2026-04-17T05:51:41Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/119752025-10-24T10:22:20Zcom_2072_378070com_2072_378040col_2072_378092

Safety and Outcomes of Mechanical Thrombectomy in Acute Ischemic Stroke Attributable to Cardiological Diseases: A Scoping Review d'anna, lucio Abu-Rumeileh, Samir Merlino, Giovanni Ornello, Raffaele Foschi, Matteo Diana, Francesco Avaluació de resultats (Assistència sanitària) Malalties cerebrovasculars - Cirurgia Cor - Malalties Vasos sanguinis - Cirurgia ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Prognosis::Treatment Outcome ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Vascular Surgical Procedures::Thrombectomy DISEASES::Cardiovascular Diseases::Vascular Diseases::Cerebrovascular Disorders::Stroke Other subheadings::Other subheadings::Other subheadings::/surgery DISEASES::Cardiovascular Diseases::Heart Diseases TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronóstico::resultado del tratamiento TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos cardiovasculares::procedimientos quirúrgicos vasculares::trombectomía ENFERMEDADES::enfermedades cardiovasculares::enfermedades vasculares::trastornos cerebrovasculares::accidente cerebrovascular Otros calificadores::Otros calificadores::Otros calificadores::/cirugía ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas Heart failure; Iischemic stroke; Mechanical thrombectomy Insuficiència cardíaca; Ictus isquèmic; Trombectomia mecànica Insuficiencia cardiaca; Ictus isquémico; Trombectomía mecánica There is limited evidence on the outcomes and safety of mechanical thrombectomy (MT) among patients with acute ischemic stroke (AIS) in the context of cardiac diseases. Our study reviews MT in AIS within the context of cardiac diseases, aiming to identify existing and emerging needs and gaps. PubMed and Scopus were searched until December 31, 2023, using a combination of cardiological diseases and “mechanical thrombectomy” or “endovascular treatment” as keywords. Study design included case reports/series, observational studies, randomized clinical trials, and meta‐analyses/systematic reviews. We identified 943 articles, of which 130 were included in the review. Results were categorized according to the cardiac conditions. MT shows significant benefits in patients with atrial fibrillation (n=139) but lacks data for stroke occurring after percutaneous coronary intervention (n=2) or transcatheter aortic valve implantation (n=5). MT is beneficial in AIS attributable to infective endocarditis (n=34), although functional benefit may be limited. Controversy surrounds the functional outcomes and mortality of patients with AIS with heart failure undergoing MT (n=11). Despite technical challenges, MT appears feasible in aortic dissection cases (n=4), and in patients with left ventricular assist device or total artificial heart (n=10). Data on AIS attributable to congenital heart disease (n=4) primarily focus on pediatric cases requiring technical modifications. Treatment outcomes of MT in patients with cardiac tumors (n=8) vary because of clot consistency differences. After cardiac surgery stroke, MT may improve outcomes with early intervention (n=13). Available data outline the feasibility of MT in patients with AIS attributable to large‐vessel occlusion in the context of cardiac diseases. Drs Abu‐Rumeileh and Barba received research support from the Medical Faculty of Martin‐Luther‐University Halle‐Wittenberg (Junior Clinician Scientist Programm No. JCS24/02). 2025-10-24T10:22:20Z 2025-10-24T10:22:20Z 2025-10-24T10:22:20Z 2024-09-27T10:54:11Z 2024-09-27T10:54:11Z 2024-09-03 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://hdl.handle.net/11351/11975 Journal of the American Heart Association;13(17) https://doi.org/10.1161/JAHA.124.034783 Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess Wiley Scientia