title: Solitaire stentectomy: 'deploy and engage' and 'loop and snare' techniques.
abstract: Solitaire FR stent-based mechanical thrombectomy provides clinical benefit in selected patients with acute ischaemic stroke due to large vessel occlusion. A dreaded device complication that is associated with poor technical and clinical outcome is stent detachment. Retrieval of the detached stent can be technically challenging and has been attempted with variable success. The key benefit of this strategy is the lack of need to administer fibrinolytic/antiplatelet agents that can potentially be catastrophic in the setting of acute stroke. Therefore, retrieval may be preferred to other strategies (balloon angioplasty, lytic/glycoprotein 2b/3a inhibitors administration) to address detached stent. We report two patients in whom the detached stent was retrieved using alternative techniques-'deploy and engage' and 'loop and snare'-as snare retrieval failed.
authors.affiliation: Department of Neurointerventional Surgery, Artemis Hospitals, Sector 51, Gurgaon, Haryana-122001.
authors.forename: Rajsrinivas
authors.initials: R
authors.lastname: Parthasarathy
authors.affiliation: Department of Neurointerventional Surgery, Artemis Hospitals, Sector 51, Gurgaon, Haryana-122001.
authors.forename: Vipul
authors.initials: V
authors.lastname: Gupta
authors.affiliation: Department of Neurointerventional Surgery, Medanta The Medicity, Gurgaon, Haryana, India.
authors.forename: Gaurav
authors.initials: G
authors.lastname: Goel
authors.affiliation: Department of Neurointerventional Surgery, Medanta The Medicity, Gurgaon, Haryana, India.
authors.forename: Anshu
authors.initials: A
authors.lastname: Mahajan
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents / Q000009:adverse effects; D020521:Stroke / Q000000981:diagnostic imaging* / Q000601:surgery*; D017131:Thrombectomy / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome
keywords: Device; Intervention; Stent; Stroke