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Related Experiment Videos

Solitaire stentectomy: 'deploy and engage' and 'loop and snare' techniques.

Rajsrinivas Parthasarathy1, Vipul Gupta1, Gaurav Goel2

  • 1Department of Neurointerventional Surgery, Artemis Hospitals, Sector 51, Gurgaon, Haryana-122001.

BMJ Case Reports
|August 14, 2016
PubMed
Summary
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Mechanical thrombectomy using Solitaire FR stents benefits acute ischemic stroke patients. Detached stent retrieval is crucial, with novel techniques offering successful outcomes.

Area of Science:

  • Endovascular therapy
  • Neurological interventions

Background:

  • Mechanical thrombectomy with Solitaire FR stents is effective for acute ischemic stroke from large vessel occlusion.
  • Stent detachment is a significant complication, potentially leading to poor outcomes.

Observation:

  • Two cases of detached Solitaire FR stents during mechanical thrombectomy are presented.
  • Initial snare retrieval attempts were unsuccessful.

Findings:

  • Successful retrieval of detached Solitaire FR stents was achieved using alternative techniques: 'deploy and engage' and 'loop and snare'.
  • These methods avoided the need for potentially harmful fibrinolytic or antiplatelet agents.

Implications:

  • Novel retrieval techniques for detached Solitaire FR stents offer a safer alternative to pharmacotherapy.
Keywords:
DeviceInterventionStentStroke

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  • Successful stent retrieval can improve clinical outcomes in complex endovascular cases.