User ID
View Full Text
For Contributors
submit paper

J Cerebrovasc Endovasc Neurosurg. 2012 14(3): 164-169
The Journal of Cerebrovascular and Endovascular Neurosurgery
Mechanical Thrombectomy Using a Solitaire Stent in Acute Ischemic Stroke; Initial Experience in 40 Patients
Gyu-Seong Bae, MD, Hyon-Jo Kwon, MD, Chang-Woo Kang, MD, Seung-Won Choi, MD, Seon-Hwan Kim, MD, Hyeon-Song Koh, MD
Department of Neurosurgery, School of Medicine, Chungnam National University, Daejeon, Korea

Objective:This study was conducted in order to demonstrate the initial experience of the Solitaire AB stent in mechanical intracranial thrombectomy. Methods:We conducted a retrospective review of 40 consecutive patients who underwent intra-arterial Solitaire AB stent thrombectomy for treatment of acute ischemic strokes between October 2010 and November 2011. Demographic, clinical, and radiological presentations and outcomes were studied. Results:Twenty six men and 14 women with a mean initial National Institutes of Health Stroke Scale (NIHSS) score of 14.1 (range, 8-26) and a mean age of 65.4 (range, 32-89) years were included in this study. Occlusion sites were as follows: internal carotid artery (n = 11), middle cerebral artery M1 (n = 22), M2 (n = 5), and basilar artery (n = 2). Successful revascularization was achieved in 36 (90%) patients. The mean NIHSS score was 11.6 (range, 1-23) at 24 hours after the procedure, and 42.5% of patients showed a modified Rankin scale score of 2 at 90 days. New occlusion by migrated emboli was observed in one (2.5%) case. Post-procedural intracerebral hemorrhage occurred in only one case (2.5%), with an all-cause mortality of two (5%). Conclusion:The Solitaire AB device is a relatively safe and effective tool for use in performance of mechanical thrombectomy in patients with acute ischemic stroke.
Key words : Acute ischemic stroke, Thrombectomy, Solitaire AB stent

Editorial Office Contact Information
The Journal of Cerebrovascular and Endovascular Neurosurgery (JCEN), Department of Neurosurgery, Seoul National
University Bundang Hospital. 82, Gumi-ro 173 Beon-Gil, Bundang-gu, Seongnam-si, Gyeonggi-di, Korea 463-707
Telephone: (82) 31-787-3082; Fax: (82) 31-787-4059; E-mail: Journal of Cerebrovascular and Endovascular Neurosurgery.
This site is available under Creative Commons Attribution-NonCommercial-ShareAlike 4.0 South Korea License (CC BY-NC-SA 4.0);
and the PDF can be downloaded freely. By using this site, you agree to the Terms of Use and Privacy Policy.