Mechanical, aspiration and intra-arterial thrombectomy. First case in a patient with an acute stroke in a hospital

Authors

  • Giancarlo Saal-Zapata
  • Rodolfo Rodríguez

DOI:

https://doi.org/10.20453/rmh.v31i1.3726

Keywords:

Cerebral infarction; thrombectomy; stent retriever

Abstract

Acute stroke is one of the most common causes of morbidity and mortality worldwide. Mechanical thrombectomy is the endovascular procedure that has shown better results in patients with a large vessel involvement. We present here a case of a patient who had a five-hour history of thrombosis of the left middle cerebral artery who developed mixed aphasia and hemiparesis, ASPECTS scale of five, NIHSS score of 14 and a modified Rankin scale (mRS) of 4. A mechanical thrombectomy was performed with stents Solitaire AB and ERIC and manual aspiration of the clot with a 60cc syringe plus instillation of intra-arterial alteplase. Immediate reperfusion was complete (TICI 3). The mRS after the procedure was 2. 

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Published

2020-04-29

How to Cite

1.
Saal-Zapata G, Rodríguez R. Mechanical, aspiration and intra-arterial thrombectomy. First case in a patient with an acute stroke in a hospital. Rev Méd Hered [Internet]. 2020 Apr. 29 [cited 2025 Feb. 3];31(1):37-41. Available from: http://44.198.254.164/index.php/RMH/article/view/3726

Issue

Vol. 31 No. 1 (2020): January - March

Section

CASE REPORTS

License

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