Stent Placement for Flow Restoration in Acute Ischemic Stroke: A Single-Center Experience with the Solitaire Stent System: Fig 1.

Stampfl, Sibylle; Hartmann, Marius; Ringleb, Peter; Haehnel, S.; Bendszus, Martin; Rohde, Stefan

doi:10.3174/ajnr.a2505

Cited by 79 publications

(71 citation statements)

References 15 publications

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“…Modern MT systems showed a significant decrease in this time to a mean of 54 min. Mean procedure times as low as 37-48 min were found in patients with large artery occlusion of the anterior and posterior circulation treated with the Solitaire stent [15,20,21]. Although we did not analyze the number of retrieval attempts in detail, the significant difference in recanalization time between both groups is likely to be caused by the low number of passes with stent retriever or suction thrombectomy compared with previous devices as well as by the simple handling of the new devices.…”

Section: Discussionmentioning

confidence: 91%

“…Vessel rupture by the microwire and remote vessel traction injury causing subarachnoid bleeding as well as local vessel dissection are well known potentially hazardous procedure-related complications [12,22]. In recent single center-studies [15,21,23,24] on the safety and efficacy of the Solitaire stent, procedure-related complications were observed with a frequency of only 0-12 %. This is in accordance with our results because we found no vessel dissection and/or SAH in patients treated with Solitaire stent retriever or suction thrombectomy but in 14 (23 %) of 60 patients treated with previously used MT devices (p = 0.016).…”

Section: Discussionmentioning

confidence: 99%

“…The newest generation of MT devices are called ''stent retrievers'' [13][14][15]. Stent retrievers are self-expanding, fully retrievable, flexible, intracranial microstents [e.g., Solitaire (ev3 Endovasc.…”

Section: Introductionmentioning

confidence: 99%

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Mechanical Thrombectomy in Basilar Artery Thrombosis: Technical Advances and Safety in a 10-Year Experience

Fesl¹,

Holtmannspoetter

Patzig³

et al. 2014

Cardiovasc Intervent Radiol

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Purpose Multiple endovascular devices have been used for mechanical thrombectomy (MT) in basilar artery occlusion (BAO) for [10 years. Based on a single-center experience during the course of one decade, we present data on safety and efficacy of previous MT devices compared with modern stent retriever and suction thrombectomy. Results Recanalization rates of 95 % were high in both groups. Procedure-related dissection (n = 5) and subarachnoid hemorrhage (n = 9) occurred in group 1 but not in group 2 (p \ 0.016). Needle-to-recanalization time was less than half in group 2 compared with group 1 (54.6 vs. 132.3 min, p \ 0.01). Frequency of distal embolization was comparable in both groups (47 %). Conclusion High recanalization rates have been achieved since the introduction of MT in BAO. However, modern stent retriever and suction devices allow for safer and more rapid recanalization compared with previous MT devices.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

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Mechanical Thrombectomy in Basilar Artery Thrombosis: Technical Advances and Safety in a 10-Year Experience

Fesl¹,

Holtmannspoetter

Patzig³

et al. 2014

Cardiovasc Intervent Radiol

View full text Add to dashboard Cite

show abstract

“…[10][11][12][15][16][17] acute BAOs in their series of 50 patients with large vessel occlusion stroke. Successful recanalization (defined as TICI 3) was achieved in 81% (13/16), with a mean of 2.1 passes.…”

Section: Discussionmentioning

confidence: 99%

“…10 However, most studies concerning the efficacy of stent retrievers have been performed in large vessel occlusions of the anterior circulation, including only a few or single cases of BAO. [10][11][12][13][14][15][16][17] Furthermore, in the posterior circulation, proximal balloon occlusion for flow reversal during retrieval is not applicable. Therefore, the risk of distal thromboembolic events is potentially increased.…”

mentioning

confidence: 99%

Technical Feasibility and Application of Mechanical Thrombectomy with the Solitaire FR Revascularization Device in Acute Basilar Artery Occlusion

Mordasini

Brekenfeld

Byrne

et al. 2012

AJNR Am J Neuroradiol

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BACKGROUND AND PURPOSE:Acute BAO is a devastating neurological condition associated with a poor clinical outcome and a high mortality rate. Recanalization has been identified as a major prognostic factor for good outcome in BAO. Mechanical thrombectomy using retrievable stents is an emerging treatment option for acute stroke. First clinical trials using stent retrievers have shown promising high recanalization rates. However, these studies mainly included large artery occlusions in the anterior circulation with only a few or single cases of BAO. Therefore, the purpose of this study was to evaluate technical feasibility, safety, and efficacy of mechanical thrombectomy using retrievable stent in the treatment of acute BAO.

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State-of-the-Art Endovascular Treatment of Acute Ischemic Stroke

Guy

Mazighi

Pereira

et al. 2014

Advances and Technical Standards in Neurosurgery

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Stroke is the third leading cause of death in the USA. An estimated 795,000 new or recurrent stroke events occur annually, mostly ischemic in nature. Arterial recanalization and subsequent reperfusion performed shortly after symptom onset can help to restore brain function in acute ischemic stroke (AIS). The only treatment currently approved by the United States Food and Drug Administration is intravenous tissue plasminogen activator, administered within 4.5 h of symptom onset. However, this short window often precludes effective intervention. Mechanical neurothrombectomy devices offer many potential advantages over pharmacologic thrombolysis, including more rapid achievement of recanalization, enhanced efficacy in treating large-vessel occlusions, and a potentially lower risk of hemorrhagic events. The goal of this chapter is to describe the state-of-the-art neurothrombectomy devices and stenting techniques for endovascular treatment of acute ischemic stroke, as well as to highlight recent advances in reperfusion therapies. Ongoing clinical trials, some with randomized, controlled designs, are included.

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Stent Placement for Flow Restoration in Acute Ischemic Stroke: A Single-Center Experience with the Solitaire Stent System: Fig 1.

Cited by 79 publications

References 15 publications

Mechanical Thrombectomy in Basilar Artery Thrombosis: Technical Advances and Safety in a 10-Year Experience

Mechanical Thrombectomy in Basilar Artery Thrombosis: Technical Advances and Safety in a 10-Year Experience

Technical Feasibility and Application of Mechanical Thrombectomy with the Solitaire FR Revascularization Device in Acute Basilar Artery Occlusion

State-of-the-Art Endovascular Treatment of Acute Ischemic Stroke

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