Permanent implantation of the Solitaire device as a bailout technique for large vessel intracranial occlusions
| Autor: | Lissa Peeling, Evan Barber, Michael Kelly, Syed Uzair Ahmed, Jeremie Houde, Jenna Mann |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Solitaire Cryptographic Algorithm medicine.medical_treatment Self Expandable Metallic Stents Large vessel Loading dose Brain Ischemia 03 medical and health sciences 0302 clinical medicine medicine Abciximab Humans cardiovascular diseases 030212 general & internal medicine Stroke Solitaire stent Aged Thrombectomy Aged 80 and over business.industry Stent General Medicine Middle Aged medicine.disease Blood Vessel Prosthesis Surgery Mechanical thrombectomy Cerebrovascular Disorders Treatment Outcome Female Neurology (clinical) business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Journal of NeuroInterventional Surgery. 11:133-136 |
| ISSN: | 1759-8486 1759-8478 |
| Popis: | 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 present a series of five cases in which the Solitaire stent was implanted to restore distal flow after failure of conventional mechanical thrombectomy. All patients presented with large vessel occlusions with thrombi that were resistant to retrieval or suction-aspiration. Immediately after implantation the patients were given a loading dose of abciximab and then transitioned to dual antiplatelet therapy within 24 hours. Our series suggests that permanent deployment of the Solitaire may be considered as a bailout technique in the treatment of cerebral large vessel occlusion. Long-term antiplatelet therapy is required after deployment. |
| Databáze: | OpenAIRE |
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