title: Successful recanalization with multimodality endovascular interventional therapy in acute ischemic stroke.
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.
authors.affiliation: Amorn Jongsathapongpan, Department of Cardiology, Phyathai 2 Hospital (Bangkok Hospital Group), Bangkok 10400, Thailand.
authors.forename: Amorn
authors.initials: A
authors.lastname: Jongsathapongpan
authors.affiliation: Amorn Jongsathapongpan, Department of Cardiology, Phyathai 2 Hospital (Bangkok Hospital Group), Bangkok 10400, Thailand.
authors.forename: Anuchit
authors.initials: A
authors.lastname: Raumthanthong
authors.affiliation: Amorn Jongsathapongpan, Department of Cardiology, Phyathai 2 Hospital (Bangkok Hospital Group), Bangkok 10400, Thailand.
authors.forename: Sombat
authors.initials: S
authors.lastname: Muengtaweepongsa
keywords: Acute ischemic stroke; Endovascular therapy; Intra-arterial thrombolysis; Mechanical thrombectomy