Double MeVO treated with Solitaire™ 3 mm

• Truck driver
• 51-year-old
• HBP, active smoking
• Car crash on the freeway at 6:20 am
• Arrival in peripheric emergency department 7:53 am
• NIHSS 20
• MRI at 8:33 am

DWI - 8:33 am

• Superficial MCA territory frontal DWI lesions
• ASPECT 8

TOF MRA - 8:33 am

Right M1 occlusion

Right A2 occlusion

SWI - 8:33 am

Right M1 clot

Right A2 clot

Drip and ship procedure

IV tPA at 8:54 am ➔ Transfert to Limoges University hospital for MT ➔ Arrival at 10:14 am

AP - Femoral puncture - 10:40 am

Lat - Femoral puncture - 10:40 am

M2 thrombectomy - Merci™ 9 / Sofia™ + / Phenom™ 17 / Solitaire™ 3 mm

A3 thrombectomy - Merci™ 9 / Sofia™ + / Phenom™ 17 / Solitaire™ 3 mm

Final DSA

NIHSS 8 at day 5 - Before 10:45 am

NIHSS 8 at day 5 - Before 11:20 am

NIHSS 8 at day 5 - 24 hours CT

This case is sponsored by Medtronic.