Efficacy of mechanical thrombectomy with Solitaire stent in acute basilar artery occlusion: an analysis of 5 cases
10.3760/cma.j.issn.1671-8925.2020.02.003
- VernacularTitle:Solitaire支架机械取栓治疗急性基底动脉闭塞的临床疗效分析(附五例报道)
- Author:
Bin REN
1
;
Haibo TONG
;
Xiangyang WANG
Author Information
1. 山西白求恩医院神经外科
- Keywords:
Acute basilar artery occlusion;
Mechanical thrombectomy;
Solitaire stent
- From:
Chinese Journal of Neuromedicine
2020;19(2):120-124
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy and safety of mechanical thrombectomy with Solitaire device in patients with acute basilar artery occlusion (ABAO).Methods The clinical data of 5 patients with ABAO,underwent mechanical thrombectomy with Solitaire stent in our hospital from May 2016 to November 2018,were analyzed retrospectively.The clinical treatment efficacy and safety were recorded.Results All these 5 patients accepted endovascular mechanical thrombectomy successfully;successful recanalization (modified Thrombolysis in Cerebral Infarction [mTICI] grading 2b or 3) was achieved in 4 patients;the embolus was detached to the distal arteriole in one patient.There was no symptomatic intracranial hemorrhage;one patient accepted decompressive craniectomy resulting from massive infarction of cerebellum.Follow up results 90 d after treatment indicated that 4 patients enjoyed good prognosis (modified Rankin Scale scores:0-3).Conclusion Mechanical thrombectomy with Solitaire device is suggested to be safe and efficient in ABAO patients complying with appropriate operative indications.
