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Interventional neurology v.7 no.1/2, 2018년, pp.6 - 11  

Permanent Deployment of the Solitaire FR™ Device in the Basilar Artery in an Acute Stroke Scenario

Litao, Miguel S. (New York University Langone Medical Center, New York, NY, USA ) ; Nossek, Erez (New York University Langone Medical Center, New York, NY, USA ) ; DeSousa, Keith (New York University Langone Medical Center, New York, NY, USA ) ; Favate, Albert (New York University Langone Medical Center, New York, NY, USA ) ; Raz, Eytan (New York University Langone Medical Center, New York, NY, USA ) ; Shapiro, Maksim (New York University Langone Medical Center, New York, NY, USA ) ; Becske, Tibor (New York University Langone Medical Center, New York, NY, USA ) ; Nelson, Peter Kim ;
  • 초록  

    Background: Scarce reports exist of permanent deployment of Solitaire FR™ devices for arterial steno-occlusive disease as it is primarily indicated for temporary deployment for thrombectomy in large-vessel, anterior-circulation ischemic strokes. Even more scarce are reports describing permanent deployment of the Solitaire device for posterior circulation strokes. Summary: We present 2 cases where the Solitaire device was electrolytically detached to re-establish flow in an occluded or stenotic basilar artery in acutely symptomatic patients. In both cases, a 4 × 15 mm Solitaire device was positioned across the stenotic or occluded portion of the basilar artery and electrolytically detached to maintain vessel patency. Both cases had good clinical outcomes with a National Institutes of Health Stroke Scale (NIHSS) score of 1 (from 24) on 90-day follow-up and an NIHSS score of 2 (from 7) on 30-day follow-up. Key Messages: Permanent deployment of the Solitaire device may potentially be a safe and effective means of maintaining vessel patency in an occluded or stenotic basilar artery.


  • 주제어

    Acute stroke .   Solitaire .   Thrombectomy.  

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