Clinical case Report
PRESENTATION
81 year old make patient presented with NIHSS of 21. The Patient was last seen well 6.5 hours ago.
Imaging confirmed Left MCA occlusion.
Professor Dr. Serdar Geyik
Istanbul Istinye University
Medical Park Hospital
Istanbul, Turkey
PRE-OP DWI
The Procedure
No IV-tPA was given to this patient since it was a wake up stroke.
Professor Geyik and the Medical Park team decided to treat the patient with thrombectomy using a NeVa M1 (4 mm x 30 mm) under distal aspiration. Full recanalization was possible in a single pass.
Angio Showing Left MCA (M1) Occlusion
Angio Showing Full Recanalization of the Occlusion After the First NeVa Pass
First Pass Success with NeVa M1
(4mm x 30mm)
Thrombectomy was done under distal aspiration with NeVa M1 (4mm x 30mm) using captive technique (partial retrieval of NeVa into the DAC tip).
Full recanalization (TICI 3) was possible with a single pass and significant thrombus was observed within the device.
Post-op DWI
Procedural Statistics
Clinical Success
24 hour NIHSS of the patient was 5.
At VESALIO, we feel blessed to be part of the stroke field where together with these dedicated physicians, we can make an incredible impact on people’s lives.
Thank you Istanbul!
