2014
DOI: 10.3174/ajnr.a4133
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Double Solitaire Mechanical Thrombectomy in Acute Stroke: Effective Rescue Strategy for Refractory Artery Occlusions?

Abstract: BACKGROUND AND PURPOSE:Mechanical thrombectomy by using a single stent retriever system has demonstrated high efficacy for recanalization of large-artery occlusions in acute stroke. We aimed to evaluate the feasibility, safety, and efficacy of a novel double Solitaire stent retriever technique as an escalating treatment for occlusions that are refractory to first-line single stent retriever mechanical thrombectomy.

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Cited by 42 publications
(48 citation statements)
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“…However, there were two deaths: one patient with malignant infarction following failed recanalization and the other with presumed reinfarction three weeks after initial successful recanalization. 10 A single case report by Asadi and colleagues showed successful recanalization and no peri-or postprocedural complications with use of the dual stent retriever technique.…”
Section: Who Is Eligible?mentioning
confidence: 99%
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“…However, there were two deaths: one patient with malignant infarction following failed recanalization and the other with presumed reinfarction three weeks after initial successful recanalization. 10 A single case report by Asadi and colleagues showed successful recanalization and no peri-or postprocedural complications with use of the dual stent retriever technique.…”
Section: Who Is Eligible?mentioning
confidence: 99%
“…The limited literature on this technique suggests that it is well tolerated with a comparable risk profile. 9,10,12 Klisch and colleagues described one case of vessel perforation and seven cases of mild vasospasm with mechanical thrombectomy using dual stent retrievers as a rescue technique in 10 patients. There were no reported cases of severe vasospasm or arterial dissection.…”
Section: Who Is Eligible?mentioning
confidence: 99%
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