A First Pass TICI 3 In The Right Posterior Cerebral Artery
NeVa™ 4.0 x 22 mm
Dr. Lucian Gramada, Dr. Huda Elmoula
Universitätsklinikum Witten/ Herdecke, Germany
Clinical Case Report
Presentation
85-year-old male patient presented with a NIHSS of 2 within the mechanical thrombectomy eligibility time window.
No IV-tPA was administered.
Dr. Lucian Gramada
Universitätsklinikum Witten/Herdecke
Witten, Germany
Dr. Huda Elmoula
Universitätsklinikum Witten/Herdecke
Witten, Germany
PRE-op IMAGING
Imaging confirmed occlusion of right PCA and a slight stenosis.
THE PROCEDURE
- The lesion was accessed via the right femoral artery.
- Dr. Gramada and Dr. Elmoula used a NeVa 4.0 x 22 mm and achieved a TICI 3 level recanalization after a single pass using a combined technique with NeVa and a 0.062″ ID aspiration catheter.
- The mild stenosis didn’t need further treatment.
- Recanalization was achieved within 36 minutes from groin puncture.
ANGIOGRAPHIC IMAGING BEFORE, DURING, AND AFTER THE FIRST THROMBECTOMY PASS
ANGIOGRAPHIC IMAGING AT THE BEGINNING OF THE PROCEDURE
Confirmed the occlusion of the right PCA branch.
ANGIOGRAPHIC IMAGING
DURING THE PROCEDURE
Showing NeVa 4.0 x 22 mm
deployed at the occlusion site.
ANGIOGRAPHIC IMAGING AT THE END OF THE PROCEDURE
Showing TICI 3 recanalization after the first NeVa pass.
ANGIOGRAPHIC IMAGING AT THE END OF THE PROCEDURE
Complete recanalization of the right-PCA was possible in a single pass.
Clinical outcome
48-hour NIHSS: 4
- 24-hour NIHSS: 0
- 24-hour mRS: 0