COMPLETE FIRST-PASS RECAN WITH NEVA NET 4 MM IN A RIGHT M1 OCCLUSION

NeVa NET 4.0 x 30 mm

Dr Fernando Ezequiel PETRA, Hospital Santa Isabel de Hungria, Mendoza, ARGENTINA

Clinical Case Report

Presentation
  • 77-year-old female patient presented with an NIHSS of 18
  • 5 hours 22 min from symptom onset
  • No IV Rtpa administered
  • Right MCA(M1) occlusion confirmed on angio
THE PROCEDURE
  • Dr Petra decided to do thrombectomy to open the occluded M1 branch
  • NeVa NET 4.0 x 30mm used as first-line device within a 0.021” micro catheter
  • First-pass TICI-3 was achieved with complete clot incorporation in the device

Dr Fernando Ezequiel PETRA,
Hospital Santa Isabel de Hungría,
Mendoza, ARGENTINA

ANGIOGRAPHIC IMAGING AT THE BEGINNING OF THE PROCEDURE

Confirmed the occlusion of the right-M1 branch.

THE PROCEDURE
A 0.018” wire was used to cross the lesion. Thrombectomy of the Right-M1 lesion was done using a NeVa NET 4.0 x 30 mm, delivered within a 0.021” micro-catheter and retrieved under co-aspiration with a  0.077” ID-DAC.

Access to the lesion in the Right M1

Deployment of NeVa NET 4.0×30 mm in the Right M1

NeVa-NET_Case_0000_Partial-Retrevial.png

Partial Retrieval of NeVa NET 4.0×30 mm into the DAC

Retrieved NeVa NET 4.0×30 mm with clot inside the structure

ANGIOGRAPHIC IMAGING AFTER THE FIRST THROMBECTOMY PASS

Demonstrated first-pass success. Full recanalization (TICI 3) was achieved in the first pass and thrombus was observed within the device.

Clinical outcome
  • NIHSS after 4hs: 3
  • mRS 0 at discharge

Dr Fernando Ezequiel PETRA

Argentina

As a healthcare professional, using NeVa NET gives me peace of mind knowing that we can reduce the risk of distal embolisms during stroke treatment, thus increasing the likelihood of achieving a First Pass Effect."
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