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This 47-year-old man with no past medical history woke up with a mild aphasia. He arrived at the hospital with an NIHSS of 1 and got an MRI five hours later that revealed a small clot. Two hours later, the patient presented a worsening of the symptoms (NIHSS of 5), but the new MRI was exactly the same. Once he arrived in the operating room, he was at an NIHSS of 7.
Watch the mechanical thrombectomy, performed under conscious sedation, using a balloon-guided catheter along with stent retriever.
