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 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.
- Weitere Titel
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Terapia de resgate com stent para tromboembolismo durante tratamento endovascular de aneurismas intracranianos
- Standort
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Deutsche Nationalbibliothek Frankfurt am Main
- Umfang
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Online-Ressource
- Sprache
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Englisch
- Erschienen in
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Rescue therapy with stent retrievers for thromboembolism during endovascular treatment of intracranial aneurysms ; volume:76 ; number:05 ; year:2018 ; pages:332-338
Arquivos de neuro-psiquiatria ; 76, Heft 05 (2018), 332-338
- Beteiligte Personen und Organisationen
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Demartini, Zeferino
Gatto, Luana A. Maranha
Koppe, Gelson Luis
Oliveira, Tatiana F. von Hertwig de
Francisco, Alexandre Novicki
- DOI
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10.1590/0004-282X20180027
- URN
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urn:nbn:de:101:1-2023101210181885478772
- Rechteinformation
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Letzte Aktualisierung
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14.08.2025, 10:47 MESZ
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Beteiligte
- Demartini, Zeferino
- Gatto, Luana A. Maranha
- Koppe, Gelson Luis
- Oliveira, Tatiana F. von Hertwig de
- Francisco, Alexandre Novicki
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