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doi:10.22028/D291-33837
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 |
Dateien zu diesem Datensatz:
Datei | Beschreibung | Größe | Format | |
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Simgen2020_Article_SolitaireStentectomyUsingASten.pdf | 701,84 kB | Adobe PDF | Öffnen/Anzeigen |
Diese Ressource wurde unter folgender Copyright-Bestimmung veröffentlicht: Lizenz von Creative Commons