Impact of Retrievable Stents on Acute Ischemic Stroke Treatment

• DOI: 10.3174/ajnr.a2494
• Publication Date: 2011-05-12T22:40:40Z
• Authors: C. Brekenfeld; G. Schroth; P. Mordasini; U. Fischer; M.-L. Mono; A. Weck; M. Arnold; M. El-Koussy; J. Gralla
• Keywords: Stroke

Retrievable stents combine the high recanalization rate of and capability removing thrombus offered by mechanical thrombectomy devices. We hypothesized that retrievable shorten time to in multimodal approach for endovascular stroke treatment.Forty consecutive patients with acute ischemic undergoing therapy were included. Treatment included thromboaspiration, disruption, thrombolysis, PTA, stent placement. In 17 patients, a was used (group A) addition therapy. The remaining 23 constituted group B. Baseline characteristics, occlusion sites, urokinase dose, rate, compared between groups.Median NIHSS scores higher A B on admission (19 versus 12.5; P = .018) but not significantly different at day 1 (14 10; .6). Intra-arterial thrombolysis fewer than (53% 87%, respectively; .017), median dose lower (250,000 IU 700,000 IU; .006). Time shorter (median 52.5 minutes 90 minutes, .001). Recanalization (94% 78%; .17).Addition treatment reduces further increases rate.