Case Report
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World J Clin Cases. Mar 16, 2014; 2(3): 78-85
Published online Mar 16, 2014. doi: 10.12998/wjcc.v2.i3.78
Successful recanalization with multimodality endovascular interventional therapy in acute ischemic stroke
Amorn Jongsathapongpan, Anuchit Raumthanthong, Sombat Muengtaweepongsa
Amorn Jongsathapongpan, Department of Cardiology, Phyathai 2 Hospital (Bangkok Hospital Group), Bangkok 10400, Thailand
Anuchit Raumthanthong, Department of Radiology, Pramongkutklao Hospital, Bangkok 10400, Thailand
Sombat Muengtaweepongsa, Department of Medicine, Thammasat University, PathumThani 12120, Thailand
Author contributions: Jongsathapongpan A and Muengtaweepongsa S designed the report, collected data and wrote the report; Jongsathapongpan A and Raumthanthong A performed the procedure; Muengtaweepongsa S set up the protocol for patient selection; Raumthanthong A performed the angiogram and imaging diagnosis.
Supported by The National Research University Project of Thailand Office of Higher Education Commission, Thammasat University, Thailand
Correspondence to: Sombat Muengtaweepongsa, MD, Department of Medicine, Thammasat University, Rangsit Campus, 99 Moo 18, Paholyothin Road, KlongNueng, KlongLuang, Pathumthani 12120, Thailand. sombatm@hotmail.com
Telephone: +66-29-269794 Fax: +66-29-269793
Received: November 9, 2013
Revised: January 7, 2014
Accepted: January 17, 2014
Published online: March 16, 2014
Abstract

Stroke is an important cause of death and disability in adults. However, effective treatments for patients with acute ischemic stroke are limited. Intravenous recombinant tissue plasminogen activator (iv rtPA) within 4.5 h after onset has been approved as a standard treatment for patients with acute ischemic stroke. However, due to time constraints, less than one percent of acute ischemic stroke patients in Thailand are able to obtain iv rtPA. Although endovascular interventional therapy has not yet been approved as standard treatment in acute ischemic stroke, it is the one of the potentially effective treatment options. There are several reliable methods of endovascular therapy for acute ischemic stroke patients. Endovascular interventional therapy has rarely been done in Thailand. We report seven patients with successful recanalization after endovascular treatment in acute large vessel stroke from a single stroke center in Thailand. Patient screening and selection with multimodal imaging protocol and multimodality methods of endovascular interventional therapy are described.

Keywords: Acute ischemic stroke, Intra-arterial thrombolysis, Endovascular therapy, Mechanical thrombectomy

Core tip: We report seven patients with successful recanalization after endovascular treatment in acute large vessel stroke from a single stroke center in Thailand. Patient screening and selection with multimodal imaging protocol and multimodality methods of endovascular interventional therapy are described.