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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 an HDE 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- July 2010.
RESULTS: Seven patients were included and we obtained a 100% recanalization rate to TIMI 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 only used as a rescue procedure when more established procedures failed.
Full article access for Neurosurgery subscribers at Neurosurgery-Online.com.
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