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.

Alternative title
Terapia de resgate com stent para tromboembolismo durante tratamento endovascular de aneurismas intracranianos
Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
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

Contributor
Demartini, Zeferino
Gatto, Luana A. Maranha
Koppe, Gelson Luis
Oliveira, Tatiana F. von Hertwig de
Francisco, Alexandre Novicki

DOI
10.1590/0004-282X20180027
URN
urn:nbn:de:101:1-2023101210181885478772
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
14.08.2025, 10:47 AM CEST

Data provider

This object is provided by:
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.

Associated

  • Demartini, Zeferino
  • Gatto, Luana A. Maranha
  • Koppe, Gelson Luis
  • Oliveira, Tatiana F. von Hertwig de
  • Francisco, Alexandre Novicki

Other Objects (12)