Mechanical thrombectomy in severe acute stroke: preliminary results of the Solitaire stent

摘要: Intravenous recombinant tissue plasminogen activator (rTPA) therapy has limited recanalisation-rates in large artery occlusions (nadir of 5.9% Carotid-T-Occlusions).1 Therefore, we prospectively evaluated the Solitaire stent (versions AB and FR, ev3 Inc., Plymouth, Minnesota, USA) mechanical thrombectomy acute ischaemic stroke. Acute stroke patients were triaged on admission for potential thrombectomy. ### Inclusion criteria ### Exclusion criteria Eligible had immediate CT-angiography without delaying intravenous rTPA-thrombolysis if applicable according to guidelines German Neurological Society (DGN). In case occlusion either internal carotid (ICA), MCA-M1-segment or basilar (BA) was carried out. Up four clot extraction maneuvers performed. Any preceding stenosis a priori stented. These received eptifibatide 24 h prevent in-stent-thrombosis; its short half-life would allow emergency decompressive craniectomy. Combination rTPA is safe.2 NIHSS mRS scores assessed …