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

  • Ajit S. PuriEmail author
  • Aviraj Deshmukh
  • Rajsrinivas Parthasarathy


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).

Suggested Reading

  1. 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.CrossRefGoogle Scholar
  2. 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.CrossRefGoogle Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  • Ajit S. Puri
    • 1
    Email author
  • Aviraj Deshmukh
    • 2
  • Rajsrinivas Parthasarathy
    • 3
  1. 1.Radiology, and Neurosurgery, Division of Neurointerventional Surgery, Neurointerventional Fellowship ProgramUniversity of Massachusetts Medical CenterWorcesterUSA
  2. 2.Neurointerventional SurgeryArtemis Agrim Institute of NeuroscienceGurgaonIndia
  3. 3.Vascular Neurology and Neurointerventional SurgeryArtemis Agrim Institute of NeuroscienceGurgaonIndia

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