M1 occlusion with persistent MeVO

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

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

24 hours CT - NIHSS 25 at day 2

This case is sponsored by Medtronic.