Breaking the 12-hour barrier: A case report on stent-retriever mechanical thrombectomy in a late-presenting acute ischemic stroke

Abstract

Ischemic stroke remains a leading health concern globally, particularly in high-challenge terrains such as Indonesia. Mechanical thrombectomy is one of the main surgical approaches for acute ischemic stroke, and it has significant benefits for patients with viable brain tissue. The pursuit of tissue salvation by mechanical thrombectomy should be maximized through individualized clinical and radiological evaluations. This study presented a 41-year-old man who presented with acute infarct stroke and underwent stent-retriever thrombectomy 12 hours after onset, followed by improvement in speech and motor skills. Key takeaways involve matching clinical data with imaging results, consideration of the benefit of thrombectomy, and striving for the fastest treatment administration.

Keywords

• Acute ischemic stroke
• Computed tomography
• Endovascular technique
• Mechanical thrombectomy
• Revascularization
• Stent retriever