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Carotid terminus occlusion treated with TIGER XL device

Last update on December 1, 2020

Watch how Dr. Vladimir Kalousek (Sisters of Mercy Hospital, Zagreb, Croatia) treated a carotid terminus occlusion using TIGER XL device

Case
  • 78-year-old male, still working as a dentist 
  • Sudden onset of right hemiplegia, NIHSS 17 
  • Hyperdense left MCA sign with good ASPECTS score
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  • The CT angio showed a terminal carotid occlusion with filling of ipsilateral A1 through contralateral side
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  • Which was confirmed on DSA, done in GA, transfemoral route, flowgate 8F, react 68, headway 21, traxacess wire

 

DSA

 

  • Headway 21 was advanced over the wire and tiger XL was expanded

 

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  • Unsheated device and expanded

 

Tigertriever XL

 

Tigertriever XL description

 

  • After first pass with tiger XL , TICI 3 score was achieved

 

result

 

  • Patient started to recover on neuro ICU with drop of NIHSS to 2
  • Control MR day after on FLAIR imaging is showing core of infarct with small volume, and few hyperintense lesion which are older

 

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