Abstract
Recent advance in devices, techniques, and peri-procedural patient management in the conduct of mechanical thrombectomy enables neuro-interventionists to recanalize occluded cerebral arteries with greater efficiency and safety than ever. It is conceivable that there exist a group of stroke patients who would benefit from recanalization beyond 24-h time window following the onset of symptom, if viable brain tissue remains at that time. We report a case of a 56-year-old patient who received mechanical thrombectomy 96 h after the onset of symptoms by diffusion/perfusion imaging. The application of advanced neuroimaging and analytical software can accurately estimate viable brain tissue, which enables clinicians to implement individualized therapeutic strategies for patients with acute stroke.
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Funding
This study was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (NRF-2019R1F1A1059455). This study was supported by Chung-Ang University Hospital Convergence Research Fund 2019.
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Kim, JM., Byun, J.S. Image-guided delayed recanalization of middle cerebral artery occlusion. Neurol Sci 41, 3783–3785 (2020). https://doi.org/10.1007/s10072-020-04740-8
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DOI: https://doi.org/10.1007/s10072-020-04740-8