Spontaneous Solitaire™ AB Thrombectomy Stent Detachment During Stroke Treatment

Akpınar, Süha; Yılmaz, Güliz

doi:10.1007/s00270-014-1022-y

Cited by 13 publications

(13 citation statements)

References 3 publications

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“…A less commonly reported complication is breakage and retention of the thrombectomy device. This can not only lead to the failure of thrombectomy, but also leave a thrombogenic foreign object inside the artery, which can potentially lead to clot propagation [4] and stroke progression.…”

Section: Introductionmentioning

confidence: 99%

Direct Aspiration Catheter Fracture and Retrieval during Neurothrombectomy

Moshayedi¹,

Jadhav²

2018

Intervent Neurol

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Background: Application of direct aspiration catheters has revolutionized acute stroke care and has led to significant improvement in clinical outcome with a good safety profile. Catheter fracture and retention is a rare but potentially devastating complication. Case Description: Here we present two cases of acute stroke complicated by aspiration catheter fracture and retention. Successful catheter retrieval and revascularization was achieved in both cases. The stenosis or tortuosity of vascular anatomy appears to be the probable contributor to catheter breakage by anchoring the catheter with resultant fracture at the constraint point from catheter withdrawal tensile stress. Conclusion: This report describes application of snare devices in retrieving a broken catheter during thrombectomy in the anterior and posterior circulation, and therefore presents a technique that can be safely utilized to address catheter breakage complicating thrombectomy in different vascular anatomic locations.

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Section: Introductionmentioning

confidence: 99%

Direct Aspiration Catheter Fracture and Retrieval during Neurothrombectomy

Moshayedi¹,

Jadhav²

2018

Intervent Neurol

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“…Successes using a second stent retriever device to capture the detached stent have been reported [22]. A novel use of the Trevo device in foreign-body recovery of migrated coils is also described [24,25].…”

Section: Discussionmentioning

confidence: 99%

“…The manufacturer's instructions for use (IFU) recommend re-sheathing the proximal marker prior to Solitaire FR device retrieval, presumably to lower the risk of separation, although a case of detachment despite these instructions has been reported [22]. …”

Section: Discussionmentioning

confidence: 99%

Inadvertent Stent Retriever Detachment: A Multicenter Case Series and Review of Device Experience FDA Reports

et al. 2015

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Mechanical thrombectomy using retrievable stents or stent retriever devices has become the mainstay of intra-arterial therapy for acute ischemic stroke. The recent publication of a series of positive trials supporting intra-arterial therapy as standard of care for the treatment of large vessel occlusion will likely further increase stent retriever use. Rarely, premature stent detachment during thrombectomy may be encountered. In our multicenter case series, we found a rate of detachment of less than 1% (n = 7/1,067), and all were first-generation Solitaire FR devices. A review of the US Food and Drug Administration database of device experience yielded 90 individual adverse reports of detachment. There were 82, 1 and 7 detachments of Solitaire FR (first generation), Solitaire FR2 (second generation) and Trevo devices, respectively. We conclude with a brief overview of the technical and procedural considerations which may be helpful in avoiding this rare complication.

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“…Potential causes are vascular pathologies such as arterial stenosis, tortuosity and wall calcification; increased number of stent passes during SAT; and stent structural features. 6,7 Two stent detachments occurred in our study during the use of the Solitaire FR stent, which is a detachable stent. In the first case, stent detachment occurred at the dissected basilar artery with accompanying focal stenosis and, in the second case, at the MCA, which was assumed to be related to stent structural features (Figures 2 and 3).…”

mentioning

confidence: 99%

“…Two solutions are suggested in the literature to overcome this complication: leaving the stent in place and performing angioplasty, or removal of the detached stent and replacement with another thrombectomy stent within the treatment time window (Figure 4). 6,7 Arterial dissection Iatrogenic dissection is a type of traumatic dissection that may occur during SAT. However, there are no known discussions in the literature of the relationship between the catheter or stent type and dissection.…”

mentioning

confidence: 99%

Periprocedural complications in endovascular stroke treatment

Akpınar¹,

Yılmaz²

2016

BJR

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Endovascular stroke treatment is a neurointerventional emergency where the main goal is the early recanalization of the occlusion within the critical time window, as safely as possible. Although the time window and rate of complications for endovascular stroke treatment differ with anterior and posterior circulation strokes, awareness of potential periprocedural complications is important, as they affect patient morbidity and mortality. Periprocedural complications are classified as haemorrhagic complications, procedure-/device-related, puncture site complications, and late-onset events including vascular stenosis. We present the digital subtraction angiography and CT imaging findings related to these complications in a study of 56 stroke patients, as they relate to previous findings in the literature.

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Spontaneous Solitaire™ AB Thrombectomy Stent Detachment During Stroke Treatment

Cited by 13 publications

References 3 publications

Direct Aspiration Catheter Fracture and Retrieval during Neurothrombectomy

Direct Aspiration Catheter Fracture and Retrieval during Neurothrombectomy

Inadvertent Stent Retriever Detachment: A Multicenter Case Series and Review of Device Experience FDA Reports

Periprocedural complications in endovascular stroke treatment

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