A case of mechanical thrombectomy in a patient with idiopathic thrombocytopenic purpura

Abstract

A 63-year-old male with asymptomatic idiopathic thrombocytopenic purpura (ITP) was presented to the emergency department with mild disturbance of consciousness and was diagnosed with left internal carotid artery occlusion by head MRI/MRA. Intravenous thrombolysis was not chosen for the treatment because of his low platelet count (1.9×10⁴/µl). MRA showed a flow to the left MCA from the anterior communicating artery. Therefore, we decided to give a platelet transfusion followed by mechanical thrombectomy (MT) with a reperfusion of TICI3. He was placed on anticoagulation therapy as a secondary prevention, and discharged ambulatory on the 17th hospital day.