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Rules for a solitaire card game played with a standard deck of cards. Goal is explore a dragon's lair, collecting weapons and armour, defeating monsters and avoiding traps, until the Dragon is enco...
Indication,contraindication,warnings andinstructions foruse canbe foundin the productlabeling oductlabeling suppliedwith eachdevice. Solitaire FR RevascularizationDevice is designedfor use inthe flow restorationof patients withischemic stroke due to large intracranial vessel occlusion. Patients who are ineligible forintravenous tissue plasminogenactivator,IV t-PA,or who fail IV t-PA therapyare candidates for treatment. Solitaire andRebarare trademarks ofev3 Inc.
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Positioning Distal and proximal markers ensure that the entire usable length of the Solitaire FR device extends past both ends of the thrombus.
106-108rueLa Boétie 75008Paris France PH +33156885910 FX +33156885911
ProximalMarker Band
Right Carotid angiogram.Lateral view. Solitaire FR deployed.
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Find out more at ev3.net
Solitaire
™
FR Revasculariza Revascularization tion Device is
the only only mechanical mechanical thrombectomy device combining the ability to immediately restore blood flow, administer medical therapy, and retrieve clot in patients experiencing acute ischemic stroke.
Case Studies
When Every Second Counts
Case 1 Immediate Flow Restoration with the Administration of Lytic s
Optimal Navigability
Vitor Mendes Pereira, Ana Paula Narata, Hasan Yilmaz, Jean Baptiste Martin, Roman Sztajzel, Karl-Olof Lovblad Geneva Stroke Center
Case Description
1
2
Figure 1. Distal M1 Occlusion
Figure 2. Deployment – 10mg rtPA
Male, 66 years old patient Chronic atrial fibrillation Right hemiparesia and aphasia Baseline NIHSS 14
Results
Immediate Flow Restoration
Effortless delivery Swift deployment for fast reperfusion Optimal radial force for all clot types
Immediate flow restoration upon deployment
Multiple Mechanisms of Action
Vitor Mendes Pereira, Ana Paula Narata, Hasan Yilmaz, Jean Baptiste Martin, Roman Sztajzel, Karl-Olof Lovblad Geneva Stroke Center
Injectedprogressively 15mg of rtPA
4
Figure 4. Final TICI 2b
Administration of medical therapy
High Rates of Recanalization*
Potential for improved patient outcomes Efficacious clot removal in vessels sized 2 to 5.5 mm
Male, 48 years old patient Patent foramen ovale Left hemiparesis, NIHSS 12 Presented 2h post-onset Failed EV Thrombolysis (0.6mg/kg in 30 minutes) Solitaire FR first line device 2 passes with combined IA rtPA – First pass 5mg – Second pass 10mg – Total 15mg delivered Final post-procedure TICI 3
Results
Clot retrieval
3 month follow-up
One-step Deployment
Figure 1. Carotid T thrombus
3° of Freedom for Maximum Stability and Clot Retrieval
3
Figure 3.
Pass 1 – TICI1
4
Figure 4. Pass 2 – TICI 2A
5
Figure 5.
Single-operator delivery and deployment Ease of use offers enhanced procedural control with maximum accuracy of deployment Easy deployment offers the potential for immediate flow restoration for added time and control
2
Figure 2. Pass 1 – TICI1
Case Description
3
Figure 3.
Case 2 Thrombectomy Using the Solitaire FR Revascularization Revascularizatio n Device
3 month follow-up – NIHSS 3 – mRS 1
1
Temporary bypass of occluded vessel Stable recanalization for the adjunctive use of medical therapy Optimal metal to tissue ratio for reliable clot retrieval
Consistent performance in distal and proximal locations Balanced design to optimize deliverability and radial force Electro-polished surface for easy pushability
6
Figure 6.
Unique overlap allows for near preservation of stent cell size through varying vessel calibers during clot retrieval Stable cell design enables the clot to embed into individual struts for maximum clot retention Effective in engaging both soft and firm clot due to the cellular design
