Mechanical Thrombectomy With the Solitaire AB Device in Large Artery Occlusions of the Anterior Circulation
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- Carlos Castaño
- From Unit of Interventional Neuroradiology (C.C., M.R.G.) and Acute Stroke Unit (C.C., L.D., C.G., M.M., M.G., N.P.d.l.O., M.R.G., A.D.), Service of Neurology, Department of Neurosciences, Hospital Universitari Germans Trias i Pujol, Badalona, Universidad Autónoma de Barcelona, Barcelona, Spain; Acute Stroke Unit (M.C.), Service of Neurology, Hospital Doctor Josep Trueta, Girona, Spain; Institut de Diagnostic per la Imatge (S.D.), Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona,...
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- Laura Dorado
- From Unit of Interventional Neuroradiology (C.C., M.R.G.) and Acute Stroke Unit (C.C., L.D., C.G., M.M., M.G., N.P.d.l.O., M.R.G., A.D.), Service of Neurology, Department of Neurosciences, Hospital Universitari Germans Trias i Pujol, Badalona, Universidad Autónoma de Barcelona, Barcelona, Spain; Acute Stroke Unit (M.C.), Service of Neurology, Hospital Doctor Josep Trueta, Girona, Spain; Institut de Diagnostic per la Imatge (S.D.), Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona,...
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- Cristina Guerrero
- From Unit of Interventional Neuroradiology (C.C., M.R.G.) and Acute Stroke Unit (C.C., L.D., C.G., M.M., M.G., N.P.d.l.O., M.R.G., A.D.), Service of Neurology, Department of Neurosciences, Hospital Universitari Germans Trias i Pujol, Badalona, Universidad Autónoma de Barcelona, Barcelona, Spain; Acute Stroke Unit (M.C.), Service of Neurology, Hospital Doctor Josep Trueta, Girona, Spain; Institut de Diagnostic per la Imatge (S.D.), Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona,...
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- Monica Millán
- From Unit of Interventional Neuroradiology (C.C., M.R.G.) and Acute Stroke Unit (C.C., L.D., C.G., M.M., M.G., N.P.d.l.O., M.R.G., A.D.), Service of Neurology, Department of Neurosciences, Hospital Universitari Germans Trias i Pujol, Badalona, Universidad Autónoma de Barcelona, Barcelona, Spain; Acute Stroke Unit (M.C.), Service of Neurology, Hospital Doctor Josep Trueta, Girona, Spain; Institut de Diagnostic per la Imatge (S.D.), Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona,...
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- Meritxell Gomis
- From Unit of Interventional Neuroradiology (C.C., M.R.G.) and Acute Stroke Unit (C.C., L.D., C.G., M.M., M.G., N.P.d.l.O., M.R.G., A.D.), Service of Neurology, Department of Neurosciences, Hospital Universitari Germans Trias i Pujol, Badalona, Universidad Autónoma de Barcelona, Barcelona, Spain; Acute Stroke Unit (M.C.), Service of Neurology, Hospital Doctor Josep Trueta, Girona, Spain; Institut de Diagnostic per la Imatge (S.D.), Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona,...
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- Natalia Perez de la Ossa
- From Unit of Interventional Neuroradiology (C.C., M.R.G.) and Acute Stroke Unit (C.C., L.D., C.G., M.M., M.G., N.P.d.l.O., M.R.G., A.D.), Service of Neurology, Department of Neurosciences, Hospital Universitari Germans Trias i Pujol, Badalona, Universidad Autónoma de Barcelona, Barcelona, Spain; Acute Stroke Unit (M.C.), Service of Neurology, Hospital Doctor Josep Trueta, Girona, Spain; Institut de Diagnostic per la Imatge (S.D.), Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona,...
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- Mar Castellanos
- From Unit of Interventional Neuroradiology (C.C., M.R.G.) and Acute Stroke Unit (C.C., L.D., C.G., M.M., M.G., N.P.d.l.O., M.R.G., A.D.), Service of Neurology, Department of Neurosciences, Hospital Universitari Germans Trias i Pujol, Badalona, Universidad Autónoma de Barcelona, Barcelona, Spain; Acute Stroke Unit (M.C.), Service of Neurology, Hospital Doctor Josep Trueta, Girona, Spain; Institut de Diagnostic per la Imatge (S.D.), Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona,...
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- M. Rosa García
- From Unit of Interventional Neuroradiology (C.C., M.R.G.) and Acute Stroke Unit (C.C., L.D., C.G., M.M., M.G., N.P.d.l.O., M.R.G., A.D.), Service of Neurology, Department of Neurosciences, Hospital Universitari Germans Trias i Pujol, Badalona, Universidad Autónoma de Barcelona, Barcelona, Spain; Acute Stroke Unit (M.C.), Service of Neurology, Hospital Doctor Josep Trueta, Girona, Spain; Institut de Diagnostic per la Imatge (S.D.), Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona,...
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- Sira Domenech
- From Unit of Interventional Neuroradiology (C.C., M.R.G.) and Acute Stroke Unit (C.C., L.D., C.G., M.M., M.G., N.P.d.l.O., M.R.G., A.D.), Service of Neurology, Department of Neurosciences, Hospital Universitari Germans Trias i Pujol, Badalona, Universidad Autónoma de Barcelona, Barcelona, Spain; Acute Stroke Unit (M.C.), Service of Neurology, Hospital Doctor Josep Trueta, Girona, Spain; Institut de Diagnostic per la Imatge (S.D.), Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona,...
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- Antoni Dávalos
- From Unit of Interventional Neuroradiology (C.C., M.R.G.) and Acute Stroke Unit (C.C., L.D., C.G., M.M., M.G., N.P.d.l.O., M.R.G., A.D.), Service of Neurology, Department of Neurosciences, Hospital Universitari Germans Trias i Pujol, Badalona, Universidad Autónoma de Barcelona, Barcelona, Spain; Acute Stroke Unit (M.C.), Service of Neurology, Hospital Doctor Josep Trueta, Girona, Spain; Institut de Diagnostic per la Imatge (S.D.), Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona,...
書誌事項
- タイトル別名
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- A Pilot Study
抄録
<jats:p> <jats:bold> <jats:italic>Background and Purpose—</jats:italic> </jats:bold> To describe the safety and effectiveness of a self-expanding and fully retrievable stent (Solitaire AB; ev3 Inc, Plymouth, MN) in revascularization of patients with acute ischemic stroke. </jats:p> <jats:p> <jats:bold> <jats:italic>Methods—</jats:italic> </jats:bold> Prospective, single-center study of 20 patients with an acute ischemic stroke attributable to a large artery occlusion of the anterior circulation within the first 8 hours from symptoms onset (median National Institutes of Health Stroke Scale, 19 [interquartile range, 15–23]). The occlusion site was middle cerebral artery in 12 patients, proximal internal carotid artery/middle cerebral artery tandem occlusion in 3 patients, and terminus internal carotid artery in 5 patients. Thrombectomy was used as rescue therapy in 2 patients who were refractory to intra-arterial plasminogen activator, and in 3 patients in whom successful recanalization with the MERCI retriever was not achieved. </jats:p> <jats:p> <jats:bold> <jats:italic>Results—</jats:italic> </jats:bold> Successful revascularization defined as thrombosis in cerebral ischemia grade 2b or 3 was achieved in 18 of 20 (90%) treated vessels, and 16 patients showed immediate restoration of flow after stent deployment. The mean number of passes for maximal recanalization was 1.4, and the median (quartiles) time from groin puncture to recanalization was 50 (38–71) minutes. No case required adjuvant therapy after deployment of the embolectomy device. No significant procedural events occurred. Symptomatic intracranial hemorrhage was found in 2 (10%) patients, 4 (20%) patients died during the 90-day follow-up period, and 45% of patients showed good functional outcome at 3 months (modified Rankin Scale score ≤2). </jats:p> <jats:p> <jats:bold> <jats:italic>Conclusions—</jats:italic> </jats:bold> These results suggest that the Solitaire AB device can rapidly, safely, and effectively retrieve clots from the middle cerebral artery and terminus internal carotid artery within 8 hours from symptoms onset. </jats:p>
収録刊行物
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- Stroke
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Stroke 41 (8), 1836-1840, 2010-08
Ovid Technologies (Wolters Kluwer Health)
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詳細情報 詳細情報について
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- CRID
- 1363107371357789568
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- ISSN
- 15244628
- 00392499
- http://id.crossref.org/issn/00392499
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- データソース種別
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- Crossref