Waiting for iCure Stroke 2025
As we approach the annual iCure Stroke conference to be held in April in Istanbul, we want to share an interesting case with NeVa, broadcast live, that captured attention during the 2023 event!
The case started out with the patient presenting with signs of hemianopsia and relevant PCA-territory DWI restriction, suggesting an acute occlusion of the PCA. Albeit initial presentation, diagnostic angiography revealed an ipsilateral blockage of the ICA, mimicking a chronic occlusion, with filling of the ipsilateral MCA from the opposite side. The biggest surprise was the discovery of the fetal-type-PCA anatomic variant and the occlusion of the PCA origin, explaining the initial presentation with PCA-stroke symptoms.
The technical challenge was removing the high clot burden from the ICA without jeopardising the downstream territories, which remained fully intact. Any fragment loss would have compromised the MCA territory, worsening the patient outcome.
Watch the case as Prof Serdar Geyik and his team forge ahead despite the challenges. Take in the comments and recommendations of the iCureStroke meeting faculty as they discuss relevant evidence and statistics at each step.
The case started out with the patient presenting with signs of hemianopsia and relevant PCA-territory DWI restriction, suggesting an acute occlusion of the PCA. Albeit initial presentation, diagnostic angiography revealed an ipsilateral blockage of the ICA, mimicking a chronic occlusion, with filling of the ipsilateral MCA from the opposite side. The biggest surprise was the discovery of the fetal-type-PCA anatomic variant and the occlusion of the PCA origin, explaining the initial presentation with PCA-stroke symptoms.
The technical challenge was removing the high clot burden from the ICA without jeopardising the downstream territories, which remained fully intact. Any fragment loss would have compromised the MCA territory, worsening the patient outcome.
Watch the case as Prof Serdar Geyik and his team forge ahead despite the challenges. Take in the comments and recommendations of the iCureStroke meeting faculty as they discuss relevant evidence and statistics at each step.
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