Mechanical, aspiration and intra-arterial thrombectomy. First case in a patient with an acute stroke in a hospital
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 le...
| Autores: | , |
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| Tipo de documento: | artigo |
| Estado: | Versão publicada |
| Data de publicação: | 2020 |
| País: | Perú |
| Recursos: | Universidad Peruana Cayetano Heredia |
| Repositório: | Revistas - Universidad Peruana Cayetano Heredia |
| Idioma: | espanhol |
| OAI Identifier: | oai:revistas.upch.edu.pe:article/3726 |
| Acesso em linha: | https://revistas.upch.edu.pe/index.php/RMH/article/view/3726 |
| Access Level: | Acceso aberto |
| Palavra-chave: | Infarto cerebral; trombectomía; stent retriever Cerebral infarction; thrombectomy; stent retriever |
| Resumo: | 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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