Patient with Poor ASPECTS, EVT, Good Outcome at 86 years of age

ASPECTS: Caudate, lentiform nucleus, insula, M1, M2, M3 involved; ASPECTS score: 4

mCTA: 09:02 am Target occlusion:

 Right cervical ICA and M1- tandem occlusions 

Large Thrombus with the right ICA.

CT Perfusion: 09:06 am- Large penumbra with small infarct core (CBV vs TMax)

Increased MTT and relatively normal CBV. Equates to a Large penumbra. 

Fair, with good extent and delayed washout. Arch anatomy: Type II arch, moderately difficult arch.