Distal occlusion thrombectomy with Solitaire™ X 3mm

Author: Fandiño Eduardo

Find out how Dr. Eduardo Fandiño treated a 93-year-old female patient with an episode of acute dysarthria, right oculocephalic deviation, and left hemiparesis.

• Case presentation
  • 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

• Conclusion
   

  • 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.