Author: Murias Eduardo
Watch now this simultaneous Solitaire stenting procedures in 2 branch occlusions with TICI 2c reperfusion in first pass’ performed by Dr. Eduardo Murias
Neuroimaging - CT: aspect 7
AngioCT: M2 left occlusion
AngioCT: M2 left occlusion
Perfusion: Even though the perfusion parameters are not favorable, we ignored this information due to the time of evolution since the beginning of the clinic.
Thrombectomy
Treatment with alteplase (bolus + start of perfusion) is indicated and MT is performed, which must be performed under sedation due to intense agitation (13 mg of Midazolam was required).
Devices Used: Double Solitaire
In our experience, the use of first-intention stentrievers in acute ischemic stroke is safe and effective. In patients with two or more affected branches, it is possible to act on both occlusions in the same pass.
Imaging – Pre MT
Imaging – Pre MT
Double stenting technique where both stents are removed at the same time
Imaging – post MT
Comparison of pre and post MT imaging
Post MT
CT 24-hour post-MT
This case is sponsored by Medtronic.
Complex anterior communicating artery (ACoA) aneurysm treatment with two kissing Pipeline™ Vantage with Shield technology and RIST™ radial system
Complex right middle cerebral media artery (MCA) aneurysm treatment with Pipeline™ Vantage with Shield Technology™ and RIST™ radial system
Distal occlusion thrombectomy with Solitaire™ X 3mm