Treatment of acute XXXX : feasibility of primary or secondary use of a self-expanding stent (Neuroform) during local intra-arterial thrombolysis.

@entity1 @entity5329 @entity548 @entity2806 @entity385
INTRODUCTION: We evaluated the feasibility of employing a self-expanding stent (Neuroform) in treatment of @entity2806 and compared the results of primary and secondary stenting. METHODS: We analyzed the treatment results of 14 acute @entity385 @entity1 (11 @entity1 and three @entity1 ; median age, 65  years) who were treated with Neuroform stents. Seven @entity1 received stent placement for primary recanalization and a further seven for secondary recanalization. We performed between-group comparisons of all of overall procedure duration, recanalization rate immediately after stenting, need for additional measures after stenting, final recanalization rate, occurrence of @entity548 , early re-occlusion rate after 24  h, and 3-month functional recovery rate ( @entity5329 ). RESULTS: The median interval from femoral puncture to stent placement was 61.5  min and was significantly shorter in the primary than in the secondary group (55 vs. 95  min, p   =   0.004). The recanalization rate immediately after stenting was 42.9% and was greater in the primary than in the secondary group (71.4% vs. 14.3%, p   =   0.1). Thirteen @entity1 required various additional therapeutic measures. The final recanalization rate was 78.6%, attributable to improvements in the recanalization rate of the secondary group (71.4% vs. 85.7%). Early @entity548 was noted in four @entity1 , but only one @entity1 became symptomatic (symptomatic @entity548 , 7.1%). Good functional recovery was noted in eight @entity1 (57.1%). CONCLUSION: Placement of a self-expanding stent during endovascular recanalization of acute @entity385 was both feasible and safe. Primary use of this method may enhance early recanalization.
