Clinical case report: Outcomes of recovery in patients with low ASPECTS score after mechanical thrombectomy for acute ischemic stroke

Abstract

Mechanical thrombectomy is generally recommended in patients with an Alberta Stroke Program Early CT Score (ASPECT) score of 6 or higher. However, some recent studies have shown that the benefit of reperfusion is not entirely dependent on the ASPECT score. We report a male patient with a low initial ASPECTS score (4) who underwent thrombectomy and stenting of the internal carotid artery. The results showed significant improvement in both imaging and clinical symptoms. This suggests that thrombectomy may benefit ischemic stroke patients with low initial ASPECTS scores. The decision to treat should also be considered on individual patient characteristics and the benefits and risks of treatment.