Abstract

SAAL-ZAPATA, Giancarlo  and  RODRIGUEZ, Rodolfo. Intra-arterial, aspirate and mechanical thrombectomy. First case in a patient with an acute stroke in a hospital. Rev Med Hered [online]. 2020, vol.31, n.1, pp.37-41. ISSN 1018-130X.  http://dx.doi.org/10.20453/rmh.v31i1.3726.

Summary 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 mid 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.

Keywords : Cerebral infarction; thrombectomy; stent retriever.

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