Clinical case of thrombus extraction in ischemic stroke in a patient with severe concomitant pathology

Abstract

The clinical case reports the first experience of thrombus extraction in a young patient with ischemic stroke and severe concomitant pathology. The 33-year old patient was admitted to the hospital with stroke 4 hours after its onset. The occlusion of the distal Ml segment of the left middle cerebral artery was documented with MSCT. A satisfactory clinical result of the thrombus extraction in ischemic stroke was achieved, despite the changed treatment strategy commonly used for from this pathology (thrombolytic therapy and thrombus extraction). The refusal of thrombolytic therapy was associated with the presence of destructive pulmonary tuberculosis and a high risk of pulmonary hemorrhage. Successful thrombus extraction from the M1 segment of the left middle cerebral artery segment with the final blood flow in the left internal carotid artery at the level of TICI III was performed. At discharge the patient demonstrated improved neurological status with the modified Rankin score of 3.