{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T22:06:19Z","timestamp":1776722779204,"version":"3.51.2"},"reference-count":0,"publisher":"Ideggyogyaszati Szemle Journal","issue":"3-4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ideggy\u00f3gy\u00e1szati szemle"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Bevezet\u00e9s\nA thrombectomia a nagy\u00e9rocclusio leghat\u00e9konyabb kezel\u00e9si m\u00f3dszere. Jelen pillanatig kev\u00e9s szakirodalmi adat van arr\u00f3l, hogy s\u00falyos thrombocytopenia eset\u00e9n elv\u00e9gezhet\u0151-e biztons\u00e1ggal thrombectomia. Esetismertet\u00e9s\u00fcnkben egy 64 \u00e9ves, myeloma multiplex miatt hematol\u00f3giai gondoz\u00e1s alatt \u00e1ll\u00f3 f\u00e9rfi beteg eset\u00e9t mutatjuk be. Alapbetegs\u00e9g\u00e9nek kezel\u00e9s\u00e9re lenalidomidtartalm\u00fa kezel\u00e9st kapott, melynek ismert mell\u00e9khat\u00e1sa a myelosuppressio, ez vezethetett a s\u00falyos thrombocytopenia kialakul\u00e1s\u00e1hoz.\n\nM\u00f3dszerek\nThrombocytopen beteg\u00fcnkn\u00e9l k\u00e9t alkalommal v\u00e9gezt\u00fcnk sikeres throm\u00ad bectomi\u00e1t arteria basilaris, majd bal oldali arteria cerebri media ter\u00fcleti elz\u00e1r\u00f3d\u00e1s miatt. Kontroll k\u00e9palkot\u00f3n minim\u00e1lis v\u00e9rz\u00e9st csak a m\u00e1sodik thrombectomi\u00e1t k\u00f6vet\u0151en l\u00e1ttunk. Mindk\u00e9t esetben javul\u00e1s k\u00f6vetkezett be a neurol\u00f3giai statusban. A pitvarfibrill\u00e1ci\u00f3 miatt sz\u00fcks\u00e9ges ter\u00e1pi\u00e1s antikoagul\u00e1l\u00e1st a v\u00e9rlemezkesz\u00e1m rendez\u0151d\u00e9s\u00e9t k\u00f6vet\u0151en \u00fajraind\u00edtottuk. A hematol\u00f3giai kezel\u00e9s folytat\u00f3dott, a cytopeni\u00e1t \u00e9s thrombogen hajlamot okoz\u00f3 lenalidomid elhagy\u00e1s\u00e1val. A beteg kivizsg\u00e1l\u00e1sa thrombophilia ir\u00e1ny\u00e1ba megt\u00f6rt\u00e9nt, k\u00e9t thrombosisra hajlamos\u00edt\u00f3 elt\u00e9r\u00e9st is tal\u00e1ltunk. Jelenleg neurol\u00f3giai \u00e9s hematol\u00f3giai szempontb\u00f3l is stabil \u00e1llapotban van.\n\nEredm\u00e9nyek\nKlinikailag sikeresen elv\u00e9gezhet\u0151 k\u00e9t alkalommal is thrombectomia thrombocytopenias betegek eset\u00e9ben is. Az \u00e9relz\u00e1r\u00f3d\u00e1s h\u00e1tter\u00e9ben felmer\u00fcl a thrombocytopenia miatt ineffekt\u00edven antikoagul\u00e1lt pitvarfibrill\u00e1ci\u00f3, a myeloma multiplex kezel\u00e9s\u00e9re alkalmazott lenalidomid, valamint a magas homociszteinszint szerepe is. Arra vonatkoz\u00f3an jelenleg m\u00e9g kev\u00e9s adat \u00e1ll rendelkez\u00e9sre, hogy milyen thrombocyta\u00e9rt\u00e9kkel lehet biztons\u00e1gosan elv\u00e9gezni a thrombectomi\u00e1t, de v\u00e9lem\u00e9ny\u00fcnk szerint s\u00falyos, \u00e9letet vesz\u00e9lyeztet\u0151 arteria basilaris occlusio eset\u00e9n vit\u00e1lis indik\u00e1ci\u00f3val mindenk\u00e9ppen javasolt.<\/jats:p>","DOI":"10.18071\/isz.79.0140","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T13:58:41Z","timestamp":1774533521000},"page":"140-144","source":"Crossref","is-referenced-by-count":1,"title":["K\u00e9t sikeres thrombectomia egy thrombocytopeni\u00e1s betegn\u00e9l"],"prefix":"10.18071","volume":"79","author":[{"given":"S\u00e1ndor","family":"M\u00e1rki","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Sz\u00e1mel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"Nagy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"Hausinger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kl\u00e1ra","family":"Piukovics","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melinda","family":"Luk\u00e1cs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"Kliv\u00e9nyi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7411","published-online":{"date-parts":[[2026]]},"container-title":["Ideggy\u00f3gy\u00e1szati szemle"],"original-title":[],"link":[{"URL":"https:\/\/elitmed.hu\/en\/publications\/clinical-neuroscience\/two-successful-thrombectomies-in-a-patient-with-thrombocytopenia\/pdf-open","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T13:58:43Z","timestamp":1774533523000},"score":1,"resource":{"primary":{"URL":"https:\/\/elitmed.hu\/en\/publications\/clinical-neuroscience\/two-successful-thrombectomies-in-a-patient-with-thrombocytopenia"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"3-4","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.18071\/isz.79.0140","relation":{},"ISSN":["0019-1442","2498-6208"],"issn-type":[{"value":"0019-1442","type":"print"},{"value":"2498-6208","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}