Rescue therapy with stent retrievers for thromboembolism during endovascular treatment of intracranial aneurysms.

Abstract:

:Thromboembolism is the most frequent complication in endovascular treatment of intracranial aneurysms, causing disability and death. As stent retrievers have achieved high rates of arterial recanalization in the management of ischemic stroke, these devices were tested as rescue therapy of thromboembolism during aneurysm embolization. We retrospectively analyzed 10 consecutive patients with transprocedural arterial occlusion, treated with mechanical thrombectomy at a single center. Good angiographic recanalization was achieved in eight cases, mTICI 3, 2b and 2a in five, three and two patients, respectively, without additional complications or any deaths. Five patients showed complete recovery (mRS 0) and all patients showed improvement of disability (average mRS 1.1) over a mean follow-up period of 31 months. Eight patients had good clinical recovery, while two remained with deficits (mRS 3 and 4). The study found that the stent retriever is a valuable, rapid and effective tool for restoring blood flow, improving the safety of endovascular treatment.

journal_name

Arq Neuropsiquiatr

authors

Demartini Junior Z,Gatto LAM,Koppe GL,Oliveira TFVH,Francisco AN

doi

10.1590/0004-282X20180027

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

332-338

issue

5

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2018000500332

journal_volume

76

pub_type

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