Transradial MCA stenting

A 64-year-old female patient presented with left limb paresis and slurred speech for one month. Find out how Dr. Chengbo Dai (co-Director of Neurology Department, Guangdong Provincial People's Hospital, Guangzhou, China) managed this case!

Case

CASE PRESENTATION

64 y/o female
Chief Complaint: Left limb paresis, slurred speech for one month.
Medical History: Hypertension for 12 years (controlled well)
NIHSS on admission：0，MRS：0
Medication: Aspirin 100mg qd, Clopidogrel 75mg, Rosuvastatin 10mg qn, Losartan 0.1g qd.

IMAGING

MRI show small subcortical lesion on DWI imaging,

MRA show severe stenosis of right MCA M1 segment.

CTP shows hypoperfusion in the right hemisphere.

BRIEF PROCEDURE

Local anesthesia
6F sheath inserted into right radial artery.
Simmons 2 catheter was reformed and went into the right common carotid artery, angiography confirmed the severity of right MCA stenosis.
0.035“ Cordis Emerald Guidewire & 6F Envoy MPD guiding catheter entered into RICA.
Excelsior SL-10 & 0.014” Synchro was manipulated across right MCA lesion segment，300cm 0.014” Transend Floppy was exchanged.
Angioplasty with 2.0x15mm Gateway balloon.
Stenting with 3.0x15mm Wingspan.

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