Successful Endovascular Management of Concomitant Ischemic Stroke, Myocardial Infarction, and Massive Pulmonary Embolism.

ABSTRACT:

Background

Ischemic stroke, myocardial infarction (MI), and pulmonary embolism (PE) are emergent conditions which can be treated with catheter-directed therapies. Concomitant management of these conditions with catheter-directed therapy is not well-documented and lacks strong guidelines.

Case summary

A 70-year-old woman presented with stroke symptoms and ST-segment elevation MI. Rapid stroke protocol imaging confirmed ischemic stroke and extensive bilateral PE. To address these conditions rapidly and because of contraindications for systemic thrombolysis, she underwent percutaneous coronary intervention without stenting, stroke thrombectomy, and finally pulmonary thrombectomy.

Discussion

This case provides insight into the management of a patient with 3 emergent patho

SUBMITTER: Nolan RW 

PROVIDER: S-EPMC11861931 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature