Mechanical thrombectomy with the solitaire AB device in large artery occlusions of the anterior circulation: A pilot study

Carlos Castaño, Laura Dorado, Cristina Guerrero, Monica Millán, Meritxell Gomis, Natalia Perez De La Ossa, Mar Castellanos, M. Rosa García, Sira Domenech, Antoni Dávalos

Research output: Contribution to journalArticleResearchpeer-review

304 Citations (Scopus)

Abstract

Background and Purpose-: To describe the safety and effectiveness of a self-expanding and fully retrievable stent (Solitaire AB; ev3 Inc, Plymouth, MN) in revascularization of patients with acute ischemic stroke. Methods-: Prospective, single-center study of 20 patients with an acute ischemic stroke attributable to a large artery occlusion of the anterior circulation within the first 8 hours from symptoms onset (median National Institutes of Health Stroke Scale, 19 [interquartile range, 15-23]). The occlusion site was middle cerebral artery in 12 patients, proximal internal carotid artery/middle cerebral artery tandem occlusion in 3 patients, and terminus internal carotid artery in 5 patients. Thrombectomy was used as rescue therapy in 2 patients who were refractory to intra-arterial plasminogen activator, and in 3 patients in whom successful recanalization with the MERCI retriever was not achieved. Results-: Successful revascularization defined as thrombosis in cerebral ischemia grade 2b or 3 was achieved in 18 of 20 (90%) treated vessels, and 16 patients showed immediate restoration of flow after stent deployment. The mean number of passes for maximal recanalization was 1.4, and the median (quartiles) time from groin puncture to recanalization was 50 (38-71) minutes. No case required adjuvant therapy after deployment of the embolectomy device. No significant procedural events occurred. Symptomatic intracranial hemorrhage was found in 2 (10%) patients, 4 (20%) patients died during the 90-day follow-up period, and 45% of patients showed good functional outcome at 3 months (modified Rankin Scale score ≤2). Conclusions-: These results suggest that the Solitaire AB device can rapidly, safely, and effectively retrieve clots from the middle cerebral artery and terminus internal carotid artery within 8 hours from symptoms onset. © 2010 American Heart Association, Inc.
Original languageEnglish
Pages (from-to)1836-1840
JournalStroke
Volume41
Issue number8
DOIs
Publication statusPublished - 1 Aug 2010

Keywords

  • acute
  • embolectomy
  • interventional neuroradiology
  • reperfusion
  • stroke
  • thrombectomy

Fingerprint Dive into the research topics of 'Mechanical thrombectomy with the solitaire AB device in large artery occlusions of the anterior circulation: A pilot study'. Together they form a unique fingerprint.

Cite this