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This case demonstrates that timely mechanical thrombectomy and sustained anticoagulation are crucial for neurological recovery and secondary prevention, while HIV screening positivity adds complexity but should not independently preclude reperfusion therapy.<\/jats:p>","DOI":"10.1002\/ccr3.73734","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T11:04:59Z","timestamp":1792062299000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Recurrent Large\u2010Vessel Occlusive Stroke Requiring Repeated Mechanical Thrombectomy in Severe Dilated Cardiomyopathy With Extremely Low Left Ventricular Ejection Fraction and\n                    <scp>HIV<\/scp>\n                    Screening Positivity: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"given":"Jing","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Neurology The First Affiliated Hospital of Anhui Medical University  Hefei Anhui Province China"},{"name":"Department of Neurology Maanshan People's Hospital  Maanshan Anhui Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liangxu","family":"Xiang","sequence":"additional","affiliation":[{"name":"Department of Neurology Maanshan People's Hospital  Maanshan Anhui Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5960-9192","authenticated-orcid":false,"given":"Yanghua","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Neurology The First Affiliated Hospital of Anhui Medical University  Hefei Anhui Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics15182287"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2024.12.008"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2003.10.056"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2025.1601430"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms26051837"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh\u20102025\u2010022324"},{"key":"e_1_2_15_8_1","doi-asserted-by":"crossref","unstructured":"T. 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