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Titel: Solitaire Stentectomy Using a Stent-Retriever Technique in a Porcine Model
VerfasserIn: Simgen, Andreas
Kettner, Michael
Webelsiep, Frida Juliane
Tomori, Toshiki
Mühl-Benninghaus, Ruben
Yilmaz, Umut
Bhogal, Pervinder
Laschke, Matthias W.
Menger, Michael D.
Reith, Wolfgang
Dietrich, Philipp
Sprache: Englisch
Titel: Clinical Neuroradiology
Verlag/Plattform: Springer Nature
Erscheinungsjahr: 2020
Freie Schlagwörter: Animal model
Trevo
Solitaire
EmboTrap II Revascularization Device
3D Revascularization Device
DDC-Sachgruppe: 610 Medizin, Gesundheit
Dokumenttyp: Journalartikel / Zeitschriftenartikel
Abstract: Purpose Mechanical thrombectomy using the Solitaire device has become a standard treatment of ischemic stroke due to large vessel occlusions. Inadvertent detachment is a feared complication, which is associated with poor clinical outcome. The aim of this experimental study was to assess in a porcine model the feasibility and effectiveness of rescuing detached Solitaire devices using different stent retrievers. Methods Solitaire FR devices (4 × 15/20 mm and 6 × 20/30 mm) were placed in the axillary artery of pigs. By means of 3 different stent retrievers (Trevo ProVue; EmboTrap II revascularization device; 3D revascularization device) a total of 24 rescue maneuvers (8 per retriever) were performed by deploying the retrievers within the deployed Solitaire devices and trapping parts of the Solitaire within the microcatheter. Rescue rates, rescue time and complications were assessed. Results Overall stentectomy of the Solitaire devices was successful in all cases (100%). Time of rescue was comparable using the applied stent retrievers (Trevo ProVue; EmboTrap II revascularization device; 3D revascularization device). Complications, such as entrapment of the Solitaire-retriever complex at the intermediate catheter, Solitaire migration, vasospasm, perforation, or dissection were not observed. Conclusion Stentectomy of inadvertently detached Solitaire devices using different stent retrievers is a feasible and effective method. Rescue rates and times with the Trevo ProVue, EmboTrap II and 3D revascularization device were comparable.
DOI der Erstveröffentlichung: 10.1007/s00062-020-00906-1
Link zu diesem Datensatz: urn:nbn:de:bsz:291--ds-338372
hdl:20.500.11880/31152
http://dx.doi.org/10.22028/D291-33837
ISSN: 1869-1447
1869-1439
Datum des Eintrags: 15-Apr-2021
Fakultät: M - Medizinische Fakultät
Fachrichtung: M - Chirurgie
M - Radiologie
Professur: M - Prof. Dr. Michael D. Menger
M - Prof. Dr. Wolfgang Reith
Sammlung:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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