Background: Reperfusion therapy is the most effective treatment for acute ischemic stroke. At present, multiple clinical studies haveshown that endovascular treatment is efficacy and safety for acute ischemic stroke of anterior circulation artery occlusion disease in 24 hours. However, indications, time windows and treatment methods of reperfusion therapy for posterior circulation ischemic stroke are still highly controversial.

 

Methods and Results: we report a case of ischemic stroke of posterior circulation after 61 hours of onset. Imaging examinations show that there existed occlusion of corresponding vessels and obvious ischemic penumbra. Symptoms of the patient were progressively worsening and medical treatment was poor, therefore, corresponding vessel was opened by stenting. The post-circulatory brain tissue low perfusion status and clinical defect symptoms of the patients have been improved a lot.

 

Conclusions: Reperfusion therapy for posterior circulation ischemic stroke may be safe and effective. Moreover, there may be a wider reperfusion time window for patients with posterior circulation ischemic stroke.