RIGHT MCA AND ACA TREATED WITH NEVA VS
Dr Arthur Grigorian, MD, Wellstar North Fulton Medical Center. Roswell, Georgia
23-year-old female patient
Treated Day 18 post-SAH
Heparin was given prior to NeVa VS deployment
NeVa VS was deployed once in the MCA and twice in the ACA:
- MCA Deployment: for 2 minutes and re-sheathing
- ACA 1st Deployment: for 2 minutes and re-sheathing
- ACA 2nd Deployment: deployed & dragged like a stent retriever
- No recurrence of spasm after the NeVa VS passes
- 5 mg Verapamil infused after NeVa VS
Immediate and sustained improvement in MTT
No further endovascular treatment needed
LEFT MCA VASOSPASM IMPROVED IN TWO DEPLOYMENTS
Georgianne Snowden, MD, FACR, INTEGRIS Health Baptist Medical Center, Oklahoma City, Oklahoma
57 y/o female treated Day 5 for post-SAH from ruptured basilar tip aneurysm treated by emergent stent coiling.
Patient became more somnolent prior to the NeVa VS procedure. Transcranial dopplers were non-diagnostic.
NeVa VS deployed two times in the MCA, for five minutes each time.
No further endovascular treatment needed
LEFT MCA SEGMENT VASOSPASM WITH SIGNIFICANT NARROWING
Dr. Reza J. Karimi, MD, FAANS, FACS, Hackensack University Medical Center, Hackensack, New Jersey
PRE NEVA VS
POST NEVA VS
26-year-old female patient treated Day 6 post-SAH
NeVa VS deployed three times to different vessels, three minutes each time
Neurological improvement
No further endovascular treatment needed
RIGHT MCA SEGMENT VASOSPASM WITH 51% NARROWING
Dr Shahid Nimjee, MD, PhD, Ohio State University Wexner Medical Center
PRE NEVA VS
Right MCA segment vasospasm with 51% narrowing
POST NEVA VS
After first deployment of NeVa VS: narrowing improved to 11%
50+ year-old male patient treated Day 6 post-SAH on R-MCA segment vasospasm
51% narrowing pre-treatment down to
11% narrowing 5-minutes post treatment
No further endovascular treatment
SEVERE VASOSPASM improved
Rishi Gupta, MD, Wellstar Health, Atlanta
PRE NEVA VS
Severe
vasospasm
POST NEVA VS
Narrowing improvement
after deployment
No further endovascular treatment needed
CASE CONDUCTED IN Harlingen, Texas
PERFORMED BY DR. AMEER HASSAN
PRE NEVA VS
Basilar segment
vasospasm
POST NEVA VS
Narrowing improvement after NeVa VS deployment
23 year-old female patient
Treated day 18 post-SAH on a basilar segment vasospasm
Neurological improvement
Headaches subsided
No further endovascular treatment needed