Permanent implantation of the Solitaire device as a bailout technique for large vessel intracranial occlusions

Journal of Neurointerventional Surgery
Syed Uzair AhmedLissa Peeling

Abstract

The Solitaire (Medtronic Inc, Mansfield, Massachusetts, USA) is a stentriever device for endovascular treatment of acute ischemic stroke. Temporary endovascular bypass and mechanical thrombectomy are well-described applications of this device. However, few reports of permanent stent placement have been published. We present a series of five cases in which the Solitaire stent was implanted to restore distal flow after failure of conventional mechanical thrombectomy. All patients presented with large vessel occlusions with thrombi that were resistant to retrieval or suction-aspiration. Immediately after implantation the patients were given a loading dose of abciximab and then transitioned to dual antiplatelet therapy within 24 hours. Our series suggests that permanent deployment of the Solitaire may be considered as a bailout technique in the treatment of cerebral large vessel occlusion. Long-term antiplatelet therapy is required after deployment.

References

Oct 30, 2004·Stroke; a Journal of Cerebral Circulation·Y Pierre GobinJeffrey L Saver
Mar 1, 2008·Stroke; a Journal of Cerebral Circulation·Wade S SmithIsaac E Silverman
Apr 30, 2013·Journal of Neurointerventional Surgery·Aquilla S TurkImran Chaudry
Aug 14, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Brian P WalcottChristopher S Ogilvy
Jan 10, 2014·Neurosurgery·Joseph C SerroneAndrew J Ringer
Dec 18, 2014·The New England Journal of Medicine·Olvert A BerkhemerUNKNOWN MR CLEAN Investigators
Feb 12, 2015·The New England Journal of Medicine·Bruce C V CampbellUNKNOWN EXTEND-IA Investigators
Feb 12, 2015·The New England Journal of Medicine·Mayank GoyalUNKNOWN ESCAPE Trial Investigators
Apr 18, 2015·The New England Journal of Medicine·Jeffrey L SaverUNKNOWN SWIFT PRIME Investigators
Apr 18, 2015·The New England Journal of Medicine·Tudor G JovinUNKNOWN REVASCAT Trial Investigators
Jan 29, 2016·Journal of Neurointerventional Surgery·C CastañoA Dávalos
Aug 20, 2016·Journal of Neurointerventional Surgery·Rajsrinivas ParthasarathyAnshu Mahajan

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Citations

Aug 28, 2020·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Xiangyu CaoFerdinand Hui
Jan 14, 2022·Journal of Neurointerventional Surgery·Jang-Hyun BaekHae Woong Jeong

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