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• W2037658059 abstract "<h3>BACKGROUND AND PURPOSE:</h3> Little is known about the consequences of arterial wall damage that may be due to mechanical endovascular thrombectomy. Our aim was to perform 1-year MR angiographic and clinical follow-up of patients treated with mechanical endovascular thrombectomy using the Solitaire device. <h3>MATERIALS AND METHODS:</h3> Patients with stroke treated between August 2010 and July 2012 were prospectively evaluated with a minimum follow-up of 1 year after mechanical endovascular thrombectomy. Angiographic follow-up was performed on a 3T MR imaging scanner and included intracranial artery TOF MRA and supra-aortic artery gadolinium-enhanced MRA. Images were assessed to detect arterial abnormalities (stenosis, occlusion, dilation) and were compared with the final post-mechanical endovascular thrombectomy run to differentiate delayed and pre-existing abnormalities. Clinical evaluation was performed with the mRS and the 36-Item Short-Form Health Survey questionnaire quality-of-life scale. <h3>RESULTS:</h3> Thirty-nine patients were angiographically assessed at the mean term of 19 ± 4 months. MRA showed intracranial artery abnormalities in 10 patients, including 5 delayed intracranial artery abnormalities in 4 patients (4 stenoses and 1 dilation), 4 cases of pre-existing intracranial artery stenosis, and 2 occlusions. Pre-existing etiologic cervical artery stenosis or occlusion was observed in 2 patients. All these patients remained asymptomatic during the follow-up period. A significant clinical improvement was observed at 1-year follow-up in comparison with 3-month follow-up (<i>P</i> < .0001), with a good outcome achieved in 62.5% of patients and an acceptable quality of life restored. <h3>CONCLUSIONS:</h3> One-year follow-up identifies delayed asymptomatic arterial abnormalities in patients treated with the Solitaire device." @default.
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• W2037658059 date "2014-08-14" @default.
• W2037658059 modified "2023-09-27" @default.
• W2037658059 title "One-Year MR Angiographic and Clinical Follow-Up after Intracranial Mechanical Thrombectomy Using a Stent Retriever Device" @default.
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• W2037658059 doi "https://doi.org/10.3174/ajnr.a4071" @default.
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