Inadvertent Stent Retriever Detachment : A Multicenter Case Series and Review of Device Experience FDA Reports
Mechanical thrombectomy using retrievable stents or stent retriever devices has become the mainstay of intra-arterial therapy for acute ischemic stroke. The recent publication of a series of positive trials supporting intra-arterial therapy as standard of care for the treatment of large vessel occlusion will likely further increase stent retriever use. Rarely, premature stent detachment during thrombectomy may be encountered. In our multicenter case series, we found a rate of detachment of less than 1% (n = 7/1,067), and all were first-generation Solitaire FR devices. A review of the US Food and Drug Administration database of device experience yielded 90 individual adverse reports of detachment. There were 82, 1 and 7 detachments of Solitaire FR (first generation), Solitaire FR2 (second generation) and Trevo devices, respectively. We conclude with a brief overview of the technical and procedural considerations which may be helpful in avoiding this rare complication.
| Errataetall: |
ErratumIn: Interv Neurol. 2016 Mar;4(3-4):82. - PMID 27053162 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2016 |
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| Erschienen: |
2016 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:4 |
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| Enthalten in: |
Interventional neurology - 4(2016), 3-4 vom: 19. März, Seite 75-82 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Masoud, Hesham [VerfasserIn] |
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| Links: |
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| Themen: |
Detachment |
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| Anmerkungen: |
Date Completed 07.04.2016 Date Revised 17.03.2022 published: Print-Electronic ErratumIn: Interv Neurol. 2016 Mar;4(3-4):82. - PMID 27053162 Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1159/000441920 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM259141607 |
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| 500 | |a ErratumIn: Interv Neurol. 2016 Mar;4(3-4):82. - PMID 27053162 | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a Mechanical thrombectomy using retrievable stents or stent retriever devices has become the mainstay of intra-arterial therapy for acute ischemic stroke. The recent publication of a series of positive trials supporting intra-arterial therapy as standard of care for the treatment of large vessel occlusion will likely further increase stent retriever use. Rarely, premature stent detachment during thrombectomy may be encountered. In our multicenter case series, we found a rate of detachment of less than 1% (n = 7/1,067), and all were first-generation Solitaire FR devices. A review of the US Food and Drug Administration database of device experience yielded 90 individual adverse reports of detachment. There were 82, 1 and 7 detachments of Solitaire FR (first generation), Solitaire FR2 (second generation) and Trevo devices, respectively. We conclude with a brief overview of the technical and procedural considerations which may be helpful in avoiding this rare complication | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a Mechanical thrombectomy | |
| 650 | 4 | |a Solitaire FR device | |
| 650 | 4 | |a Stent retriever | |
| 650 | 4 | |a Stroke | |
| 650 | 4 | |a Trevo device | |
| 700 | 1 | |a Nguyen, Thanh N |e verfasserin |4 aut | |
| 700 | 1 | |a Martin, Coleman O |e verfasserin |4 aut | |
| 700 | 1 | |a Holloway, William E |e verfasserin |4 aut | |
| 700 | 1 | |a Ambekar, Sudheer |e verfasserin |4 aut | |
| 700 | 1 | |a Yavagal, Dileep R |e verfasserin |4 aut | |
| 700 | 1 | |a Haussen, Diogo C |e verfasserin |4 aut | |
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| 700 | 1 | |a Lozano, Diego J |e verfasserin |4 aut | |
| 700 | 1 | |a Puri, Ajit |e verfasserin |4 aut | |
| 700 | 1 | |a Quateen, Ayman |e verfasserin |4 aut | |
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| 700 | 1 | |a Abraham, Michael G |e verfasserin |4 aut | |
| 700 | 1 | |a Chen, Michael |e verfasserin |4 aut | |
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| 700 | 1 | |a Malisch, Tim |e verfasserin |4 aut | |
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| 700 | 1 | |a Norbash, Alexander M |e verfasserin |4 aut | |
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