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Updated: Apr 20, 2026
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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
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Spontaneous Solitaire™ AB thrombectomy stent detachment during stroke treatment
1Department of Radiology, Faculty of Medicine, Near East University Hospital, Nicosia, North Cyprus, Turkey, akpinarsuha@hotmail.com.
Cardiovascular and Interventional Radiology
|November 27, 2014
Summary
Spontaneous detachment of Solitaire™ stent retrievers during stroke treatment is rare but serious. This case demonstrates successful endovascular removal of a detached stent using another stent, restoring blood flow.
Area of Science:
- Endovascular neurosurgery
- Cerebrovascular disease management
- Medical device complications
Background:
- Spontaneous detachment of Solitaire™ stent retrievers during endovascular stroke treatment is a rare but critical complication.
- Prompt resolution is essential to prevent poor clinical outcomes within the acute stroke time window.
Observation:
- A case of inadvertent Solitaire™ stent retriever detachment occurred during treatment for a middle cerebral artery M1 occlusion.
- The detachment led to progressive thrombosis, complicating the stroke intervention.
Findings:
- The detached Solitaire™ stent was successfully retrieved endovascularly using a second Solitaire™ stent.
- This novel approach resulted in successful recanalization of the occluded middle cerebral artery.
Implications:
- This case presents a viable endovascular solution for managing spontaneous stent retriever detachment.
- Successful retrieval can restore cerebral blood flow, potentially improving patient outcomes in acute stroke.
- Highlights the importance of having alternative strategies for managing device-related complications in neurointerventional procedures.
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