Management of a basilar occlusion during a procedure involving stent retrievers
Relive the clinical excitement and interactive pedagogy of live case presentations when V. Costalat presents to the SLICE 2015 audience a case of a 57-year-old man who presented with facial palsy, dysarthria, diplopia and dissymmetry. Follow the stroke unit from patient admission through to post-operative results as their treatment of this critical patient slowly unveils before the attentive gaze of the expert panel. What were the different imaging tests performed? Was an infarct identified? What was the strategy employed and, more importantly, why?
At SLICE, a case is not simply presented, but encourages the reflections and penetrating questions of the expert panel, here beginning with T. Jovin, as well as the audience. And, as the case continues to unfold, our knowledge is challenged with such questions as: Can there be a significant lag between the development of a lesion on diffusion weighted imaging (DWI) and the actual infarct? If you’ve determined you’re treating a basilar occlusion, what could be seen on an MRI that would change the way you treat – or choose not to treat – your patient? In preparing your strategy, what devices and what approach is used? What are the current standards for IV tPA? Does the “awake state” have implications on outcome? What are current perforation rates, and how has this changed over the last few years? Why does this particular Stroke team favor first pass success?
Join us, and the audience, as we debate strategies, identify areas that need further illumination and – together – further our clinical approach to Stroke care!