Solumbra for foreign body retrieval

Discover how the team tackled a critical case involving a 60-year-old man with sudden onset right-sided hemiparesis and basilar artery occlusion. Witness the groundbreaking SOLUMBRA technique in action as they successfully retrieve a detached Neuron Max tip, preventing re-occlusion and ensuring patient safety.

Case presentation

60 Year Male
HTN
Sudden onset Right sided hemiparesis followed by Loss of Consciousness
Mechanically Intubated
On Imaging :
CT Perfusion - Significant Penumbra
CTA – Basilar artery occlusion

Figure 1 - Solumbra for foreign body retrieval

Mechanical Thrombectomy

Done with:

6F 80cm Neuron Max
5F Sofia™ 125 cm
Solitaire X 4 x 40mm stent
Rebar 18 Microcatheter
Traxcess 014 Microwire

Figure 2 - Solumbra for foreign body retrieval

First Pass with STENT only followed by Second pass by Solumbra with SOFIA™

Figure 3 - Solumbra for foreign body retrieval

Successful TICI3 recanalization of Basilar artery

Figure 4 - Solumbra for foreign body retrieval

Check angiogram showed Neuron Max tip at basilar top in native Image

Figure 5 - Solumbra for foreign body retrieval

Basilar artery starts closing down

Figure 6 - Solumbra for foreign body retrieval

Attempts of crossing microwire and microcatheter through the TIP of Neuronmax

Solumbra with SOFIA™ to remove the TIP

Figure 7 - Solumbra for foreign body retrieval

Solumbra with SOFIA™ to remove the TIP

Figure 8 - Solumbra for foreign body retrieval

Figure 9 - Solumbra for foreign body retrieval

Successful removal of foreign material by Solumbra method with help of SOFIA™ and stent retriever

Conclusion and key points

In our case Neuron Max tip was detached and got migrated to basilar apex after mechanical thrombectomy .
We retrieved the foreign object and prevented basilar artery from re-occluding with the help of SOFIA™ aspiration catheter and Stent retriever (SOLUMBRA) technique.
Innovative technique for managing intra-procedural complication

Clinical Case Contest for SOFIA™'s 10th anniversary