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Wake-up stroke thrombectomy following a subacute ischemia of the right upper limb

Last update on November 15, 2019

Expert panel:

Jacques MORET, Laurent SPELLE, In Sup CHOI, Anchalee CHUROJANA, Shoichiro ISHIHARA, Hae Woong JEONG, Victor Erwin JOCSON, Winston Eng Hoe LIM, Umair Rashid CHAUDHRY, Tomoaki TERADA, Dang Luu VU, George Kwok Chu WONG

Discover the case of a 86 years-old female, with an history of chronic arrhythmia / atrial fibrillation under warfarin, HBP and cured breast cancer. Day-1, she was admitted for subacute ischemia of the right upper limb (INR 1.2). Angio-CT revealed a right humeral artery clot. She was scheduled for a vascular surgery on the next day. However, early morning on D-Day, she was discovered with left hemiplegia (NIHSS 19), and transferred a couple of hours later to Bicêtre for a thrombectomy. How did they handle this difficult procedure? Watch this case to find out!