Double MeVO treated with Solitaire™ 3 mm

Author: ROUCHAUD Aymeric

• Case presentation
  • 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
• Intervention

  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

  
• Results

  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.