Table 1

Details of mechanical thrombectomy performed in five consecutive COVID-19 positive patients with large vessel occlusion

PatientAge, NIHSS score, IV-tPAComorbiditiesLaboratory abnormalitiesLocation of occlusionTechnical detailsAngiographic outcome
150–60 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 occlusionStent-aspiration combinationTICI 2a
250–60 years
NIHSS 29
+tPA
Acute left pulmonary embolism↑ D-dimer
↑ ESR, CRP
↑ INR, ↑ PTT
↑ IL-6
Left ICA terminus occlusionStent-aspiration combinationTICI 2b
350–60 years
NIHSS 28
+tPA
Acute myocardial infarction↑ D-Dimer
↑ ESR, CRP
↑ INR, ↑ PTT
↑ IL-6
Right ICA terminus occlusion, basilar artery occlusionStent-aspiration combination, balloon guide catheter flow arrestTICI 3 for ICA occlusion,
TICI 2b basilar occlusion
430–40 years
NIHSS 10
+tPA
Hypertension, diabetes↑ D-Dimer
↑ ESR, CRP
↑ INR, ↑ PTT
↑ IL-6
Right ICA terminus occlusion, tandem right carotid bulb thrombusStent-aspiration initially, conversion to suction aspiration aloneTICI 3
530–40 years
NIHSS 20
+tPA
None↑ D-Dimer
↑ ESR, CRP
↑ INR, ↑ PTT
↑ IL-6
Left M1 occlusionStent-aspiration combinationTICI 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.