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Research ArticleInterventional

Endovascular Recanalization in Acute Ischemic Stroke Using the Solitaire FR Revascularization Device with Adjunctive C-Arm CT Imaging

B.D. Mitchell, P. Chinnadurai, G. Chintalapani, H.A. Morsi, H. Shaltoni and M.E. Mawad
American Journal of Neuroradiology July 2015, 36 (7) 1317-1320; DOI: https://doi.org/10.3174/ajnr.A4256
B.D. Mitchell
aFrom the Departments of Neurosurgery (B.D.M.)
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P. Chinnadurai
cSiemens Medical Solutions USA (P.C., G.C.), Angiography Division, Hoffman Estates, Illinois
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G. Chintalapani
cSiemens Medical Solutions USA (P.C., G.C.), Angiography Division, Hoffman Estates, Illinois
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H.A. Morsi
bNeuro-Interventional Radiology (H.A.M., H.S., M.E.M.), Baylor College of Medicine, Houston, Texas
dNeurovascular Center (H.A.M., H.S., M.E.M.), Baylor St. Luke's Hospital, Houston, Texas.
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H. Shaltoni
bNeuro-Interventional Radiology (H.A.M., H.S., M.E.M.), Baylor College of Medicine, Houston, Texas
dNeurovascular Center (H.A.M., H.S., M.E.M.), Baylor St. Luke's Hospital, Houston, Texas.
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M.E. Mawad
bNeuro-Interventional Radiology (H.A.M., H.S., M.E.M.), Baylor College of Medicine, Houston, Texas
dNeurovascular Center (H.A.M., H.S., M.E.M.), Baylor St. Luke's Hospital, Houston, Texas.
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Abstract

SUMMARY: In this clinical report, we examined a single-center experience by using the Solitaire FR Revascularization Device in the treatment of acute ischemic stroke in which there was poor initial visualization of the occluded arterial branches by using biplanar cerebral angiography. In all cases, adjunctive C-arm CT was used during the deployment of the thrombectomy device to gain additional information regarding device placement and expansion. Outcome measures included the extent of reperfusion, posttreatment changes in NIHSS scores, posttreatment TICI scores, cerebral hemorrhage, and survival. Clot removal with successful arterial recanalization was achieved in 15/18 cases (83.3%) with TICI scores of 2b/3 in all patients who had initial recanalization. The NIHSS score improved, on average, from 19 pretreatment to 11 posttreatment, and 72% of patients survived. In cases of acute stroke in which there is little information available regarding the positioning and deployment of a retrievable stent during mechanical thrombectomy, the use of C-arm CT may provide more information about device placement across an area of thrombus.

  • © 2015 by American Journal of Neuroradiology
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American Journal of Neuroradiology: 36 (7)
American Journal of Neuroradiology
Vol. 36, Issue 7
1 Jul 2015
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Endovascular Recanalization in Acute Ischemic Stroke Using the Solitaire FR Revascularization Device with Adjunctive C-Arm CT Imaging
B.D. Mitchell, P. Chinnadurai, G. Chintalapani, H.A. Morsi, H. Shaltoni, M.E. Mawad
American Journal of Neuroradiology Jul 2015, 36 (7) 1317-1320; DOI: 10.3174/ajnr.A4256

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Endovascular Recanalization in Acute Ischemic Stroke Using the Solitaire FR Revascularization Device with Adjunctive C-Arm CT Imaging
B.D. Mitchell, P. Chinnadurai, G. Chintalapani, H.A. Morsi, H. Shaltoni, M.E. Mawad
American Journal of Neuroradiology Jul 2015, 36 (7) 1317-1320; DOI: 10.3174/ajnr.A4256
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