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机械血栓清除术后残留的Solitaire FR装置：病例回顾与管理策略

Retained Solitaire FR device after mechanical thrombectomy: Case review and management strategies.

作者信息

Kinariwala Jay P, Rajah Gary B, Luqman Ali W

机构信息

Department of Neurology, Wayne State University, Detroit, MI, USA.

Department of Neurosurgery, Wayne State University, Detroit, MI, USA.

出版信息

Brain Circ. 2018 Oct-Dec;4(4):185-187. doi: 10.4103/bc.bc_12_18. Epub 2018 Dec 31.

DOI:10.4103/bc.bc_12_18
PMID:30693345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6329211/
Abstract

Solitaire FR device is a Food and Drug Administration-approved device for mechanical thrombectomy. It has been tested in various clinical trials for its safety and efficacy. We report a case of inadvertent detachment of the Solitaire FR device at stent-stent wire interface while performing mechanical thrombectomy. We review a rare phenomenon of retained Solitaire FR stent retriever and discuss technique of avoidance and its management.

摘要

Solitaire FR装置是一种经美国食品药品监督管理局批准用于机械取栓的装置。它已在各种临床试验中对其安全性和有效性进行了测试。我们报告了1例在进行机械取栓时Solitaire FR装置在支架-支架钢丝界面意外分离的病例。我们回顾了Solitaire FR支架取栓器残留这一罕见现象，并讨论了避免方法及其处理技巧。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b3a/6329211/e8b292443549/BC-4-185-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b3a/6329211/a0b3b0192b5e/BC-4-185-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b3a/6329211/e8b292443549/BC-4-185-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b3a/6329211/a0b3b0192b5e/BC-4-185-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b3a/6329211/e8b292443549/BC-4-185-g002.jpg

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Carotid Endarterectomy to Remove Retained Solitaire Stent Retriever inside Carotid Stent after Mechanical Thrombectomy.机械取栓术后行颈动脉内膜切除术以取出颈动脉支架内残留的单轨式取栓支架
J Stroke Cerebrovasc Dis. 2017 May;26(5):e90-e95. doi: 10.1016/j.jstrokecerebrovasdis.2017.02.015. Epub 2017 Mar 17.
2
Solitaire stentectomy: 'deploy and engage' and 'loop and snare' techniques.Solitaire支架取栓术：“释放并套入”和“成袢并圈套”技术。
BMJ Case Rep. 2016 Aug 12;2016:bcr2016012547. doi: 10.1136/bcr-2016-012547.
3
Inadvertent Stent Retriever Detachment: A Multicenter Case Series and Review of Device Experience FDA Reports.
不经意的支架取栓器脱离：一项多中心病例系列研究及对FDA报告中器械使用经验的回顾
Interv Neurol. 2016 Mar;4(3-4):75-82. doi: 10.1159/000441920. Epub 2015 Nov 20.
4
An efficacy and safety comparison between different stentriever designs in acute ischaemic stroke: a systematic review and meta-analysis.不同取栓支架设计用于急性缺血性卒中的疗效与安全性比较：一项系统评价与荟萃分析
Clin Radiol. 2016 Jan;71(1):48-57. doi: 10.1016/j.crad.2015.09.011. Epub 2015 Nov 17.
5
Endovascular Mechanical Thrombectomy for Acute Ischemic Stroke: A New Standard of Care.急性缺血性脑卒中的血管内机械取栓：一种新的治疗标准。
J Stroke. 2015 May;17(2):123-6. doi: 10.5853/jos.2015.17.2.123. Epub 2015 May 29.
6
Early detachment of the Solitaire stent during thrombectomy retrieval: an in vitro investigation.取栓过程中Solitaire支架早期脱离：一项体外研究
J Neurointerv Surg. 2015 Feb;7(2):114-7. doi: 10.1136/neurintsurg-2013-010942. Epub 2014 Jan 16.
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