Mechanical Thrombectomy with Stent Retriever 29 Days After Onset of Ischemic Stroke.

Abstract:

:A patient presented with progressive ischemic stroke and received mechanical thrombectomy with a Solitaire FR device 29 days after stroke onset. The occluded V4 segment of the left vertebral artery showed a double rail sign on angiography, which indicated that the occlusion might have been caused by embolism instead of stenosis. The mechanical thrombectomy procedure was a 1-pass success and the patient was functionally independent with a modified Rankin Scale score of 1 at 3-month follow-up. The appearance of the vascular wall (double rail sign) of the occluded cerebral vascular segment on angiography may be a significant feature to identify the character of the occlusion even a long time after onset, which is important when planning further endovascular therapy in patients with ischemic stroke.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Fu X,Yuan Y,Xu H

doi

10.1016/j.wneu.2020.03.223

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

437-438.e1

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(20)30694-X

journal_volume

141

pub_type

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  • Identification and Management of Progressive Enhancement After Radiation Therapy for Brain Metastases: Results from a Neurosurgical Survey.

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