English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Objective: A novel mechanical thrombectomy device for acute ischemic stroke has provided a favorable outcome. However, it is not well known that delayed stenotic change of the affected arterial wall can be caused by device scratching. Case Presentations: A 73-year-old male presented with a symptomatic left middle cerebral artery (MCA) occlusion. The patient was recovered without any sequelae after stent-using mechanical thrombectomy. During follow-up in the outpatient department, magnetic resonance angiography and imaging revealed a progressive diffuse severe MCA stenosis and leukoencephalopathy. A hundred and eight days after the stent assisted procedure, the patient received percutaneous transluminal balloon-angioplasty, because of the resistance to any medical treatment and minor ischemic symptom. Conclusion: The authors state that close observation of both vascular lumen and wall is mandatory after mechanical thrombectomy and postoperative symptomatic stenosis may occur as in this case.

A Case of Delayed Symptomatic Middle Cerebral Artery Stenosis Following Mechanical Thrombectomy