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2011•The Neuroradiology JournalRequires access

Intervention in Stroke. The Future Ahead

Sanjeev Nayak

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Abstract

The treatment for acute stroke is evolving and we present the initial results of 18 patients presenting to our institution over a period of eight months with acute stoke where CTA confirmed the presence of a thrombus. These patients were resistant to IV rtPA and underwent partial to complete clot retrieval with IA thrombolysis or in conjunction with mechanical thrombectomy. 13 of the 18 patients underwent mechanical thrombectomy and Solitaire AB device was used in 12 of these patients. Efficacy was assessed radiologically by post-treatment thrombolysis in myocardial infarction (TIMI) scores and clinically by a 30-day Modified Rankin Scale (MRS) score A TIMI score of 3 was achieved in 91% of patients undergoing mechanical thrombectomy with Solitaire AB device. 61% of our patient group had a discharge MRS of ≤ 2.

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What this paper is about

The treatment for acute stroke is evolving and we present the initial results of 18 patients presenting to our institution over a period of eight months with acute stoke where CTA confirmed the presence of a thrombus. These patients were resistant to IV rtPA and underwent partial to complete clot retrieval with IA thrombolysis or in conjunction with mechanical thrombectomy. 13 of the 18 patients underwent mechanical thrombectomy and Solitaire AB device was used in 12 of these patients. Efficacy was assessed radiologically by post-treatment thrombolysis in myocardial infarction (TIMI) scores and clinically by a 30-day Modified Rankin Scale (MRS) score A TIMI score of 3 was achieved in 91% of patients undergoing mechanical thrombectomy with Solitaire AB device. 61% of our patient group had a discharge MRS of ≤ 2.

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Available abstract

The treatment for acute stroke is evolving and we present the initial results of 18 patients presenting to our institution over a period of eight months with acute stoke where CTA confirmed the presence of a thrombus. These patients were resistant to IV rtPA and underwent partial to complete clot retrieval with IA thrombolysis or in conjunction with mechanical thrombectomy. 13 of the 18 patients underwent mechanical thrombectomy and Solitaire AB device was used in 12 of these patients. Efficacy was assessed radiologically by post-treatment thrombolysis in myocardial infarction (TIMI) scores and clinically by a 30-day Modified Rankin Scale (MRS) score A TIMI score of 3 was achieved in 91% of patients undergoing mechanical thrombectomy with Solitaire AB device. 61% of our patient group had a discharge MRS of ≤ 2.

Key concepts: TIMI, Thrombolysis, Medicine, Solitaire Cryptographic Algorithm, Modified Rankin Scale, Thrombus, Stroke (engine), Myocardial infarction

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