TICI 2b or TICI 3
How would you treat this case:
![](https://static.wixstatic.com/media/565f75_0d18e4eb3c134d09a26da8d0810c4e74~mv2.jpg/v1/fill/w_638,h_362,al_c,q_80,enc_auto/565f75_0d18e4eb3c134d09a26da8d0810c4e74~mv2.jpg)
NIHSS 15 Left P1-2, 2 passes and good recanalization with Trevo3x20, Stryker_NV
5h after symptoms onset.
TICI 2b after 2 passes of #Trevo3x20, Stryker_NV
and Sofia 5F, MicroventionTerumo. The patient was young, small DWI lesion, high NIHSS... let's try one last pass because TICI 3 is better than 2b in all trials.
So we tried a last pass with a TigerTriever13, Rapid Medical
over a HeadwayDuo And get a TICI3 Patient woke up NIH 6 (procedure under GA).
Dr. Adrien Guenego, MD, UnitedNeuroInterventionist
![](https://static.wixstatic.com/media/565f75_580132f2b407496c9eab081fab9e5b3c~mv2.jpg/v1/fill/w_980,h_680,al_c,q_85,usm_0.66_1.00_0.01,enc_auto/565f75_580132f2b407496c9eab081fab9e5b3c~mv2.jpg)