Solitaire FR Revascularization Device Jeffrey Mc Carthy BME

Solitaire FR Revascularization Device™ Jeffrey Mc. Carthy BME 181 University of Rhode Island

Objectives • Review the symptoms of a stroke • Discuss why strokes occur • Describe the use of the Solitaire device to treat a stroke

Symptoms of Stroke

What Causes a Stroke?

Treatment Options for Stroke • Time from symptom onset – < 3 or < 4. 5 hours – “clot buster” medication • t. PA (Alteplase) – Greater than 4. 5 hours OR ineligible for t. PA • Mechanical thrombectomy – Up to 8 hours from symptom onset

Finding the Clot Normal Angiography showing a Stroke

Solitaire in Action

Solitaire Device • http: //www. youtube. com/watch? v=0 DQPD 5 T TS 5 Y

Effectiveness of Solitaire Device SWIFT TRIAL Recanalization Rates Good Neurological Outcomes at 90 Days 90 Day Mortality Solitaire Device Merci Retriever 61% 24% 58% 33% 17% 38%

References: 1. ) “Solitaire FR Revascularization Device” Covidien. 27 Feb 2013 <http: //www. ev 3. net/neuro/intl/flow-restoration/solitaire-frrevascularization-device. htm> 2. ) Saver, JL Jahon R, Levy EI. Solitaire flow restoration device versus the Merci Retreiver in patients with acute ischaemic stroke (SWIFT): a randomized, parallel-group, non-inferiority trial. The Lancet, 380(9849), 1241 -1249 2012. 3. ) “About Stroke” American Stroke Association. 27 Feb. 2013 <http: //www. strokeassociation. org/STROKEORG/About. Stroke_UCM_308529_Sub. Home. Page. jsp>