PMC5590346_01
(a and b) Pre-thrombectomy diffusion-weighted imaging (DWI) shows an acute ischemic lesion in left middle cerebral artery (MCA)-territory. The diffusion-weighted imaging-Alberta Stroke Program early computed tomography score is 6. (c and d) Post-thrombectomy DWI shows no worsening of the cerebral infarction. (e) Pre-thrombectomy digital subtraction angiography (DSA) shows occlusion of the left MCA. (f) Post-thrombectomy DSA shows complete recanalization, corresponding to thrombolysis in cerebral infarction grade 3
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F1
Her diffusion-weighted imaging-Alberta Stroke Program early computed tomography score (DWI-ASPECTS) was 6 [Figure 1a and b]. Penumbra 3 Max system [Figure 1e]. A direct-aspiration first-pass technique was performed twice, leading to recanalization. Post-procedural angiography at 5:13, 373 min after stroke onset, demonstrated successful recanalization of the entire left MCA (thrombolysis in cerebral infarction scale: 3) [Figure 1f]. Post-procedural MRI showed no worsening of the cerebral infarction and no hemorrhagic changes [Figure 1c and d].