PMID- 31744852 OWN - NLM STAT- MEDLINE DCOM- 20200907 LR - 20200907 IS - 1759-8486 (Electronic) IS - 1759-8478 (Linking) VI - 12 IP - 5 DP - 2020 May TI - Mechanical thrombectomy in acute ischemic stroke patients under venoarterial extracorporeal membrane oxygenation. PG - 486-488 LID - 10.1136/neurintsurg-2019-015407 [doi] AB - BACKGROUND: 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. METHODS: 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. RESULTS: Two adult patients on VA-ECMO with acute ischemic stroke treated with MT were found. Both cases were successfully treated. CONCLUSION: These cases illustrate the feasibility of performing MT in adult patients on ECMO. CI - (c) Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Le Guennec, Loic AU - Le Guennec L AUID- ORCID: 0000-0001-8146-6256 AD - Intensive Care, Pitie-Salpetriere Hospital, Paris, France loic.leguennec@yahoo.fr. AD - Sorbonne Universite, Paris, France. FAU - Schmidt, Matthieu AU - Schmidt M AD - Intensive Care, Pitie-Salpetriere Hospital, Paris, France. AD - Sorbonne Universite, Paris, France. FAU - Clarencon, Frederic AU - Clarencon F AD - Sorbonne Universite, Paris, France. AD - Neuroradiology, Pitie-Salpetriere Hospital, Paris, France. FAU - Elhfnawy, Ahmed Mohamed AU - Elhfnawy AM AD - Sorbonne Universite, Paris, France. AD - Neuroradiology, Pitie-Salpetriere Hospital, Paris, France. FAU - Baronnet, Flore AU - Baronnet F AD - Sorbonne Universite, Paris, France. AD - Vascular Neurology, Pitie-Salpetriere Hospital, Paris, France. FAU - Kalamarides, Michel AU - Kalamarides M AD - Sorbonne Universite, Paris, France. AD - Neurosurgery, Pitie-Salpetriere Hospital, Paris, France. FAU - Lebreton, Guillaume AU - Lebreton G AD - Sorbonne Universite, Paris, France. AD - Cardiac Surgery, Pitie-Salpetriere Hospital, Paris, France. FAU - Luyt, Charles-Edouard AU - Luyt CE AD - Intensive Care, Pitie-Salpetriere Hospital, Paris, France. AD - Sorbonne Universite, Paris, France. LA - eng PT - Case Reports PT - Journal Article PT - Observational Study DEP - 20191119 PL - England TA - J Neurointerv Surg JT - Journal of neurointerventional surgery JID - 101517079 SB - IM MH - Adult MH - Brain Ischemia/complications/diagnostic imaging/*therapy MH - Extracorporeal Membrane Oxygenation/*methods MH - Humans MH - Retrospective Studies MH - Shock, Cardiogenic/complications/diagnostic imaging/*therapy MH - Stroke/complications/diagnostic imaging/*therapy MH - Thrombectomy/*methods OTO - NOTNLM OT - artery OT - blood Pressure OT - catheter OT - intervention OT - stroke COIS- Competing interests: FC reports conflict of interest with Medtronic, Guerbet, Balt Extrusion (payment for readings), Codman Neurovascular (core lab). EDAT- 2019/11/21 06:00 MHDA- 2020/09/08 06:00 CRDT- 2019/11/21 06:00 PHST- 2019/09/03 00:00 [received] PHST- 2019/10/25 00:00 [revised] PHST- 2019/10/28 00:00 [accepted] PHST- 2019/11/21 06:00 [pubmed] PHST- 2020/09/08 06:00 [medline] PHST- 2019/11/21 06:00 [entrez] AID - neurintsurg-2019-015407 [pii] AID - 10.1136/neurintsurg-2019-015407 [doi] PST - ppublish SO - J Neurointerv Surg. 2020 May;12(5):486-488. doi: 10.1136/neurintsurg-2019-015407. Epub 2019 Nov 19.