A PROXIMAL OCCLUSION: ONE AND DONE

Right ICA Tip Occlusion 1st Pass Success with NeVa™ T (4.5 x 37 mm)

Clinical Case Report

Presentation

75 year old female patient presented with NIHSS of 14. Time from Onset was 1,5 hours at the time of admission to Medical Park stroke center.

​The patient had a medical history of hypertension and atrial fibrillation and was on a once/day regime of Rivaroxaban 20 mg.

Imaging confirmed Right ICA Tip occlusion.

Professor Dr. Serdar Geyik
Istanbul Istinye University
Medical Park Hospital
Istanbul, Turkey

Pre-op Imaging

Pre-op Imaging done at the referring center at 55 min from onset

The Procedure

Professor Geyik and the Medical Park team decided to treat the patient with thrombectomy using a NeVa T (4 mm x 37 mm) under distal aspiration. Full recanalization was possible in a single pass.

Angio Showing Right ICA Tip Occlusion
First Pass Success with NeVa T (4.5mm x 37mm)

Thrombectomy was done under distal aspiration with NeVa T (4.5 mm x 37 mm).
Full recanalization (TICI 3) was possible with a single pass.

Angios Showing Full Recanalization (TICI 3) of the Occlusion Site After the First NeVa
(4.5 x 37 mm) Pass
Procedural Statistics
Post-Op Imaging: 24h DWI
Procedural Statistics

24 hour NIHSS of the patient was 1.

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!