Trial reportInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2011
Early single center experience with the solitaire thrombectomy device for the treatment of acute ischemic stroke.
Trial report in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 33 citations in OpenAlex.
- Hemorrhage/contrast staining areas after mechanical intra-arterial thrombectomy in acute ischemic stroke: imaging findings and clinical significance.AJNR. American journal of neuroradiology · 2012Trial
- Extraction of a migrated coil from the Enterprise stent strut using a Solitaire AB stent.The neuroradiology journal · 2016Article
- Mechanical Thrombectomy Using the New ERIC Retrieval Device Is Feasible, Efficient, and Safe in Acute Ischemic Stroke: A Swiss Stroke Center Experience.AJNR. American journal of neuroradiology · 2016Observational
- Arteriovenous shunts and capillary blush as an early sign of basal ganglia infarction after successful mechanical intra-arterial thrombectomy in ischaemic stroke.European radiology · 2015Observational
- Recanalization and Reperfusion Therapies of Acute Ischemic Stroke: What have We Learned, What are the Major Research Questions, and Where are We Headed?Frontiers in neurology · 2014Review
- Complications of the endovascular management of acute ischemic stroke.Vascular health and risk management · 2014Review
- Retrievable stent thrombectomy in the treatment of acute ischemic stroke: analysis of a revolutionizing treatment technique.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2013Review
- What is meant by "TICI"?AJNR. American journal of neuroradiology · 2013Review
- Efficacy and safety of an early Solitaire stent retrieval technique for acute ischemic stroke.Japanese journal of radiology · 2013Article
- Recanalization of acute intracranial artery occlusion using temporary endovascular bypass technique.Neurointervention · 2013Article
- Article
- Mechanical thrombectomy devices for endovascular management of acute ischemic stroke: Duke stroke center experience.Asian journal of neurosurgery · 2012Article
- Treatment of acute ischemic stroke with clot retrieval devices.Current treatment options in cardiovascular medicine · 2012Article
- Safety and efficacy of mechanical thrombectomy with solitaire stent retrieval for acute ischemic stroke: a systematic review.Neurointervention · 2012Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We report the immediate technical and clinical outcome of a new self-expanding fully retrievable stent in the treatment of acute ischemic stroke. Eleven consecutive patients with acute intracerebral artery occlusions were treated with a self-expandable fully retrievable intracranial stent (Solitaire AB). Four patients had an occlusion of the basilar artery, five had a middle cerebral artery occlusion and two had terminal carotid artery occlusions. Recanalization results were assessed by follow-up angiography immediately after the procedure. Neurologic status was evaluated before and after treatment (90-day follow-up) according to the National Institutes of Health Stroke Scale (NIHSS) and modified Rankin scales (mRS).Successful revascularization (TICI 2a/b and 3) was achieved in 11 of 11 (100%) patients, a TICI 3 state was accomplished in two (18%) patients, and partial recanalization or slow distal branch filling with filling of more than two-thirds of the vessel territory (TICI 2a/2b) was achieved in nine (82%) patients. The stent was removed in all patients. The mean time from stroke symptom onset to recanalization was 339 minutes (+/- 114.3 minutes). NIHSS on admission was 16.09 (+/- 4.7). Almost two-thirds of the patients (61.2%) improved by >6 points on the NIHSS at discharge, and 30% showed a mRS of <2 at 90 days. Mortality was 9%. One patient with a BA occlusion had a massive brain stem infarction and died two days after the procedure. There were no intracranial hemorrhages.The use of the Solitaire in ischemic stroke patients shows encouraging results. However, further prospective large randomized trials are mandatory to confirm these early results.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.