JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2017, Vol. 55 ›› Issue (7): 49-54.doi: 10.6040/j.issn.1671-7554.0.2017.156

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Application of Solitaire FR stent in the optimized treatment of acute cerebral artery occlusion

YAN Jinxiang1, MENG Lei1, DONG Yanan1, ZHANG Aijun1, YUE Hongsheng1, LI Bo1, ZHONG Liangjun2, BAI Aiguo3   

  1. 1. Department of Neurosurgery, Jinan Central Hospital Affiliated to Shandong University, Jinan 250013, Shandong, China;
    2. Department of Neurosurgery, Pingyin Peoples Hospital, Pingyin 250400, Shandong, China;
    3. Department of Neurology, Qihe Peoples Hospital, Qihe 251100, Shandong, China
  • Received:2017-02-22 Online:2017-07-10 Published:2017-07-10

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Abstract: Objective To explore the effectiveness and safety of Solitaire FR stent in the optimized treatment of acute cerebral artery occlusion(ACAO). Methods Data of 36 ACAO cases treated with Solitaire FR stent mechanical thrombectomy during Jan. 2013 and Dec. 2016 were retrospectively analyzed. The recanalization rate was assessed with mTICI score, the clinical outcome was evaluated with NIHSS score, and the clinical efficacy and safety were determined with modified Rankin Score(mRS). Results Altogether 33 patients achieved successful recanalization(TICI 2b-3), 2 patients had partial recanalization(mTICI 2a), and 1 patient had slight recanalization(mTICI 1). The NIHSS score was significantly lower after operation(P<0.05). The 90-day mRS indicated satisfactory prognosis. The mRS was 0 in 5 patients, 1 in 24 patients, and 2 in 4 patients. One patient was loss of follow-up, and 2 patients died during the follow-up. No vessel occlusion or asymptomatic cerebral hemorrhage were observed in the other 33 patients. 山 东 大 学 学 报 (医 学 版)55卷7期 -颜进项,等.优化救治流程与Solitaire FR支架在治疗急性脑动脉闭塞中的应用 \=- Conclusion Endovascular therapy of acute cerebral artery occlusion is safe and effective, but the indications and contraindications should be strictly observed.

Key words: Endovascular therapy, Mechanical thrombectomy, Efficacy, Acute cerebral artery occlusion, Large vessel occlusion

CLC Number: 

  • R743.3
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