Article Figures & Data
Figures
- Fig 1.
Occlusion of the tip of the basilar artery. Symptom onset >12 hours before angiography. NIHSS score 6. A, Antero-posterior view of left vertebrobasilar angiogram depicts thrombus in the distal basilar artery, residual flow to left posterior cerebral artery, occlusion of right posterior cerebral artery and right superior cerebellar artery. B, Thromboaspiration attempt–tip of Vasco35+ASPI (*) in the tip of basilar artery (lateral view). C, After unsuccessful thromboaspiration, deployment of a Solitaire FR 4/20. D, Distal stent markers in the right posterior cerebral artery. The proximal stent ends in the basilar artery. Note incomplete recanalization of the right posterior cerebral artery after stent placement. E, Complete recanalization after stent retrieval. F, Solitaire FR Device with captured thrombus (arrow). Time to recanalization 20 minutes.
Tables
Demographic data, treatment modalities, recanalization results, time to recanalization, and NIHSS scores on admission and 1 day after intervention of patients treated with (group A) and without the Solitaire FR Revascularization Device (group B)
Group A Group B P Value Age (yr) (median [IQR]) 66 (61–77) 68 (57.5–78) NS Sex (%), female 41 35 NS NIHSS score, median (IQR) 19 (14–22) 12.5 (10–15.5) .018 Arterial hypertension (%) 65 65 NS Diabetes mellitus (%) 18 17 NS Hypercholesterolemia (%) 71 65 NS Nicotine abuse (%) 18 17 NS Intravenous thrombolysis (%) 35 22 NS Multimodal therapy (%) 76 74 NS Thrombaspiration (%) 41 61 NS Intra-arterial thrombolysis 53 87 .017 Urokinase dose (IU), median (IQR) 250 000 (0–500 000) 700 000 (475 000–1 000 000) .006 Stent/PTA (%) 24 35 NS Intubation (%) 88 70 NS Recanalization TIMI 2/3 (%) 94 78 NS Time to recanalization, min (median [IQR]) 52.5 (37.5–61) 90 (66–112.5) 0.001 NIHSS score 1 d, median (IQR) 14 (6–20) 10 (6–20) NS Good outcome (%; mRS 0–2) at 3 mo follow-up 43 52 NS
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