Mechanical Thrombectomy Using the Solitaire AB Device for Acute Embolic Mesenteric Ischemia

Shi, Yadong; Gu, Jianping; Chen, Liang; Shi, Wanyin; Ahmed, Mohammed Jameeluddin; Huang, Hao; Su, Haobo

doi:10.1016/j.jvir.2018.08.005

Cited by 12 publications

(10 citation statements)

References 19 publications

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“…Clot retrieval is performed by the deployment of Solitaire AB directly into an occluded artery with a diameter of 5.3 ± 0.6 mm, in order to improve the thrombectomy efficacy and reduce the risk of further distal embolization, additional thromboaspiration using a 6-F guiding catheter is combined in this study. This coupled technique appears to have the functions including both stent deployment, which enables immediate flow restoration, and an aspiration device, 11 which allows definitive clot removal from an occluded artery.…”

Section: Discussionmentioning

confidence: 99%

“…The Solitaire AB device (Medtronic, Minneapolis, Minnesota, USA) is a self-expanding stent that can facilitate clot retrieval. 11 Mechanical thrombectomy using Solitaire AB device has been proven to be an important adjunctive reperfusion therapy for acute ischemic stroke (AIS) 12 and acute mesenteric ischemia (AMI). 11 Yet, the reports in the setting of ALI remain limited.…”

Section: Introductionmentioning

confidence: 99%

“…11 Mechanical thrombectomy using Solitaire AB device has been proven to be an important adjunctive reperfusion therapy for acute ischemic stroke (AIS) 12 and acute mesenteric ischemia (AMI). 11 Yet, the reports in the setting of ALI remain limited. In this study, we preliminary applied a mechanical thrombectomy technique with Solitaire AB device coupled with thromboaspiration for the treatment of popliteal and infrapopliteal ALI.…”

Section: Introductionmentioning

confidence: 99%

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Mechanical revascularization using Solitaire AB device for acute limb ischemia secondary to popliteal and infrapopliteal embolic occlusion

Gong

Zhou

et al. 2022

DIGITAL HEALTH

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Objective Acute limb ischemia is one of the most common arterial emergencies. The data of mechanical revascularization using Solitaire AB device coupled with thromboaspiration for the treatment of popliteal and infrapopliteal acute limb ischemia are limited. The aim of this study was to review the preliminary safety and effectiveness. Methods We performed a single-center retrospective review of patients with popliteal and infrapopliteal acute limb ischemia treated with Solitaire AB device coupled with thromboaspiration from February 2019 to May 2020. Adjunctive balloon angioplasty was performed to correct coexisting atherosclerotic stenosis. Technical success was defined as successful deployment of the Solitaire AB device across the occlusive segment and successful retrieval without the use of adjunctive catheter-directed thrombolysis or balloon angioplasty. Clinical success was defined as the relief of symptoms related to acute limb ischemia. Follow-up outcomes were also reviewed. Results There were 15 consecutive patients who underwent 16 Solitaire AB devices. Technical success was achieved in 11 (73.3%) patients. Of the unsuccessful patients, double-stent retrievers were employed in 1 (6.7%) patient. Two patients who encountered residual clots in distal small arteries underwent adjunctive catheter-directed thrombolysis. An adjunctive balloon angioplasty was required in 1 (6.7%) patient. All patients had notable acute limb ischemia symptom relief after the procedures. Clinical success was achieved in 14 (93.3%) patients. Besides one patient encountered minor amputation, the major amputation was prevented in all patients. No device-related complications or distal embolization events were recorded during the procedures. At the follow-up of 12 months, all surviving patients remained symptom-free, the patency was achieved in 12 (80%) patients and the limb salvage was 100%. Conclusions Preliminary outcomes suggest that mechanical revascularization using Solitaire AB device coupled with manual thromboaspiration appears to be a rapid, safe, and effective modality that appears to reduce the requirement for catheter-directed thrombolysis. Advances in knowledge These findings may add a promising recanalization therapy for acute embolic occlusion of the acute limb ischemia secondary to popliteal and infrapopliteal arteries.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mechanical revascularization using Solitaire AB device for acute limb ischemia secondary to popliteal and infrapopliteal embolic occlusion

Gong

Zhou

et al. 2022

DIGITAL HEALTH

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“…The Solitaire AB is a laser-cut, selfexpanding, and fully recapture able, split-design nitinol device which has been routinely used in mechanical thrombectomy for acute cerebral infarction. In addition to craniocerebral blood vessels, Solitaire AB stent has also been used to retrieve superior mesenteric artery embolism [10]. Studies have shown that for acute ischemic stroke, the vascular recanalization rate and prognosis of stent thrombectomy are signi cantly better than those of non-stent PMT in all PMT procedures [11].…”

Section: Discussionmentioning

confidence: 99%

Solitaire AB thrombectomy system: immediate results in 17 acute limb ischemia patients

Zhou¹,

Sutedjo²,

Gong³

et al. 2020

Preprint

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Background Solitaire AB stent was approved for mechanical thrombectomy for acute cerebral infarction. Objectives To present our initial experience regarding the efficacy and safety of mechanical thrombectomy using the Solitaire AB device for the treatment of acute limb ischemia (ALI). Patients and methods 17 consecutive patients presenting with acute limb ischemia underwent endovascular therapy using the Solitaire AB device. Immediate angiographic results and early clinical outcomes are presented. Results Technical success was achieved in 15 patients (88.2%).Recanalization of more than IIb on the TILI scale was achieved for 15 patients. Mean times of thrombectomy attempts were 3 times.41.2%(n = 7) had excellent results. 41.2%(n = 7) patients had good results. 2 had fair results, and 1 patient had a poor result. 30days amputation rate was 6%(n = 1).There was no death case.

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“…8 Advantages specific to the Trevo XP include circumferential large cells, a soft tapered flexible distal tip for improved distal placement, full length radiopacity, and hydrophilic coating. 16 Drawbacks for using these SRs include small caliber size as well as device use comfort level for practitioners who do not often use this device. In patients with tortuous vessels, extensive calcified atherosclerosis, or long segment occlusion, EVT may not be feasible.…”

Section: Sr History Technique and Designmentioning

confidence: 99%

Peripheral Non-cerebrovascular Arterial Stent Retriever Applications

Moran¹,

Lookstein

Ranade

2021

Vasc Endovascular Surg

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Several treatment options exist for acute intra-abdominal arterial thromboembolic events, including systemic thrombolytics, endovascular therapy, and less commonly surgery. A novel alternative treatment intervention for acute intra-abdominal arterial thrombus is the use of stent retriever (SR) devices, tools traditionally applied for treatment of acute vascular thrombosis in stroke patients. This brief report presents two cases of acute intra-abdominal arterial thrombosis successfully managed by deployment of SRs. Furthermore, it details the history, device mechanism, and design of SRs and describes cases in literature involving effective extracranial SR application.

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Mechanical Thrombectomy Using the Solitaire AB Device for Acute Embolic Mesenteric Ischemia

Cited by 12 publications

References 19 publications

Mechanical revascularization using Solitaire AB device for acute limb ischemia secondary to popliteal and infrapopliteal embolic occlusion

Mechanical revascularization using Solitaire AB device for acute limb ischemia secondary to popliteal and infrapopliteal embolic occlusion

Solitaire AB thrombectomy system: immediate results in 17 acute limb ischemia patients

Peripheral Non-cerebrovascular Arterial Stent Retriever Applications

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