Beyond the Limit: Salvaging the Posterior Circulation Territory via Late Endovascular Thrombectomy

• Published in: Case reports in neurology Vol. 17; no. 1; pp. 16 - 24
• Main Authors: Aliñab, Ryan, Soliven, Jo Ann, Jocson, Victor Erwin, Sarapuddin, Gemmalynn
• Format: Journal Article
• Language: English
• Published: Switzerland S. Karger AG 01.01.2025; Karger Publishers
• Subjects: Single Case – General Neurology; Endovascular thrombectomy; Thrombectomy; Basilar artery occlusion; Mechanical thrombectomy; Posterior circulation infarction; Large vessel occlusion
• ISSN: 1662-680X; 1662-680X
• DOI: 10.1159/000543218

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.