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Endovascular thrombectomy (EVT) of an atherosclerotic plaque masquerading as thrombus in a large vessel occlusion (LVO) stroke


Citation

Muda, Ahmad Sobri and Md Noh, Mohamad Syafeeq Faeez and Abdul Rahim, Ezamin and Mohd Nasir, Noor 'Ain and Kamis, Mohd Fandi Al Khafiz (2023) Endovascular thrombectomy (EVT) of an atherosclerotic plaque masquerading as thrombus in a large vessel occlusion (LVO) stroke. Journal Cardiovascular, Neurovascular & Stroke, 5 (3). pp. 1-4. ISSN 2600-7800

Abstract

A 37-year-old male with a history of hypertension and hyperlipidaemia presented with acute stroke at 4.5 hours, with a NIHSS score of 4. MRI revealed a left basal ganglia infarct, with a left M1 segment large vessel occlusion (LVO) and suspicious plaque enhancement on the black blood sequence measuring about 1.5 mm in length Figure 1. Angiography with cone beam CT (VasoCT) showed suspicious ICAD, with short segment stenosis at the M1 segment. Complete recanalization (TICI 3) was achieved after three passes via thrombectomy, using the ˜Solumbratechnique. A pale, firm lesion was primarily retrieved, accompanied by minimal clots. Patient was discharged at day 10 with a NIHSS score of 1.


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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: https://doi.org/10.32896/cvns.v5n3.1-4
Publisher: Longe Medikal
Keywords: Plaque, Thrombus, Endovascular Thrombectomy
Depositing User: Ms. Nur Aina Ahmad Mustafa
Date Deposited: 07 Oct 2024 01:38
Last Modified: 07 Oct 2024 01:38
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.32896/cvns.v5n3.1-4
URI: http://psasir.upm.edu.my/id/eprint/107674
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