{"id":"81976302-cde0-4375-b8c3-2a768fec3e47","slug":"successful-outcome-after-endovascular-thrombolysis-for-acute-ischemic-stroke-even-after-24-h-of-symptoms-onset","title":"Successful outcome after endovascular thrombolysis for acute ischemic stroke even after 24 h of symptoms onset?","authors":["Halil Onder"],"abstract":"Background: The article discusses a patient with acute ischemic stroke (AIS) treated with mechanical thrombectomy and intra-arterial thrombolysis more than 24 hours after symptom onset. The case highlights the importance of evaluating patient progression and the potential for clinical worsening after initial treatment. Summary: The author raises concerns regarding the lack of information on antiplatelet or anticoagulant therapy administered before the thrombectomy procedure. Additionally, the rationale for administering thrombolytic treatment beyond the standard therapeutic window is questioned, emphasizing the need for careful interpretation of outcomes in such cases. Conclusion: The case illustrates the complexities of acute stroke management and suggests that future studies should explore the therapeutic windows for thrombolysis in different ischemic stroke subtypes. Understanding the underlying mechanisms and treatment approaches remains a challenging area in stroke care. Keywords: acute ischemic stroke, thrombolysis, mechanical thrombectomy, therapeutic window, clinical evaluation, MRI, anticoagulant therapy, stroke management","thumbnailUrl":null,"publishDate":"2017-10-10T00:00:00.000Z","doi":"10.4103/sni.sni_198_17","categories":["Neurovascular","Letter to the Editor"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2017/10/8629/SNI-8-245.pdf"}