Combined Use of Export Catheter and Penumbra Vacuum Thromboaspiration in a Challenging Case of Acute Common Carotid Artery Occlusion

A 76-year-old hypertensive man with previous bilateral iliac stenting was admitted in our center for acute stroke with an NIH score of 20 at 6h from symptoms onset. A Doppler ultrasonography scan revealed a thrombotic occlusion the right common carotid artery: plaque appearance was hypercalficic with a huge thrombus burden. A diffusion cerebral magnetic resonance imaging demonstrated a two focal hyperacute ischemic lesions in the right semioval region (Fig. 1, panel A, red stars). A Neuron Max 6F (Penumbra Inc., Alameda, CA, USA) long sheath was advanced through the femoral artery approach over a .035″ Supracor guide wire (Boston Scientific Inc., USA) and a 4F Multipurpose diagnostic catheter was subsequently used to engage the right carotid artery.
Source: Cardiovascular Revascularization Medicine - Category: Cardiology Authors: Source Type: research