Akpinar Suha, Yilmaz Guliz
Department of Radiology, Faculty of Medicine, Near East University Hospital, Nicosia, North Cyprus, Turkey,
Cardiovasc Intervent Radiol. 2015 Apr;38(2):475-8. doi: 10.1007/s00270-014-1022-y. Epub 2014 Nov 26.
Spontaneous Solitaire™ stent retriever detachment is a rarely defined entity seen during stroke treatment, which can result in a disastrous clinical outcome if it cannot be solved within a critical stroke treatment time window. Two solutions to this problem are presented in the literature. The first is to leave the stent in place and apply angioplasty to the detached stent, while the second involves surgically removing the stent from the location at which it detached. Here, we present a case of inadvertent stent detachment during stroke treatment for a middle cerebral artery M1 occlusion resulting in progressive thrombosis. The detached stent was removed endovascularly by another Solitaire stent, resulting in the recanalization of the occluded middle cerebral artery.
自发的Solitaire™支架取栓器脱离是在卒中治疗期间很少被定义的一种情况，如果在关键的卒中治疗时间窗内无法解决，可能会导致灾难性的临床后果。文献中提出了针对这个问题的两种解决方案。第一种是将支架留在原位并对脱离的支架进行血管成形术，而第二种是通过手术从其脱离的位置取出支架。在此，我们报告一例在治疗大脑中动脉M1段闭塞性卒中时意外发生支架脱离并导致进行性血栓形成的病例。通过另一个Solitaire支架经血管内取出了脱离的支架，从而使闭塞的大脑中动脉再通。
