Patient | Age, NIHSS score, IV-tPA | Comorbidities | Laboratory abnormalities | Location of occlusion | Technical details | Angiographic outcome |
1 | 50–60 years NIHSS 27 +tPA | Hypertension, coronary artery disease | ↑ D-Dimer ↑ ESR, CRP ↑ INR, ↑ PTT ↑ IL-6 | Tandem left carotid bulb thrombus and left inferior M2 occlusion | Stent-aspiration combination | TICI 2a |
2 | 50–60 years NIHSS 29 +tPA | Acute left pulmonary embolism | ↑ D-dimer ↑ ESR, CRP ↑ INR, ↑ PTT ↑ IL-6 | Left ICA terminus occlusion | Stent-aspiration combination | TICI 2b |
3 | 50–60 years NIHSS 28 +tPA | Acute myocardial infarction | ↑ D-Dimer ↑ ESR, CRP ↑ INR, ↑ PTT ↑ IL-6 | Right ICA terminus occlusion, basilar artery occlusion | Stent-aspiration combination, balloon guide catheter flow arrest | TICI 3 for ICA occlusion, TICI 2b basilar occlusion |
4 | 30–40 years NIHSS 10 +tPA | Hypertension, diabetes | ↑ D-Dimer ↑ ESR, CRP ↑ INR, ↑ PTT ↑ IL-6 | Right ICA terminus occlusion, tandem right carotid bulb thrombus | Stent-aspiration initially, conversion to suction aspiration alone | TICI 3 |
5 | 30–40 years NIHSS 20 +tPA | None | ↑ D-Dimer ↑ ESR, CRP ↑ INR, ↑ PTT ↑ IL-6 | Left M1 occlusion | Stent-aspiration combination | TICI 2a |
CRP, C-reactive protein; ESR, erythrocyte sedimentation rate; ICA, internal carotid artery; IL-6, interleukin 6; INR, international normalized ratio; NIHSS, National Institutes of Health Stroke Scale; PTT, partial thromboplastin time; TICI, thrombolysis in cerebral infarction; tPA, tissue plasminogen activator; tPA, tissue plasminogen activator.