Successful endovascular thrombectomy 8 days after onset of acute ischemic stroke: A case report

Tianzhu Liu; Sichong Ren; Li Chen; Shiyu Deng; Houping Xu; Ying Wu; Changjiang Li; Sijin Yang

doi:10.1016/j.heliyon.2023.e13259

Successful endovascular thrombectomy 8 days after onset of acute ischemic stroke: A case report

Heliyon. 2023 Jan 25;9(2):e13259. doi: 10.1016/j.heliyon.2023.e13259. eCollection 2023 Feb.

Authors

Tianzhu Liu¹, Sichong Ren², Li Chen¹, Shiyu Deng¹, Houping Xu¹, Ying Wu¹, Changjiang Li¹, Sijin Yang¹

Affiliations

¹ Department of Neurology, Affiliated Hospital of Traditional Chinese Medicine of Southwest Medical University, Luzhou 646000, Sichuan, China.
² Department of Nephrology, First Affiliated Hospital of Chengdu Medical College, Chengdu 610500, Sichuan, China.

Abstract

Endovascular thrombectomy (EVT) is the recommended option for acute ischemic stroke (AIS) patients with large vessel occlusion (LVO) that within 6 h onset of stroke. The EVT treatment time window has been extended to 24 h in carefully selected patients by DAWN trial. Recent evidences indicated that some patients presented beyond 24 h still potentially benefit from EVT treatment. Herein, we describe one case of successful delayed EVT in a 50-year-old male AIS patient with an 8-day history of left middle cerebral artery occlusion. Before surgery, CT perfusion demonstrated a marked left hypoperfusion with penumbra volume of 127 mL and ischemic core volume of 10 mL. EVT was performed with complete recanalization and significant improvement in his neurological deficits at 90-days post-surgery follow-up. In future, more randomized clinical trials are warranted to further confirm the safety, efficacy, as well as the applicable population of delayed EVT.

Keywords: Acute ischemic stroke; Endovascular thrombectomy; Large vessel occlusion; Treatment time window.

Publication types

Case Reports