The patient is brought to the NeuroIR suite for mechanical thrombectomy. Anesthesia intubates her for the procedure.
Groin access is uncomplicated. Angiography confirms an abrupt cutoff of the proximal left M1. Two passes are needed, achieving TICI 3 recanalization by the conclusion of the procedure. She is extubated in PACU and is admitted to the NCCU post-procedurally for further management.
You reexamine the patient. She awakens to voice and opens her eyes to voice. She cannot follow commands. She has a left gaze deviation but occasionally reaches midline. Her cough is a little weak. She has no airway sounds and no pooling of secretions. Her right arm and legs demonstrate antigravity strength. You sign out to the night team to hold DVT prophylaxis and to order a 24-hour interval dual energy non-contrast head CT.
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