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Second stroke patient treated with Cyclical Aspiration

Last update on October 21, 2019

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

Case

Female 83 years old with intermittent symptoms of posterior stroke since wake up
CT angio showed cloth in proximal basilar art.
It was decided to perform MT, outside of thrombolysis window

Rightside transfemoral approach / GA
Fubuki 7f in left then right vert art
Sofia 5f / phenom 27 due to tortuosity / and solitaire platinum 6x40

MT was performed through the right vert due to a better approach axis on the thrombus.
Solitaire platinum was deployed then sofia 5f was advanced over the thrombus while the cyclic pump was turned on – duration 2min.
TICI 3 score was achieved
Her NIHSS droped to 2 – after 24h