Rising numbers of mechanical thrombectomies in treatment of acute stroke emphasize the need for appropriate follow-up to identify potential complications in time. Recent findings suggest that abnormal hemodynamics post-recanalization are associated with worse outcomes. Here, we present the case of a patient who exhibited an increased blood flow velocity on transcranial color-coded duplex sonography (TCCD) following endovascular intervention shortly before suffering a reocclusion of the recanalized vessel. Our example shows that TCCD may serve as a valuable tool for detecting patients at risk for secondary vascular events after mechanical thrombectomy.
Keywords: intracranial blood flow velocity; ischemic stroke; mechanical thrombectomy; neurosonography.
© 2021 The Authors. Journal of Clinical Ultrasound published by Wiley Periodicals LLC.