Beyond the Limit: Salvaging the Posterior Circulation Territory via Late Endovascular Thrombectomy
Introduction: Posterior circulation infarctions, particularly basilar artery occlusions, contribute significantly to morbidity and mortality in ischemic stroke. However, literature supporting mechanical thrombectomy in the posterior circulation, especially beyond the 24-h window, is limit...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2025-01-01
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| Series: | Case Reports in Neurology |
| Online Access: | https://karger.com/article/doi/10.1159/000543218 |
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| author | Ryan Aliñab Jo Ann Soliven Victor Erwin Jocson Gemmalynn Sarapuddin |
| author_facet | Ryan Aliñab Jo Ann Soliven Victor Erwin Jocson Gemmalynn Sarapuddin |
| author_sort | Ryan Aliñab |
| collection | DOAJ |
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Introduction: Posterior circulation infarctions, particularly basilar artery occlusions, contribute significantly to morbidity and mortality in ischemic stroke. However, literature supporting mechanical thrombectomy in the posterior circulation, especially beyond the 24-h window, is limited. Case Presentation: We present the case of a 64-year-old male diagnosed with basilar artery occlusion who underwent a successful mechanical thrombectomy 11 days after symptom onset. Despite complications such as hemorrhagic transformation and herniation, the patient was stabilized and showed functional improvement 3 months post-stroke. Conclusion: This case suggests that delayed thrombectomy may provide benefits for selected patients, even beyond the recommended 24-h window. Further research is essential to refine treatment strategies and potentially extend the intervention window for posterior circulation strokes. |
| format | Article |
| id | doaj-art-1393ec4e75664c27832786c679ccbb92 |
| institution | OA Journals |
| issn | 1662-680X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Neurology |
| spelling | doaj-art-1393ec4e75664c27832786c679ccbb922025-08-20T02:31:55ZengKarger PublishersCase Reports in Neurology1662-680X2025-01-01171162410.1159/000543218Beyond the Limit: Salvaging the Posterior Circulation Territory via Late Endovascular ThrombectomyRyan AliñabJo Ann SolivenVictor Erwin JocsonGemmalynn Sarapuddin Introduction: Posterior circulation infarctions, particularly basilar artery occlusions, contribute significantly to morbidity and mortality in ischemic stroke. However, literature supporting mechanical thrombectomy in the posterior circulation, especially beyond the 24-h window, is limited. Case Presentation: We present the case of a 64-year-old male diagnosed with basilar artery occlusion who underwent a successful mechanical thrombectomy 11 days after symptom onset. Despite complications such as hemorrhagic transformation and herniation, the patient was stabilized and showed functional improvement 3 months post-stroke. Conclusion: This case suggests that delayed thrombectomy may provide benefits for selected patients, even beyond the recommended 24-h window. Further research is essential to refine treatment strategies and potentially extend the intervention window for posterior circulation strokes. https://karger.com/article/doi/10.1159/000543218 |
| spellingShingle | Ryan Aliñab Jo Ann Soliven Victor Erwin Jocson Gemmalynn Sarapuddin Beyond the Limit: Salvaging the Posterior Circulation Territory via Late Endovascular Thrombectomy Case Reports in Neurology |
| title | Beyond the Limit: Salvaging the Posterior Circulation Territory via Late Endovascular Thrombectomy |
| title_full | Beyond the Limit: Salvaging the Posterior Circulation Territory via Late Endovascular Thrombectomy |
| title_fullStr | Beyond the Limit: Salvaging the Posterior Circulation Territory via Late Endovascular Thrombectomy |
| title_full_unstemmed | Beyond the Limit: Salvaging the Posterior Circulation Territory via Late Endovascular Thrombectomy |
| title_short | Beyond the Limit: Salvaging the Posterior Circulation Territory via Late Endovascular Thrombectomy |
| title_sort | beyond the limit salvaging the posterior circulation territory via late endovascular thrombectomy |
| url | https://karger.com/article/doi/10.1159/000543218 |
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