Dual Stent Retriever Technique With NeVa For First Pass Success
NeVa 5.5 x 37 mm
Prof Jose COHEN,
Hadassah Medical Center, Jerusalem, ISRAEL
Clinical Case Report
Presentation
87 YO male patient presented with a NIHSS of 24.
The patient was last time seen well 7 hours ago.
The patient had a history of congestive heart failure and atrial fibrillation. He had discontinued Eliquis for 24 hours.
Imaging confirmed a massive embolus occluding the distal cervical ICA extending toward the ICA bifurcation and the MCA stem.
Prof Jose Cohen
Hadassah Medical Center
Jerusalem, ISRAEL
THE PROCEDURE
Dr Cohen chose to perform thrombectomy using dual stent-retriever technique with two NeVa 5.5 x 37 mm units. A balloon guide catheter was used for flow control. TICI 3 level recanalization was obtained in a single pass.
Navigation to the lesion with two microcatheters(MCs) placed at the post-bulbar ICA
Microcatheter #1 was placed at the distal M1
Microcatheter #2was placed at the cavernous LICA
Two 5.5 x 37 mm NeVa units were deployed across the M1-supraclinoid-cavernous-petrous ICA segments, leaving the proximal tail of the clot unstented
Initial flow restoration observed during the deployment
Angio showing TICI 3 recanalization after THE FIRST PASS
TICI 3 level recanalization was obtained in a single pass.
Clinical outcome
3-hour NIHSS of the patient was 7