M1 occlusion with persistent MeVO

Author: ROUCHAUD Aymeric

• Case presentation
  • Male
  • 85-year-old
  • HBP, diabetes, heart attack
  • 7:15 pm: aphasia+ right hemiplegia
  • NIHSS 17
  • MRI at 8:50 pm
• Intervention

  M1 occlusion - ASPECT 5 - 8:50 pm

  

   

  Drip and ship procedure

  No IV tPA ➔ Transfert to Limoges University hospital for MT ➔ Arrival at 11:03 pm

  Before - M1 occlusion treated with Solitaire™ 6 x 40 - Femoral puncture 11:36 pm - Merci™ 9 / React™/ Phenom™ 21 / Solitaire™ 6x40

  

   

  After - M1 occlusion treated with Solitaire™ 6 x 40 - Femoral puncture 11:36 pm - Merci™ 9 / React™/ Phenom™ 21 / Solitaire™ 6x40

  

   

  After - Persistent M2 occlusion

  

   

    

  Persistent M2 occlusion

  

   

  Treatment with Solitaire™ 3 x20

  

    

  Persistent M2 occlusion

  

   

  Treatment with Solitaire™ 3 x20

  

   

   

  Merci™ 9 / React™ / Phenom™ 21 / Solitaire™ 3x20

  

   

  After - Failure of M2 recanalization

  
• Results

  24 hours CT - NIHSS 25 at day 2

  

   

  This case is sponsored by Medtronic.