the complicated management and treatment considerations of stroke in the context of these circulatory support devices. Methods We retrospectively reviewed all patients ECMO who underwent MT for large vessel occlusion (LVO) since 2017 at our institution. Baseline demographics, details regarding placement of ECMO and outcome variables such as recanalization scale, any hemorrhage on post-operative imaging, and mRS at three months were collected for each patient. Results There were three patients on ECMO identified to have a LVO between 2020-2021. Two patients had internal carotid terminus occlusions and one had a basilar occlusion. The average time from last known well to groin puncture was 294 minutes and the average time to recanalization from groin access was 58 minutes. Two ECMO patients required radial access due to either central aortic cannula or presence of intra-aortic balloon pump. All three patients had TICI 3 revascularization without hemorrhage on post-operative imaging. All patients were eventually decannulated from ECMO. Two patients had mRS 1 at 3 months while one patient was mRS 4. Conclusion Concomitant with the increasing use of ECMO is the increasing recognition of acute brain injuries, including acute ischemic stroke, which may be caused by a myriad of MCS-driven factors. We share our institutional experience with performing MT in patients on circulatory support and demonstrate that mechanical thrombectomy can be performed safely with good outcomes.
Table 1 outlines VAS pain outcomes as related to the procedure, both preoperative and postoperative. There was a significant difference between improvement of resting pain (2.63 point improvement, <0.000001), as well as a significant difference between improvement of worst pain before and after the SpineJack procedure (1.88 point improvement, <0.0001). Conclusions These results support the safety and efficacy of the SpineJack procedure as related to current conventional treatments in the setting of vertebral fractures.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.