Abstract
A retrospective single-center study included 12 patients with embolic occlusion of large arteries treated according to the mechanical thrombebolectomy protocol. The patients were treated betwenn 2009 and 2011.
A selfexpandable and retrievable stent was used for revascularization in all patients (8 women and 4 men of mean age of 63,3 years). There were embolic occlusions of the M1 segment in 11 patients, in combination with occlusion of the internal carotid artery in two of them and one occlusion of the 12 segment of the anterior cerebral artery.
The median NIHSS was 17. Thrombembolectomy with retrievable stent was used as a rescue therapy in 3 patients treated with Merci retriever.
Successful recanalization of TIMI 2 and 3 was achieved in all 12 patients with additional reopening of extracranial internal carotid arteries. One stent was deployed at the level of embolic occlusion after two failed attempts to remove a clot from A2 segment.
Symptomatic intracranial hemorrhage was found in two patients. Three months after the therapy., 75% of patients were independent (mRS 2).
Our results show that the retrievable selfexpandable stent can safely and rapidly retrieve clots from intracranial arteries.