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Updated: May 16, 2026
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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Mechanical thrombectomy using a solitaire stent in acute ischemic stroke; initial experience in 40 patients
Gyu-Seong Bae1, Hyon-Jo Kwon, Chang-Woo Kang
1Department of Neurosurgery, School of Medicine, Chungnam National University, Daejeon, Korea.
Journal of Cerebrovascular and Endovascular Neurosurgery
|December 5, 2012
Summary
The Solitaire AB stent is safe and effective for mechanical thrombectomy in acute ischemic stroke patients. This initial experience shows successful revascularization rates and favorable outcomes.
Area of Science:
- Neurology
- Interventional Neuroradiology
- Vascular Neurology
Background:
- Mechanical thrombectomy is a critical treatment for acute ischemic stroke.
- The Solitaire AB stent is a device used in this procedure.
- Initial clinical experience with new devices is essential for establishing safety and efficacy.
Purpose of the Study:
- To evaluate the initial clinical experience with the Solitaire AB stent.
- To assess the safety and effectiveness of Solitaire AB stent thrombectomy for acute ischemic stroke.
Main Methods:
- Retrospective review of 40 consecutive patients undergoing Solitaire AB stent thrombectomy.
- Data collected included demographic, clinical, and radiological information.
- Outcomes assessed included revascularization rates, functional outcomes (modified Rankin Scale), and complications.
Main Results:
- Successful revascularization was achieved in 90% of patients.
- A modified Rankin Scale score of ≤ 2 at 90 days was observed in 42.5% of patients.
- Low rates of complications were noted, including one case of intracerebral hemorrhage (2.5%) and two deaths (5%).
Conclusions:
- The Solitaire AB device demonstrates a favorable safety profile.
- The Solitaire AB stent is an effective tool for mechanical thrombectomy in acute ischemic stroke.
- Further studies can build upon these initial findings.
