Temporary endovascular bypass: rescue technique during mechanical thrombolysis.
Publication/Presentation Date
1-1-2012
Abstract
BACKGROUND: The goal of mechanical thrombolysis is to re-establish blood flow to a completely occluded artery in patients who fail intravenous thrombolytic therapy or who are outside the therapeutic window.
OBJECTIVE: We present our single-institution experience with the use of temporary, partial deployment of a self-expanding intracranial stent as a rescue technique for the treatment of acute stroke. The use of the Enterprise stent represents an off-label use of a humanitarian device exemption device.
METHODS: We performed a retrospective review of a prospective database of acute stroke patients treated with intra-arterial techniques at the Thomas Jefferson University Comprehensive Stroke Center from July 2009 to July 2010.
RESULTS: Seven patients were included, and we obtained a 100% recanalization rate to Thrombolysis in Myocardial Infarction grade 2 and 3 with a 28% asymptomatic hemorrhagic transformation. No device-related complications were encountered.
CONCLUSION: Temporary, partial deployment of a self-expanding intracranial stent as a rescue procedure is feasible, effective, and safe in the setting of endovascular intervention for acute stroke, although our experience is limited. This technique was used only as a rescue procedure when more established procedures failed.
Volume
70
Issue
1
First Page
245
Last Page
252
ISSN
1524-4040
Published In/Presented At
Gonzalez, L. F., Jabbour, P., Tjoumakaris, S., Teufack, S., Gordon, D., Dumont, A., & Rosenwasser, R. (2012). Temporary endovascular bypass: rescue technique during mechanical thrombolysis. Neurosurgery, 70(1), 245–252. https://doi.org/10.1227/NEU.0b013e31822e5a62
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
21788918
Department(s)
Administration and Leadership
Document Type
Article