🔹 Tic-Tac-Toe: When Ticagrelor Didn’t Line Up 🔹

Case submitted by Dr. Amit Sahu, Mumbai, India.

Antiplatelet resistance to ticagrelor is rare, but when it surfaces, it can turn a smooth procedure into an anxious, high-stakes challenge. This week’s Case of the Week features a large para-ophthalmic aneurysm where acute ticagrelor resistance led to intraprocedural difficulties and some tense moments in the lab.

It raises an important question for all of us in neurointervention: 👉 Should routine antiplatelet resistance testing be mandatory for all elective cases?