Department of Neuroradiology, Montpellier University Hospital, Montpellier, France.
J Neurointerv Surg. 2012 Jan 1;4(1):62-6. doi: 10.1136/jnis.2010.004051. Epub 2011 Apr 7.
Prompt recanalization of cerebral arteries in patients diagnosed with acute ischemic stroke is known to be associated with a better clinical outcome. The aim of this study was to present our initial experience regarding the efficacy and safety of the Solitaire FR as a revascularization device.
56 consecutive patients presenting with acute ischemic stroke underwent intra-arterial therapy using the Solitaire FR revascularization device. Immediate angiographic results and early clinical outcomes are presented.
Solitaire FR was successful in achieving recanalization in 50 out of 56 patients (89%) with a final Thrombolysis in Cerebral Infarction score ≥2b. Five out of 56 patients had procedure related complications: two asymptomatic subarachnoid hemorrhages, two thromboembolic events and one symptomatic intracranial hemorrhage (PH2). Thirty patients (53.5%) demonstrated at discharge a National Institutes of Health Stroke Scale Score of ≤1 or an improvement of at least 10 points from baseline, and 26 patients (46%) had a modified Rankin Score ≤2.
Solitaire FR is successful in achieving a high rate of arterial recanalization with a low complication rate. The Solitaire FR is a promising thrombectomy tool with a high degree of effectiveness, safety and ease of use.
已知急性缺血性脑卒中患者的动脉及时再通与更好的临床转归相关。本研究旨在介绍我们使用 Solitaire FR 作为血管再通装置的初步经验，评估其疗效和安全性。
56 例急性缺血性脑卒中患者接受 Solitaire FR 血管再通装置治疗。分析即刻血管造影结果和早期临床转归。
56 例患者中，50 例（89%）成功实现再通，最终血栓切除术溶栓评分≥2b。56 例患者中有 5 例发生与操作相关的并发症：2 例无症状蛛网膜下腔出血，2 例血栓栓塞事件，1 例症状性颅内出血（PH2）。30 例（53.5%）出院时美国国立卫生研究院卒中量表评分≤1 或与基线相比至少提高 10 分，26 例（46%）改良 Rankin 评分≤2。
Solitaire FR 能实现高比例的动脉再通，且并发症发生率低。Solitaire FR 是一种有前途的血栓切除术工具，具有高度的有效性、安全性和易用性。
