Thrombectomy - ADAPT with Snake bite technique

CASE PRESENTATION

• Patient, 64 years-old, admitted 4 hours after symptoms onset of left hemiplegia and right gaze deviation
• NIHSS=15
• CT scan at admission: ASPECTScore 10
• Angio-CT: right distal M1 occlusion
• rTPA started and the patient was transferred to Thrombectomy

THROMBECTOMY SETUP 

• General anesthesia (intubation)
• Right femoral artery puncture (8 French short sheaths)
• NeuronMax 088
• ACE68
• 3Max
• Wire 0.014 Avigo

DISTAL TIP OF THE ACE68 SHAPED

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RESULTS

• Extended TICI=3 after the first pass
• NIHSS=5 after 24 hours
• Patient discharge after 3 days