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Updated: May 30, 2026
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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Temporary endovascular bypass: rescue technique during mechanical thrombolysis
L Fernando Gonzalez1, Pascal Jabbour, Stavropoula Tjoumakaris
1Department of Neurosurgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. Fernando.gonzalez@jefferson.edu
Neurosurgery
|July 27, 2011
Summary
Temporary, partial stent deployment is a safe and effective rescue technique for acute stroke patients who fail other treatments. This endovascular intervention achieved 100% recanalization with no device complications.
Area of Science:
- Neurology
- Interventional Neuroradiology
- Vascular Surgery
Background:
- Mechanical thrombolysis aims to restore blood flow in occluded arteries for patients ineligible for intravenous thrombolysis.
- Established treatments may fail or be unsuitable for certain acute stroke patients.
Purpose of the Study:
- To evaluate the feasibility, safety, and efficacy of temporary, partial intracranial stent deployment as a rescue strategy for acute stroke.
- To assess the use of the Enterprise stent in an off-label capacity for acute stroke intervention.
Main Methods:
- Retrospective review of a prospective database of acute stroke patients treated with intra-arterial techniques.
- Analysis of data from July 2009 to July 2010 at a comprehensive stroke center.
Main Results:
- 100% recanalization rate (Thrombolysis in Myocardial Infarction grade 2 and 3) in seven treated patients.
- 28% asymptomatic hemorrhagic transformation rate observed.
- No complications related to the stent device were reported.
Conclusions:
- Temporary, partial self-expanding intracranial stent deployment is a feasible and effective rescue procedure for acute stroke.
- This technique is safe when used as a rescue intervention after failure of more established endovascular methods.
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