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ICA-M1 intracranial dissection EVT

Last update on October 26, 2025
Amedeo CERVO

This clinical case presents a 28-year-old female patient presenting with a wake-up stroke, managed with endovascular treatment.

  • 28 yo, Female
  • Wake up stroke (LKW 02.00)
  • NIHSS: 15
  • No i.v. lysis
  • CTA: 10.25
  • Groin puncture: 11.07

CT – CTA - CTP

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DSA

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L - VERT

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L - ICA

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VASO-CT

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  • BOBBY™ Balloon Guide Catheter
  • Select-Sim

EVT Strategy

  • Inflate the balloon, in order to dilate the true lumen
  • MCA access with the softest system possible
  • Open a stentriever for 20 mins with antiplatelet infusion
  • Resheath the stentriever, check patency, if not stent-deployment
ica-m1-intracranial-dissection-evt-figure19

Headway™ DUO 156cm / Traxcess™ 14

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CatchViewMini20

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CatchViewMini20

Cangrelor i.v.
30 mcg/kg bolus /- 4 mcg/kg/min infusion
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20 mins later

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Headway DUO 156cm
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pEGASUS 4x20mm

 

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VASO-CT post

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24h CT-scan

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24h CTA and CTP

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6 months DSA follow up

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Supported by Terumo Neuro

Terumo Neuro
Come and join us across the globe
LINNC China 2025 LINNC Seminar 2025 - Asia Edition LINNC Seminar 2026 - Americas Edition LINNC Paris 2026
 Founded by Pr. Jacques Moret