Figure 2.

The retrograde approach. A 60-year-old man, National Institutes of Health stroke scale onset score 14, distal reperfusion time 72 minutes and modified Rankin scale score at 90 days 2. (a) Extracranial angiogram showed complete occlusion of the left internal carotid artery (ICA) (arrow). (b) Intracranial angiogram showed a distal middle cerebral artery (MCA) occlusion (arrow) and good leptomeningeal collateralisation. (c) A stent retriever was deployed at the left distal MCA occlusion. (d) After thrombectomy with the stent retriever, successful recanalisation of the MCA segments was achieved (arrow). (e, f) The angiogram demonstrated successful reconstruction of the left ICA lumen after stent implantation and angioplasty.