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Image-guided delayed recanalization of middle cerebral artery occlusion

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Abstract

Recent advance in devices, techniques, and peri-procedural patient management in the conduct of mechanical thrombectomy enables neuro-interventionists to recanalize occluded cerebral arteries with greater efficiency and safety than ever. It is conceivable that there exist a group of stroke patients who would benefit from recanalization beyond 24-h time window following the onset of symptom, if viable brain tissue remains at that time. We report a case of a 56-year-old patient who received mechanical thrombectomy 96 h after the onset of symptoms by diffusion/perfusion imaging. The application of advanced neuroimaging and analytical software can accurately estimate viable brain tissue, which enables clinicians to implement individualized therapeutic strategies for patients with acute stroke.

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Funding

This study was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (NRF-2019R1F1A1059455). This study was supported by Chung-Ang University Hospital Convergence Research Fund 2019.

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Authors and Affiliations

  1. Department of Neurology, Chung-Ang University Hospital, Seoul, Korea

    Jeong-Min Kim

  2. Department of Radiology, Chung-Ang University Hospital, Seoul, Korea

    Jun Soo Byun

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  1. Jeong-Min Kim
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  2. Jun Soo Byun
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Correspondence to Jun Soo Byun.

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Kim, JM., Byun, J.S. Image-guided delayed recanalization of middle cerebral artery occlusion. Neurol Sci 41, 3783–3785 (2020). https://doi.org/10.1007/s10072-020-04740-8

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