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

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

Jay P Kinariwala  1 , Gary B Rajah  2 , Ali W Luqman  2
Affiliations
Case Reports

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

Jay P Kinariwala et al. Brain Circ. 2018 Oct-Dec.

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 in situ and discuss technique of avoidance and its management.

Keywords: Acute ischemic stroke; Solitaire; retained device; thrombectomy.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Thrombectomy findings: (a) Anterior-posterior internal carotid artery injection via the cello balloon guide reveals proximal M1 occlusion (arrow). (b) Fluoro puff at 3 min device up time reveals distal recanalization (arrow). (c) Postthrombectomy attempt one (device out) reveals slow distal flow through M2 and stenotic junction (arrow). (d) Second thrombectomy attempt fluoro puff with device up showing improved distal flow (arrow). (e) Final anterior-posterior internal carotid artery/common carotid artery injection showing slightly quicker anterograde flow through retained stent (arrow). (f) Retained device distal markers visible on anterior-posterior image near the arrow
Figure 2
Figure 2
Postthrombectomy computed tomography angiography findings. (a) Coronal computed tomography angiography head, the arrow denotes small amount of M2 filling beyond the retained device. (b) Sagittal computed tomography angiography head, heavily calcified internal carotid artery is visible on bone windows (arrow)
See this image and copyright information in PMC

References

    1. Ding D. Endovascular mechanical thrombectomy for acute ischemic stroke: A new standard of care. J Stroke. 2015;17:123–6. - PMC - PubMed
    1. Machi P, Costalat V, Lobotesis K, Maldonado IL, Vendrell JF, Riquelme C, et al. Solitaire FR thrombectomy system: Immediate results in 56 consecutive acute ischemic stroke patients. J Neurointerv Surg. 2012;4:62–6. - PMC - PubMed
    1. Nogueira RG, Levy EI, Gounis M, Siddiqui AH. The Trevo device: Preclinical data of a novel stroke thrombectomy device in two different animal models of arterial thrombo-occlusive disease. J Neurointerv Surg. 2012;4:295–300. - PubMed
    1. Grech R, Pullicino R, Thornton J, Downer J. An efficacy and safety comparison between different Stentriever designs in acute ischaemic stroke: A systematic review and meta-analysis. Clin Radiol. 2016;71:48–57. - PubMed
    1. Miteff F, Faulder KC, Goh AC, Steinfort BS, Sue C, Harrington TJ. Mechanical thrombectomy with a self-expanding retrievable intracranial stent (Solitaire AB): Experience in 26 patients with acute cerebral artery occlusion. AJNR Am J Neuroradiol. 2011;32:1078–81. - PMC - PubMed

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