Safety and Efficacy of Mechanical Thrombectomy with Solitaire Stent Retrieval for Acute Ischemic Stroke: A Systematic Review

PurposeIn recent years, mechanical thrombectomy using Solitaire stent retrieval has been tried for treating acute ischemic stroke with a large artery occlusion. We systematically reviewed published articles to appraise the evidence that supports the safety and efficacy of the mechanical thrombectomy...

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Main Authors: Jun Seok Koh, Sun Joo Lee, Chang-Woo Ryu, Ho Sung Kim
Format: Article
Language:English
Published: Korean Society of Interventional Neuroradiology 2012-02-01
Series:Neurointervention
Subjects:
Online Access:http://neurointervention.org/upload/pdf/ni-7-1.pdf
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author Jun Seok Koh
Sun Joo Lee
Chang-Woo Ryu
Ho Sung Kim
author_facet Jun Seok Koh
Sun Joo Lee
Chang-Woo Ryu
Ho Sung Kim
author_sort Jun Seok Koh
collection DOAJ
description PurposeIn recent years, mechanical thrombectomy using Solitaire stent retrieval has been tried for treating acute ischemic stroke with a large artery occlusion. We systematically reviewed published articles to appraise the evidence that supports the safety and efficacy of the mechanical thrombectomy in acute strokes with Solitaire stent.Materials and MethodsSystematic searches using Medline and Scopus were performed for studies evaluating mechanical thrombectomy using a Solitaire stent in acute ischemic stroke. Articles were included if they were published since 2008, contained at least 5 subjects, and provided clinical results.ResultsThirteen articles (262 cases) were included in this review. The mean time of the procedures ranged from 37 to 95.6 minutes in 10 studies. The success of recanalization was achieved in 89.7% and the recanalization rate varied from 66.7% to 100% in all 13 studies. The overall rates of the symptomatic hemorrhagic complications and mortality were 6.8% and 11.1%, respectively. A favorable outcome of mRS 2 or under was 47.3%. Procedure-induced complications developed in 3.4%.ConclusionThe present review suggested that mechanical thrombectomy using a Solitaire stent in acute ischemic stroke was effective in recanalizing the occluded artery. The rate of procedural complications was small.
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spelling doaj.art-d42641eed4cd4042b54e0e8c2f917eb92024-02-02T19:45:42ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732012-02-01711910.5469/neuroint.2012.7.1.1176Safety and Efficacy of Mechanical Thrombectomy with Solitaire Stent Retrieval for Acute Ischemic Stroke: A Systematic ReviewJun Seok Koh0Sun Joo Lee1Chang-Woo Ryu2Ho Sung Kim3Department of Neurosurgery, Kyung Hee University Hospital at Gangdong, Seoul, Korea.Department of Neurosurgery, Kyung Hee University Hospital at Gangdong, Seoul, Korea.Department of Radiology, Kyung Hee University Hospital at Gangdong, Seoul, Korea.Department of Radiology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.PurposeIn recent years, mechanical thrombectomy using Solitaire stent retrieval has been tried for treating acute ischemic stroke with a large artery occlusion. We systematically reviewed published articles to appraise the evidence that supports the safety and efficacy of the mechanical thrombectomy in acute strokes with Solitaire stent.Materials and MethodsSystematic searches using Medline and Scopus were performed for studies evaluating mechanical thrombectomy using a Solitaire stent in acute ischemic stroke. Articles were included if they were published since 2008, contained at least 5 subjects, and provided clinical results.ResultsThirteen articles (262 cases) were included in this review. The mean time of the procedures ranged from 37 to 95.6 minutes in 10 studies. The success of recanalization was achieved in 89.7% and the recanalization rate varied from 66.7% to 100% in all 13 studies. The overall rates of the symptomatic hemorrhagic complications and mortality were 6.8% and 11.1%, respectively. A favorable outcome of mRS 2 or under was 47.3%. Procedure-induced complications developed in 3.4%.ConclusionThe present review suggested that mechanical thrombectomy using a Solitaire stent in acute ischemic stroke was effective in recanalizing the occluded artery. The rate of procedural complications was small.http://neurointervention.org/upload/pdf/ni-7-1.pdfstrokemechanical recanalizationself-expanding stentsolitairesystematic review
spellingShingle Jun Seok Koh
Sun Joo Lee
Chang-Woo Ryu
Ho Sung Kim
Safety and Efficacy of Mechanical Thrombectomy with Solitaire Stent Retrieval for Acute Ischemic Stroke: A Systematic Review
Neurointervention
stroke
mechanical recanalization
self-expanding stent
solitaire
systematic review
title Safety and Efficacy of Mechanical Thrombectomy with Solitaire Stent Retrieval for Acute Ischemic Stroke: A Systematic Review
title_full Safety and Efficacy of Mechanical Thrombectomy with Solitaire Stent Retrieval for Acute Ischemic Stroke: A Systematic Review
title_fullStr Safety and Efficacy of Mechanical Thrombectomy with Solitaire Stent Retrieval for Acute Ischemic Stroke: A Systematic Review
title_full_unstemmed Safety and Efficacy of Mechanical Thrombectomy with Solitaire Stent Retrieval for Acute Ischemic Stroke: A Systematic Review
title_short Safety and Efficacy of Mechanical Thrombectomy with Solitaire Stent Retrieval for Acute Ischemic Stroke: A Systematic Review
title_sort safety and efficacy of mechanical thrombectomy with solitaire stent retrieval for acute ischemic stroke a systematic review
topic stroke
mechanical recanalization
self-expanding stent
solitaire
systematic review
url http://neurointervention.org/upload/pdf/ni-7-1.pdf
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