First reported use of retrievable stent technology for removal of a large septic embolus in the middle cerebral artery

Background: The treatment of acute ischemic stroke in the setting of infective endocarditis (IE) is not well established. Although there have been a few reports on the use of intravenous thrombolysis, the role of mechanical thrombolysis through embolectomy is unknown. Case Description: A 78-year-old woman with an acute middle cerebral artery stroke secondary to septic embolization underwent successful stent retrieval of the septic embolus, followed by complete revascularization and neurologic improvement. Conclusions: Mechanical thrombolysis with embolectomy may be a safe and efficacious option for selected patients with acute ischemic stroke secondary to IE.