due to episodes of AF falsely detected by implantable cardiac defibrillator as ventricular fibrillation (VF), provoking unnecessary defibrillator discharges and episodes of real VF in consequence. Twelve hours after admission, the patient displayed symptoms of stroke and was treated with mechanical thrombectomy of the occluded right middle cerebral artery, with good results.
Comment
The treatment for stroke in a patient with multiple risk factors, who needed antithrombotic therapy due to LVAD, presented a significant challenge. Fortunately, timely diagnosis of stroke enabled quick invasive treatment with good results.
Keywords
stroke, thrombectomy, atrial fibrillation, LVAD, invasive treatment
Coverage in
Indexed in
Integrated with
