Thrombectomy - When a small succeeds where a big cannot

• Patient, 68-year-old, admitted 30 minutes after symptoms onset of left hemiplegia, left hemi anesthesia and right gaze deviation.
• NIHSS = 22
• CT scan at admission: ASPECTscore 10
• Angio-CT: right proximal M2 occlusions
• rTPA started 1h after onset
• Patient transferred to thrombectomy center

Thrombectomy setup

• Procedure started 2h after symptoms onset
• General anesthesia (intubation)
• Right femoral artery puncture (8 French short sheaths)
• NeuronMax 088
• Sofia Plus 6 French
• Marksmann
• Wire Traxcess 14
• Solitaire™ X 4x40mm (2 times)
• Solitaire™ X 3x40mm

• M2 recanalization: tici 3
• NIHSS=14 after 3 days (persistent hemiplegia and hemianopsia)
• Patient transferred to revalidation center

This case is sponsored by Medtronic.