MECHANICAL THROMBECTOMY WITH THROMBOLYSIS IN STROKE IN EXTENDED PERIOD: A CASE REPORT

Dr Ahmed H. Al Habsi, Dr Hotchand Maheshwari, Dr. Faiza Mushtaqe, Dr. Said M., Dr. Mohammad Al Tamimi, Dr. Rafiq Khilji, Dr. Neeraj Salhotra*

ABSTRACT

Mechanical thrombectomy for anterior circulation-acute ischemic stroke (AIS) with large vessel occlusion (LVO) can be performed in the extended time window (defined as 6-24 hours from time last known well (TLKW) for endovascular treatment (EVT)) by using advanced imaging, as per the most recent ESO mechanical thrombectomy guidelines. This indication mostly relies on inclusion criteria from the DAWN and DEFUSE-3 trials (clinical/radiological mismatch and perfusion mismatch, respectively). These studies were among the first to shift the time-based paradigm unto a tissue-clock based paradigm for patient selection in LVO-AIS treatment. We herewith present one case within extend period treated by thromectomy and thrombolysis with good outcome.

Keywords: Thombectomy, thrombolysis.