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Acute Mechanical Thrombectomy Using Stent Retriever with Balloon Guide Catheter: Proximal Flow Arrest and Reversal

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100 Interesting Case Studies in Neurointervention: Tips and Tricks

Abstract

A 71-year-old male presented with right hemiplegia and global aphasia of 4 h duration. On admission the NIHSS was 25. On multimodal imaging, he was noted to have terminal ICA occlusion with small infarct core size. Direct mechanical thrombectomy was planned as IV tpa was contraindicated in view of recent myocardial infarction (Figs. 81.1, 81.2, 81.3, and 81.4).

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Suggested Reading

  • Bush CK, et al. endovascular treatment with stent-retriever devices for acute ischemic stroke: a meta-analysis of randomized controlled trials. PLoS One. 2016;11(1):e0147287.

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  • Haussen D, et al. Optimizating clot retrieval in acute stroke: the push and fluff technique for closed-cell stentriever. Stroke. 2015;46(10):2838–42.

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Correspondence to Ajit S. Puri .

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Puri, A.S., Deshmukh, A., Parthasarathy, R. (2019). Acute Mechanical Thrombectomy Using Stent Retriever with Balloon Guide Catheter: Proximal Flow Arrest and Reversal. In: Gupta, V., Puri, A., Parthasarathy, R. (eds) 100 Interesting Case Studies in Neurointervention: Tips and Tricks. Springer, Singapore. https://doi.org/10.1007/978-981-13-1346-2_81

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  • DOI: https://doi.org/10.1007/978-981-13-1346-2_81

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-1345-5

  • Online ISBN: 978-981-13-1346-2

  • eBook Packages: MedicineMedicine (R0)

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