Mechanical Thrombectomy With Temporary Bypass Using Solitaire Fr Stent for Treatment of Acute Proximal Middle Cerebral Artery Thrombosis

Abstract

We present the efficacy of mechanical thrombectomy with temporary bypass technique in management of proximal middle cerebral artery thrombosis at the acute phase of cerebral ischemia using Soiltaire FR Stent. Material and Methods: It is a retrospective study that include five patients presented with cerebral ischemia at the acute phase and which were eligible for a mechanical thrombectomy. We evaluate the population, the ischemic criteria on initial and post-therapeutic MRI, the technique, and the angiographic and clinical results of mechanical thrombectomy. Results: Angiographically, we noticed a mean progression of the TIMI score from 1 to 2.4, a mean decrease of NIHSS clinical score of 12 points and one localized asymptomatic intraparenchymatous hemorrhage. Conclusion: The mechanical thrombectomy with temporary endovascular bypass technique using the Soiltaire FR stent represents an efficient novel strategy to achieve the recanalization of an occluded proximal middle cerebral artery and an amelioration of the clinical state.