Successful Mechanical Thrombectomy in Acute Ischemic Stroke Due to Right MCA Occlusion: A Case Study

Abstract

Background: Acute ischemic stroke is a significant cause of morbidity and mortality, with rapid intervention being crucial to improving outcomes. This case report describes a successful mechanical thrombectomy using the ADAPT technique in a patient with complete occlusion of the right middle cerebral artery (MCA).

Case Presentation: A 70-year-old male with a history of left bundle branch block (LBBB) and reduced ejection fraction (EF) presented with acute left-sided weakness and expressive aphasia. Neurological assessment revealed complete motor loss in the left limbs, with a National Institutes of Health Stroke Scale (NIHSS) score of 16 and an Alberta Stroke Program Early CT Score (ASPECT) of 8/10.

Results: Urgent imaging ruled out hemorrhage and confirmed a 100% occlusion of the right MCA. Mechanical thrombectomy was performed using the ADAPT technique, successfully restoring cerebral blood flow. Post-procedure, the patient exhibited marked improvement in neurological function.

Conclusion: This case underscores the importance of rapid diagnosis and timely intervention in acute ischemic stroke. The use of mechanical thrombectomy with the ADAPT technique proves effective in revascularization and significantly enhances patient outcomes.