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A difficult case
Endovascular thrombectomy: 31 hours from symptom onset
  1. James Beharry1,
  2. Roderick Duncan1,
  3. Martin Krauss2,
  4. Frances Colgan2,
  5. Jen Yuh Lim1,
  6. Teddy Wu1,3
  1. 1 Department of Neurology, Christchurch Hospital, Christchurch, New Zealand
  2. 2 Department of Radiology, Christchurch Hospital, Christchurch, New Zealand
  3. 3 New Zealand Brain Research Institute, Christchurch, New Zealand
  1. Correspondence to Dr Teddy Wu, Neurology, Christchurch Hospital, Christchurch 8011, New Zealand; teddy.Wu{at}cdhb.health.nz

Abstract

Endovascular thrombectomy is an effective intervention for symptomatic intracranial large-vessel occlusion. This treatment has proven benefit up to 24 hours following onset in selected patients with prestroke functional independence. Limited case reports suggest that thrombectomy beyond 24 hours may also be effective. We describe a young woman managed with endovascular thrombectomy beyond 24 hours.

  • STROKE
  • NEURORADIOLOGY
  • CLINICAL NEUROLOGY

https://doi.org/10.1136/practneurol-2019-002380

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    Footnotes

    • Contributors JB and TW completed the draft of the submission. All authors took part in the acquisition and analysis of data, gave final approval for the submission and are in agreement with respect to the accuracy and integrity of the submission.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed by Tom Hughes, Cardiff, UK, and Will Whiteley, Edinburgh, UK.

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