Rescue therapy with stent retrievers for thromboembolism during endovascular treatment of intracranial aneurysms
ABSTRACT Thromboembolism is the most frequent complication in endovascular treatment of intracranial aneurysms, causing disability and death. As stent retrievers have achieved high rates of arterial recanalization in the management of ischemic stroke, these devices were tested as rescue therapy of t...
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Thieme Revinter Publicações
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| Series: | Arquivos de Neuro-Psiquiatria |
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| author | Zeferino Demartini Junior Luana A. Maranha Gatto Gelson Luis Koppe Tatiana F. von Hertwig de Oliveira Alexandre Novicki Francisco |
| author_facet | Zeferino Demartini Junior Luana A. Maranha Gatto Gelson Luis Koppe Tatiana F. von Hertwig de Oliveira Alexandre Novicki Francisco |
| author_sort | Zeferino Demartini Junior |
| collection | DOAJ |
| description | ABSTRACT Thromboembolism is the most frequent complication in endovascular treatment of intracranial aneurysms, causing disability and death. As stent retrievers have achieved high rates of arterial recanalization in the management of ischemic stroke, these devices were tested as rescue therapy of thromboembolism during aneurysm embolization. We retrospectively analyzed 10 consecutive patients with transprocedural arterial occlusion, treated with mechanical thrombectomy at a single center. Good angiographic recanalization was achieved in eight cases, mTICI 3, 2b and 2a in five, three and two patients, respectively, without additional complications or any deaths. Five patients showed complete recovery (mRS 0) and all patients showed improvement of disability (average mRS 1.1) over a mean follow-up period of 31 months. Eight patients had good clinical recovery, while two remained with deficits (mRS 3 and 4). The study found that the stent retriever is a valuable, rapid and effective tool for restoring blood flow, improving the safety of endovascular treatment. |
| format | Article |
| id | doaj-art-e8c75b391b344eeea54b82be6c2d9ac4 |
| institution | OA Journals |
| issn | 1678-4227 |
| language | English |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-e8c75b391b344eeea54b82be6c2d9ac42025-08-20T02:03:58ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-422776533233810.1590/0004-282x20180027S0004-282X2018000500332Rescue therapy with stent retrievers for thromboembolism during endovascular treatment of intracranial aneurysmsZeferino Demartini JuniorLuana A. Maranha GattoGelson Luis KoppeTatiana F. von Hertwig de OliveiraAlexandre Novicki FranciscoABSTRACT Thromboembolism is the most frequent complication in endovascular treatment of intracranial aneurysms, causing disability and death. As stent retrievers have achieved high rates of arterial recanalization in the management of ischemic stroke, these devices were tested as rescue therapy of thromboembolism during aneurysm embolization. We retrospectively analyzed 10 consecutive patients with transprocedural arterial occlusion, treated with mechanical thrombectomy at a single center. Good angiographic recanalization was achieved in eight cases, mTICI 3, 2b and 2a in five, three and two patients, respectively, without additional complications or any deaths. Five patients showed complete recovery (mRS 0) and all patients showed improvement of disability (average mRS 1.1) over a mean follow-up period of 31 months. Eight patients had good clinical recovery, while two remained with deficits (mRS 3 and 4). The study found that the stent retriever is a valuable, rapid and effective tool for restoring blood flow, improving the safety of endovascular treatment.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000500332&lng=en&tlng=enaneurisma intracranianocomplicações intraoperatóriastromboemboliaprocedimentos endovascularesstents |
| spellingShingle | Zeferino Demartini Junior Luana A. Maranha Gatto Gelson Luis Koppe Tatiana F. von Hertwig de Oliveira Alexandre Novicki Francisco Rescue therapy with stent retrievers for thromboembolism during endovascular treatment of intracranial aneurysms Arquivos de Neuro-Psiquiatria aneurisma intracraniano complicações intraoperatórias tromboembolia procedimentos endovasculares stents |
| title | Rescue therapy with stent retrievers for thromboembolism during endovascular treatment of intracranial aneurysms |
| title_full | Rescue therapy with stent retrievers for thromboembolism during endovascular treatment of intracranial aneurysms |
| title_fullStr | Rescue therapy with stent retrievers for thromboembolism during endovascular treatment of intracranial aneurysms |
| title_full_unstemmed | Rescue therapy with stent retrievers for thromboembolism during endovascular treatment of intracranial aneurysms |
| title_short | Rescue therapy with stent retrievers for thromboembolism during endovascular treatment of intracranial aneurysms |
| title_sort | rescue therapy with stent retrievers for thromboembolism during endovascular treatment of intracranial aneurysms |
| topic | aneurisma intracraniano complicações intraoperatórias tromboembolia procedimentos endovasculares stents |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000500332&lng=en&tlng=en |
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