Solitaire FR thrombectomy system: immediate results in 56 consecutive acute ischemic stroke patients.

Abstract:

BACKGROUND AND PURPOSE:Prompt recanalization of cerebral arteries in patients diagnosed with acute ischemic stroke is known to be associated with a better clinical outcome. The aim of this study was to present our initial experience regarding the efficacy and safety of the Solitaire FR as a revascularization device. METHODS:56 consecutive patients presenting with acute ischemic stroke underwent intra-arterial therapy using the Solitaire FR revascularization device. Immediate angiographic results and early clinical outcomes are presented. RESULTS:Solitaire FR was successful in achieving recanalization in 50 out of 56 patients (89%) with a final Thrombolysis in Cerebral Infarction score ≥2b. Five out of 56 patients had procedure related complications: two asymptomatic subarachnoid hemorrhages, two thromboembolic events and one symptomatic intracranial hemorrhage (PH2). Thirty patients (53.5%) demonstrated at discharge a National Institutes of Health Stroke Scale Score of ≤1 or an improvement of at least 10 points from baseline, and 26 patients (46%) had a modified Rankin Score ≤2. CONCLUSIONS:Solitaire FR is successful in achieving a high rate of arterial recanalization with a low complication rate. The Solitaire FR is a promising thrombectomy tool with a high degree of effectiveness, safety and ease of use.

journal_name

J Neurointerv Surg

authors

Machi P,Costalat V,Lobotesis K,Lima Maldonado I,Vendrell JF,Riquelme C,Bonafé A

doi

10.1136/jnis.2010.004051.rep

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

i27-i32

issue

Suppl 1

eissn

1759-8478

issn

1759-8486

pii

jnis.2010.004051.rep

journal_volume

10

pub_type

杂志文章
  • Mechanical thrombectomy in patients with acute cancer-related stroke: is the stent retriever alone effective?

    abstract:BACKGROUND:The optimal first-line mechanical thrombectomy (MT) method in cancer-related stroke (CRS) patients with emergent large vessel occlusion (ELVO) remains largely unknown. The aim of this study is to evaluate the efficacy and safety between contact aspiration (CA) first-line thrombectomy and stent retriever (SR)...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2020-016144

    authors: Jeon Y,Baik SH,Jung C,Kim JY,Kim BJ,Kang J,Bae HJ,Kim JH

    更新日期:2020-06-25 00:00:00

  • Permanent implantation of the Solitaire device as a bailout technique for large vessel intracranial occlusions.

    abstract::The Solitaire (Medtronic Inc, Mansfield, Massachusetts, USA) is a stentriever device for endovascular treatment of acute ischemic stroke. Temporary endovascular bypass and mechanical thrombectomy are well-described applications of this device. However, few reports of permanent stent placement have been published. We p...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2017-013418

    authors: Ahmed SU,Mann J,Houde J,Barber E,Kelly ME,Peeling L

    更新日期:2019-02-01 00:00:00

  • Stent assisted coil embolization of unruptured middle cerebral artery aneurysms.

    abstract:BACKGROUND:Due to anatomic features, including wide necks and incorporation of important branches, endovascular coiling of middle cerebral artery (MCA) aneurysms has proved challenging. Stent assisted embolization may increase the likelihood of successful treatment. METHODS:Consecutive patients undergoing stent assist...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2011-010162

    authors: Fields JD,Brambrink L,Dogan A,Helseth EK,Liu KC,Lee DS,Nesbit GM,Petersen BD,Barnwell SL

    更新日期:2013-01-01 00:00:00

  • Assessing variability in neurointerventional practice patterns for acute ischemic stroke.

    abstract:BACKGROUND:Intra-arterial therapy (IAT) is increasingly used to treat patients with acute stroke with large vessel occlusions. There are minimal data and guidelines for treatment indications and performance standards. We aimed to gain a better understanding of real-world practice patterns for IAT. METHODS:An internet-...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010565

    authors: Mehta B,Leslie-Mazwi TM,Chandra RV,Chaudhry ZA,Rabinov JD,Hirsch JA,Schwamm LH,Rost NS,Yoo AJ

    更新日期:2013-05-01 00:00:00

  • Balloon-mounted stents for acute intracranial large vessel occlusion secondary to presumed atherosclerotic disease: evolution in an era of supple intermediate catheters.

    abstract:INTRODUCTION:Treatment of acute large vessel occlusion (LVO) stroke secondary to intracranial atherosclerotic disease (ICAD) is more nuanced with disparate and infrequently reported outcomes. The deployment of balloon-mounted stents presents an expedient approach with renewed feasibility in the modern era of supple int...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2019-014877

    authors: Gross BA,Desai SM,Walker G,Jankowitz BT,Jadhav A,Jovin TG

    更新日期:2019-10-01 00:00:00

  • Association between hemodynamic conditions and occlusion times after flow diversion in cerebral aneurysms.

    abstract:BACKGROUND:Evaluation of flow diversion treatment of intracranial aneurysms is difficult owing to lack of knowledge of the target hemodynamic environment. OBJECTIVE:To identify hemodynamic conditions created after flow diversion that induce fast aneurysm occlusion. METHODS:Two groups of aneurysms treated with flow di...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2013-011080

    authors: Mut F,Raschi M,Scrivano E,Bleise C,Chudyk J,Ceratto R,Lylyk P,Cebral JR

    更新日期:2015-04-01 00:00:00

  • Pathologic validation of clot length determined using thin section non-contrast CT.

    abstract:BACKGROUND AND PURPOSE:Recent studies have demonstrated that in acute ischemic stroke patients, thin section non-contrast CT (NCCT) can be used to determine the length of the hyperdense intracranial thrombus, and that clot length using this approach predicts the likelihood of vessel recanalization after intravenous tis...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010369

    authors: Yoo AJ,Leslie-Mazwi TM,Riedel CH,Chandra RV

    更新日期:2013-07-01 00:00:00

  • Improved outcomes with direct percutaneous CT guided lumbar synovial cyst treatment: advanced approaches and techniques.

    abstract:PURPOSE:To determine if lumbar synovial cyst rupture in symptomatic patients results in improved clinical outcome when using direct tandem and/or coaxial percutaneous CT guided techniques. MATERIALS AND METHODS:20 patients with unilateral lower extremity radiculopathy and/or low back pain underwent CT guided percutane...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2013-010891

    authors: Ortiz AO,Tekchandani L

    更新日期:2014-12-01 00:00:00

  • Preliminary outcomes of single antiplatelet therapy for surface-modified flow diverters in an animal model: analysis of neointimal development and thrombus formation using OCT.

    abstract:OBJECTIVE:To evaluate the rate of neointimal development and thrombus formation of surface-modified flow diverters in single antiplatelet therapy (SAPT) using optical coherence tomography (OCT) in a porcine model. METHODS:We divided 10 experimental pigs into two groups. One group (n=6) received dual antiplatelet thera...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2018-013935

    authors: Matsuda Y,Jang DK,Chung J,Wainwright JM,Lopes D

    更新日期:2019-01-01 00:00:00

  • Effect of workflow metrics on clinical outcomes of low diffusion-weighted imaging Alberta Stroke Program Early Computed Tomography Score (DWI-ASPECTS) patients subjected to mechanical thrombectomy.

    abstract:BACKGROUND:Although accumulating evidence has demonstrated the benefit of mechanical thrombectomy (MT) in patients with low Alberta Stroke Program Early Computed Tomography Score (ASPECTS), it is still unclear how workflow metrics impact the clinical outcomes of this subgroup of patients. METHODS:Patients with acute s...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2019-015519

    authors: Panni P,Michelozzi C,Richard S,Marnat G,Blanc R,Consoli A,Mazighi M,Piotin M,Dargazanli C,Arquizane C,Sibon I,Anxionnat R,Hossu G,Bourcier R,Anadani M,Lapergue B,Gory B

    更新日期:2020-08-01 00:00:00

  • Mechanical thrombectomy of M1 and M2 middle cerebral artery occlusions.

    abstract:BACKGROUND:Over half of patients who receive intravenous tissue plasminogen activator for middle cerebral artery division (MCA-M2) occlusion do not recanalize, leaving a large percentage of patients who may need mechanical thrombectomy (MT). However, the outcomes of MT for M2 occlusion have not been well characterized....

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1136/neurintsurg-2017-013159

    authors: Salahuddin H,Ramaiah G,Slawski DE,Shawver J,Buehler M,Zaidi SF,Jumaa M

    更新日期:2018-04-01 00:00:00

  • Cerebral aneurysm treatment trends in National Inpatient Sample 2007-2016: endovascular therapies favored over surgery.

    abstract:BACKGROUND:Flow modulation is the newest endovascular technique for treatment of cerebral aneurysms. OBJECTIVE:To investigate changes in aneurysm treatment practice patterns in the USA. METHODS:From the 2007 to 2016, the National Inpatient Sample databases, hospital discharges associated with unruptured aneurysms (UA...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2019-015702

    authors: Wang AS,Campos JK,Colby GP,Coon AL,Lin LM

    更新日期:2020-10-01 00:00:00

  • Zygomatico-orbital intra-arterial melphalan infusion for intraocular retinoblastoma.

    abstract::Retinoblastoma is a rare and curable malignancy affecting the pediatric population. For advanced stage intraocular retinoblastoma, enucleation remains the primary treatment modality, although the use of laser photocoagulation, cryotherapy, radiotherapy and chemotherapy are frequently used, particularly in the setting ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2011-010019

    authors: Cooke D,Farid H,Kim W,Dowd C,Higashida R,Halbach V

    更新日期:2012-07-01 00:00:00

  • Pre-intervention triage incorporating perfusion imaging improves outcomes in patients undergoing endovascular stroke therapy: a comparison with the device trials.

    abstract:OBJECTIVES:Endovascular therapy of acute ischemic stroke is evolving towards thrombectomy devices for vessel recanalization. High rates of revascularization have been reported in stroke device trials. However, the discrepancy between recanalization and outcomes raises the question whether patients with irreversible isc...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1136/neurintsurg-2011-010189

    authors: Rai AT,Raghuram K,Domico J,Hobbs G,Carpenter J

    更新日期:2013-03-01 00:00:00

  • Association of thrombelastographic parameters with post-stenting ischemic events.

    abstract:BACKGROUND AND PURPOSE:Thrombelastography (TEG) is widely used for the measurement of platelet function. However, few studies have investigated the TEG parameters in patients receiving extracranial or intracranial artery stenting for ischemic cerebrovascular disease. This study sought to describe the association of TEG...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-011687

    authors: Wang B,Li XQ,Ma N,Mo D,Gao F,Sun X,Xu X,Liu L,Song L,Li XG,Zhao Z,Zhao X,Miao ZR

    更新日期:2017-02-01 00:00:00

  • Factors associated with successful revascularization using the aspiration component of ADAPT in the treatment of acute ischemic stroke.

    abstract:INTRODUCTION:ADAPT (a direct aspiration first pass technique) has been shown to be fast, cost-effective, and associated with excellent angiographic and clinical outcomes in the treatment of acute ischemic stroke (AIS). OBJECTIVE:To identify any and all preoperative factors that are associated with successful revascula...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2016-012439

    authors: Mascitelli JR,Kellner CP,Oravec CS,De Leacy RA,Oermann EK,Yaeger K,Paramasivam S,Fifi JT,Mocco J

    更新日期:2017-07-01 00:00:00

  • Stenting of a symptomatic long-segment extracranial vertebral artery occlusion.

    abstract::We present a 56-year-old man who presented with bilateral vertebral artery occlusions and recurrent transient ischemic attacks and strokes despite maximal medical therapy. A long-segment extracranial right vertebral occlusion was noted and successfully reconstructed with four drug-eluting stents. The patient has been ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/jnis.2009.002139

    authors: Gupta R,Sivapatham T,Moskowitz SI,Srivastava S

    更新日期:2011-03-01 00:00:00

  • Intracranial carotid artery stent placement causes delayed severe intracranial hemorrhage in a patient with moyamoya disease.

    abstract:BACKGROUND:Moyamoya disease (MMD) is a rare cerebrovascular disease usually characterized by progressive bilateral distal internal carotid artery stenosis or occlusion and its consequences. Direct (ie, extracranial-intracranial bypass) or indirect cerebral revascularization procedures are the most established and effec...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/jnis.2010.003004

    authors: Eicker S,Etminan N,Turowski B,Steiger HJ,Hänggi D

    更新日期:2011-06-01 00:00:00

  • Solitaire salvage: a stent retriever-assisted catheter reduction technical report.

    abstract::The endovascular management of giant aneurysms often proves difficult with standard techniques. Obtaining distal access to allow catheter reduction is often key to approaching these aneurysms, but several anatomic challenges make this task unsafe and not feasible. Obtaining distal anchor points and performing catheter...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011336.rep

    authors: Parry PV,Morales A,Jankowitz BT

    更新日期:2016-07-01 00:00:00

  • Risk of acute kidney injury associated with neuroimaging obtained during triage and treatment of patients with acute ischemic stroke symptoms.

    abstract:BACKGROUND:Combining non-contrast CT (NCCT), CT angiography (CTA), and CT perfusion (CTP) imaging (referred to as a CT stroke study, CTSS) provides a rapid evaluation of the cerebrovascular axis during acute ischemic stroke. Iodinated contrast-enhanced CT imaging is not without risk, which includes renal injury. If a p...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-012118

    authors: Hall SL,Munich SA,Cress MC,Rangel-Castilla L,Levy EI,Snyder KV,Siddiqui AH

    更新日期:2016-12-01 00:00:00

  • The safety of anticoagulation in patients with intracranial aneurysms.

    abstract:BACKGROUND AND PURPOSE:Little is known about the safety of long-term anticoagulation in patients with unruptured saccular intracranial aneurysms, although case reports of anticoagulation in patients with fusiform and saccular aneurysms have been published. The goal of this study was to estimate the rate of subarachnoid...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010359

    authors: Tarlov N,Norbash AM,Nguyen TN

    更新日期:2013-09-01 00:00:00

  • Real-world stent retriever thrombectomy for acute ischemic stroke beyond 6 hours of onset: analysis of the NASA and TRACK registries.

    abstract:BACKGROUND:The DEFUSE 3 and DAWN trials have shown the benefit of thrombectomy beyond 6 hours of stroke symptom onset in carefully selected patients. OBJECTIVE:To evaluate the real-world outcomes of stent retriever thrombectomy beyond 6 hours of stroke onset using combined individual patient data from the North Americ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2018-014272

    authors: Mokin M,Abou-Chebl A,Castonguay AC,Nogueira RG,English JD,Farid H,Gupta R,Martin C,Holloway WE,Haussen DC,Mueller-Kronast N,Zaidat OO,NASA and TRACK investigators.

    更新日期:2019-04-01 00:00:00

  • Rupture of giant vertebrobasilar aneurysm following flow diversion: mechanical stretch as a potential mechanism for early aneurysm rupture.

    abstract::A patient with a giant symptomatic vertebrobasilar aneurysm was treated by endoscopic third ventriculostomy for obstructive hydrocephalus followed by treatment of the aneurysm by flow diversion using a Pipeline Embolization Device. After an uneventful procedure and initial periprocedural period, the patient experience...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011325.rep

    authors: Fox B,Humphries WE,Doss VT,Hoit D,Elijovich L,Arthur AS

    更新日期:2015-11-01 00:00:00

  • Incidence and morbidity of craniocervical arterial dissections in atraumatic subarachnoid hemorrhage patients who underwent aneurysmal repair.

    abstract:BACKGROUND:No studies have assessed the incidence of craniocervical arterial dissections (CCADs) and its association to mortality in hospitalized patients with a primary diagnosis of atraumatic subarachnoid hemorrhage (SAH) requiring aneurysmal repair. We hypothesize that the incidence of CCADs in these patients has in...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011324

    authors: Carr K,Rincon F,Maltenfort M,Birnbaum L,Dengler B,Rodriguez M,Seifi A

    更新日期:2015-10-01 00:00:00

  • Difficult catheter access to the occluded vessel during endovascular treatment of acute ischemic stroke is associated with worse clinical outcome.

    abstract:BACKGROUND AND AIM:During endovascular procedures for acute ischemic stroke, catheter access to the occluded vessel may be technically difficult or impossible. The aim of this study was to access the impact of difficult catheter access to target the carotid artery on clinical outcome. METHODS:Anterior circulation stro...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010438

    authors: Ribo M,Flores A,Rubiera M,Pagola J,Mendonca N,Rodriguez-Luna D,Piñeiro S,Meler P,Alvarez-Sabin J,Molina CA

    更新日期:2013-05-01 00:00:00

  • Combined proximal balloon occlusion and distal aspiration: a new approach to prevent distal embolization during neurothrombectomy.

    abstract:BACKGROUND AND PURPOSE:Embolization of thrombus fragments in a new vascular territory is a potential adverse event in neurothrombectomy. This study was performed to evaluate the safety and feasibility of a novel approach combining proximal balloon occlusion and distal aspiration to prevent distal thrombembolic complica...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-012208

    authors: Stampfl S,Pfaff J,Herweh C,Pham M,Schieber S,Ringleb PA,Bendszus M,Möhlenbruch MA

    更新日期:2017-04-01 00:00:00

  • The 100 most cited articles in the endovascular management of intracranial aneurysms.

    abstract:INTRODUCTION:Endovascular interventions for intracranial aneurysms have evolved substantially over the past several decades. A citation rank list is used to measure the scientific and/or clinical impact of an article. Our objective was to identify and analyze the characteristics of the 100 most cited articles in the fi...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2017-013688

    authors: Maingard J,Phan K,Ren Y,Kok HK,Thijs V,Hirsch JA,Lee MJ,Chandra RV,Brooks DM,Asadi H

    更新日期:2018-09-01 00:00:00

  • Venous collateral drainage patterns predict clinical worsening in dural venous sinus thrombosis.

    abstract:BACKGROUND:Dural venous sinus thrombosis (DVST) is an increasingly recognized cause of a wide array of neurological symptoms, with outcomes that range from complete recovery to death. The condition of approximately 23% of patients with DVST will worsen after initial presentation, as a result of restricted venous outflo...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2016-012941

    authors: Sheth SA,Trieu H,Liebeskind DS,Saver JL,Szeder V,Jahan R,Tateshima S,Duckwiler G

    更新日期:2018-02-01 00:00:00

  • Volume versus standard coils in the treatment of intracranial aneurysms.

    abstract:BACKGROUND:Volume coils were developed to improve occlusion rates of intracranial aneurysms. Previous studies have shown increased packing density and comparable occlusion rates, but subgroup analyses of aneurysm size have not been carried out. OBJECTIVE:To evaluate the safety and efficacy of the Penumbra Coil 400 (PC...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-012014

    authors: Kaesmacher J,Müller-Leisse C,Huber T,Boeckh-Behrens T,Haller B,Shiban E,Friedrich B,Zimmer C,Dorn F,Prothmann S

    更新日期:2016-10-01 00:00:00

  • p64 Flow Modulation Device in the treatment of intracranial aneurysms: initial experience and technical aspects.

    abstract:BACKGROUND:Experience with the endovascular treatment of cerebral aneurysms by flow diverter devices (FDDs) is limited to four devices (Pipeline, Covidien; FRED, Microvention; Silk, Balt Extrusion; Surpass, Stryker), as reported in different studies. OBJECTIVE:To describe the initial experience and the technical innov...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-011743

    authors: Briganti F,Leone G,Marseglia M,Cicala D,Caranci F,Maiuri F

    更新日期:2016-02-01 00:00:00