Figure 1.

Patient, in his sixty, with acute ischemic stroke within 24 h, with a Glasgow Coma Scale of 8. CT brain scan (A – B) showed ASPECTS 5. CT angiogram ( C) showed left M1 occlusion. CT perfusion with OLEA ( D) showed core of 116.959 cc and penumbra of 201.632 cc (mismatch 1.72). Endovascular treatment was performed with combination technique and a complete recanalization was achieved after 1 pass (E – F). CT scan ( G) after 24 h showed some ischemic lesions. At discharge, after 14 days, the NIHSS was 10.