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Intracranial thrombectomy using the Solitaire stent: a historical vignette
Marta Aguilar Pérez1, Elina Miloslavski, Sebastian Fischer
1Klinik für Neuroradiologie, Katharinenhospital, Klinikum Stuttgart, Germany.
Journal of Neurointerventional Surgery
|December 16, 2011
Summary
The Solitaire stent, initially for aneurysms, proved effective for acute ischemic stroke mechanical thrombectomy. This case highlights its role in revolutionizing stroke treatment and inspiring new stent retriever devices.
Area of Science:
- Neurology
- Interventional Neuroradiology
- Vascular Surgery
Background:
- Mechanical thrombectomy has transformed acute ischemic stroke treatment.
- Several thrombectomy devices were available by 2008, with varying success rates.
- Intracranial artery recanalization is crucial for stroke patient outcomes.
Observation:
- A 67-year-old woman with a right hemispheric stroke (NIHSS 10) due to MCA M1 occlusion was treated.
- Initial microbrush thrombectomy failed to achieve recanalization.
- A Solitaire stent was deployed in the occluded M1 segment due to urgency.
Findings:
- Solitaire stent retrieval resulted in complete thrombus removal and recanalization of the right MCA.
- The patient experienced a full clinical recovery (NIHSS 0 at 30 days).
- No emboli or vasospasm were observed post-procedure.
Implications:
- This marked the first successful human use of a Solitaire stent for intracranial thrombectomy.
- The procedure demonstrated the stent's safety and efficacy for stroke treatment.
- This case pioneered the development of modern stent retrievers for stroke intervention.
