Clinical Case Report
Presentation
86-year-old female patient presenting with a NIHSS of 12 was referred with an IV-tPA (drip & ship) from the primary care centre.
The exact time of symptom onset is unknown, but estimated to be after 14:00.
The stroke alert was received at 18:30.
At 19:40, when the patient got admitted to the Sisters Charity Stroke Unit, her neurological status had further deteriorated.
Dr. Dr Vladimir KALOUSEK UHC Sisters of Charity, Zagreb, CROATIA
PRE-op CT
Imaging confirmed an occlusion in the right-MCA territory.
THE PROCEDURE
Dr Kalousek and team decided to proceed to thrombectomy, which was done under distal aspiration with a NeVa NET 5.5 x 37 mm
ANGIO SHOWING THE Right-M1 OCCLUSION
Angiographic imaging at the beginning of the case confirmed the occlussion of the right-M1 branch.
NeVa NET 5.5 x 37 mm was deployed across
the M1 SEGMENT
NeVa NET 5.5 x 37 mm was taken partially into the
DAC during retrieval
Angio showing recanalization after THE PASS WITH NEVA NET 5.5 X 37 MM
BEFORE
AFTER
Thrombectomy of the Right-M1 lesion was done using a NeVa NET 5.5 x 37 mm, delivered within a 0.027” micro-catheter under co-aspiration with a 0.071” ID-DAC.
Full recanalization (TICI 3) was achieved in the first pass and thrombus was observed within the device.
NeVa NET 5.5 x 37 mm
POST-op CT
A demarcation of the ischemic lesion was observed in the right peri-insular region and the basal ganglia on the post-op CT.
No ICH was observed on the control CT.
Procedural Statistics
Clinical outcome
The patient was discharged with an NIHSS of 3.
At VESALIO, we feel blessed to be part of the stroke field where together with these dedicated stroke teams, we can make an incredible impact on people’s lives.
Thank you Zagreb sister’s Charity stroke team: Dr Kalousek, all the lab technicians and nurses as well as the anesthesiology team supporting this case.