ArticleCureus2026
Delayed M1 Dissection After Thrombectomy Treated With Rescue Stenting and Tirofiban: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
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Abstract
Delayed re-occlusion after successful mechanical thrombectomy (MT) is uncommon and often underrecognized. Iatrogenic intracranial arterial dissection represents a rare but potentially devastating mechanism requiring rapid salvage intervention with or without a stent. A 63-year-old woman with a wake-up stroke underwent thrombolysis and MT with complete reperfusion (Thrombolysis in Cerebral Infarction (TICI) grade 3) and full neurological recovery. Three days later, she developed acute neurological deterioration. Angiography demonstrated a right M1 re-occlusion caused by a flow-limiting dissection. Following failed aspiration, emergent rescue stenting with a self-expanding Low-profile Visualized Intraluminal Support (LVIS) EVO stent achieved immediate reperfusion. A tirofiban-based bridging strategy with dual antiplatelet therapy was initiated without hemorrhagic complications. Follow-up imaging showed a small infarct. At 12 months, the patient remained functionally independent, with a modified Rankin Scale (mRS) score of 1 and a National Institutes of Health Stroke Scale (NIHSS) score of 0. Delayed iatrogenic dissection should be suspected in post-thrombectomy deterioration. Rescue intracranial stenting is a definitive and effective salvage strategy, provided that antithrombotic therapy is carefully individualized.
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