TY - JOUR T1 - Endovascular Recanalization in Acute Ischemic Stroke Using the Solitaire FR Revascularization Device with Adjunctive C-Arm CT Imaging JF - American Journal of Neuroradiology JO - Am. J. Neuroradiol. SP - 1317 LP - 1320 DO - 10.3174/ajnr.A4256 VL - 36 IS - 7 AU - B.D. Mitchell AU - P. Chinnadurai AU - G. Chintalapani AU - H.A. Morsi AU - H. Shaltoni AU - M.E. Mawad Y1 - 2015/07/01 UR - http://www.ajnr.org/content/36/7/1317.abstract N2 - 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. ER -