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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Format: | Article |
Language: | English |
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Korean Society of Interventional Neuroradiology
2012-02-01
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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. |
first_indexed | 2024-03-08T07:33:32Z |
format | Article |
id | doaj.art-d42641eed4cd4042b54e0e8c2f917eb9 |
institution | Directory Open Access Journal |
issn | 2093-9043 2233-6273 |
language | English |
last_indexed | 2024-03-08T07:33:32Z |
publishDate | 2012-02-01 |
publisher | Korean Society of Interventional Neuroradiology |
record_format | Article |
series | Neurointervention |
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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