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