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First stroke patient treated with Cyclical Aspiration

Last update on October 10, 2019
Case

Find out how Vladimir Kalousek from Croatia treated his first stroke patient with Cyclical Aspiration (using the CLEAR Aspiration System, Insera Therapeutics).

  • 75-year-old woman with onset of stroke with right-side hemiplegia, aphasia – NIHSS 21
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Vascular Glava Angio

 

  • CT was interpreted as ASPECTS 9, CTA showed M1 occlusion, with 9mm thrombus, with good collaterals
  • MT was performed in GA, right side transfemoral approach
  • Setup: Neuronmax, ACE 68, 3max – synchro 14

 

Cyclical Aspiration 1

 

Cyclical Aspiration 2
Cyclical Aspiration 3

 

  • ACE 68 was connected to the cyclic pump with 2min aspiration
  • TICI 3 score was obtained in first try
  • The cloth was ingested with all size into the ACE, also it was noticed that cloth was wider in diameter than catheter

 

 

Cloth
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  • Her NIHSS dropped to 7 soon after the procedure and control CT showed only minor infarction in left BG
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