Challenging Case Study – Tigertriever

Dr. Guy Raphaeli, Interventional Neuroradiology Unit, Rabin Medical Center, Israel

77-year-old male treatment of a right sided distal M1 tandem occlusion with a variant anatomy of the ACA segment (A1 aplasia - incomplete circle of Willis), and a severe ulcerated 80% carotid artery stenosis. Patient was treated after 3 hours from symptoms and his pre-procedure's scores were: NIHSS = 9, ASPECT = 9. Clot was retrieved successfully after the first pass and patient's recanalization rate was TICI 3. Thank you for sharing this challenging case and your great results! Courtesy of Dr. Guy Raphaeli, Interventional Neuroradiology Unit, Rabin Medical Center, Israel.