Distal occlusion thrombectomy with Solitaire™ X 3mm

• 93-year-old female patient
• Inpatient due to TIAs of 1-5 minutes without acute signs of ischemic brain in NECT
• 3 days later, at 07:20 AM, episode of acute dysarthria, right oculocephalic deviation, and left hemiparesis
• NIHSS 9

ASPECTS 10
There was a chronic lesion lateral to the right ventricular atrium not counted in ASPECTS

The purple area was the chronic lesion not counted in ASPECTS

Right M1 occlusion in the CT-Angio

• IV rTPA 0.9ml/kg administration and activation of thrombectomy protocol
• Conscious sedation in the angio suite
• M2 occlusion of the inferior division of the MCA

TICI 2B after aspiration once with REDTM 62

• Post-endovascular treatment TICI 3
• After a second pass of direct aspiration with REDTM 62 in combination with SOLITAIRE TM X 3mm

• Non-contrast CT after 24 hours of thrombectomy revealed no hemorrhage or any other complication
• The patient was discharged with NIHSS 0 and mRS 1 after 3 days from the thrombectomy (total of 6 days in hospital)

This case is sponsored by Medtronic.