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. 2021 Jul 6;9(19):5028–5036. doi: 10.12998/wjcc.v9.i19.5028

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©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.

This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/

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A 54-year-old male was admitted to the hospital with numbness and weakness in his left limb for 1 h. His admission National Institutes of Health Stroke Scale (NIHSS) score was 14 points, rt-PA intravenous thrombolysis after bridging endovascular treatment was performed, and immediately after surgery his NIHSS score was 2 points. The modified Rankin scale score was 0 points after 3 mo. A: Digital subtraction angiography lateral view shows proximal occlusion of the right middle cerebral artery; B: Left internal carotid artery angiography shows that the left anterior middle cerebral artery blood circulation was unobstructed; C: Micro-catheter angiography confirmed that the far end of the right middle cerebral artery was unobstructed; D: The Solitaire AB stent (4 mm × 20 mm) was unfolded (before being released) and the distal blood flow modified thrombolysis in cerebral infarction was above 2b/3; E: The distal blood flow was maintained after 15 min. The Solitaire AB stent was released; F: Immediately after surgery, there was no bleeding observed on head computed tomography (CT), and the shape of the stent was visible; G: Three days postoperatively, CT angiography (CTA) showed that the Solitaire AB stent was in good shape and the distal blood flow was smooth; H: The 3-month re-examination by CTA showed that the stent was in good shape and the distal blood flow was smooth.