Tiger 13 Stentectomy
Female patient (1955), SAH in June 2020 recovered from GCS 3 to GCS 15, no deficit
Coiling of ACM aneurysm, microaneurysm on lentriculostriatal artery observation
Control DSA at 3 months, showed recurrence at the neck of ruptured aneurysm, and treatment with recoiling and stent placement was planned
Coiling of the neck was performed. To increase good result, placement of atlas through m2 into m1 was done, patient was on DAPT for 5 days beforehand and levels of aggregation were satisfactory.
Closing of distal part of atlas was noticed, as well as occlusion of parietal branch from neck of the aneurysm.
Bolus dosage of IA integrilin was applied as well as an increase in IV aspirin.
During wait, thrombosis was increasing, so PTA with scepter XC was performed to ensure proper apposition on vessel wall, but during the waiting period again thrombosis was noticed.
Not wanting to risk occlusion of whole branch, stentectomy with tiger 13 was performed.
Atlas was crossed with headway duo through which tiger 13 was opened at distal portion and beyond