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solitaire stent mri safety

Medical Information Search Angioplasty and Vascular Stenting - Radiologyinfo.org If excessive resistance is encountered during recovery of the Solitaire X Revascularization Device, discontinue the recovery and identify the cause of the resistance. Shellock R & D Services, Inc. email: Frank.ShellockREMOVE@MRIsafety.com. Zaidat OO, Castonguay AC, Linfante I, et al. Randomized trials of mechanical thrombectomy (MT) generally exclude patients over the age of 80 years with baseline disability. Categorised under: Some cookies are strictly necessary to allow this site to function. Endovascular treatment for acute ischaemic stroke caused by isolated Slot Screwdriver3*50-mmNewmatic Medical, www.newmaticmedical.com, Small External FixatorExternal Fixation Systemcarbon composite, Titanium alloy, aluminum, SSBiomet, Inc., www.biomet.com, Small External FixatorExternal Fixation SystemDepuy Synthes, www.depuysynthes.com, SMart De La Cruz PistonOtologic ImplantNitinol/FluoroplasticGyrus ACMI (Olympus Medical), www.medical.olympusamerica.com, SMart Malleus PistonOtologic ImplantNitinol/FluoroplasticGyrus ACMI (Olympus Medical), www.medical.olympusamerica.com, SMart PistonOtologic ImplantFluoroplastic/NitinolGyrus ACMI (Olympus Medical), www.medical.olympusamerica.com, Smart Port CT-Injectable Portvascular access portAngioDynamicswww.angiodynamics.com, Smart Port(s), Vascular Access PortAngiodynamics, Inc., www.Angiodynamics.com, SmartGuide CT/MRIMRI Devices CorporationWaukesha, WI, Smelloff CutterAortictitaniumheart valveSorin BiomedicaItaly, Smeloff-CutterHeart ValveCutter Laboratories, Berkeley, CA, Snowshoe Suture Anchor PairUSGI Medical, Inc., www.usgimedical.com, Socket Preservation ScrewMedtronic, www.medtronic.com, Sof-Curl Ureteral StentPolyurethaneGyrus ACMI, Inc.Maple Grove, M, Soft Lift Treatment of Urinary Stress IncontinenceCousin Biotech, www.cousin-biotech.com, Soft Tissue Biopsy Needle Gun & biopsy needle (304 SS)Anchor Procducts Co.Addison, IL, Solanas Posterior Cervico-Thoracic Fixation SystemAlphatec Spine Inc., www.alphatecspine.com, Solex Intravascular Heat Exchange Catheter (Model SL-2593/8700-0671-01)Zoll Circulation, www.zoll.com, SOLITAIRE AB Neurovascular Remodeling DeviceCovidien and ev3 Inc., www.ev3.net, Solitaire Flow Restoration StentNitinol, SS, PlatinumCovidien and ev3 Inc., www.ev3.net. Patients with known hypersensitivity to nickel-titanium. 2019;50(7):1781-1788. Biliary stents MRI safety - All your info about health and medicine Why Does Mechanical Thrombectomy in Large Vessel Occlusion Sometimes This library contains technical information on whether an MRI scan can be performed and how to perform a scan on patients with Medtronic implantable devices. The XIENCE Skypoint, XIENCE Sierra and XIENCE Alpine Stent Systems are coated with an everolimus and polymer coating at the full implant stent length. Our AIS portfolio offers comprehensive, compatible solutions that give your patients a better chance to walk away from AIS. Stroke; a journal of cerebral circulation. Jovin TG, Chamorro A, Cobo E, et al. More information (see more) Your use of the other site is subject to the terms of use and privacy statement on that site. Products How long after a cardiac stent can you have an MRI? Content on specific Medtronic products is not intended for users in markets that do not have authorization for use. Solitaire X is a new generation revascularisation device with a unique parametric design, featuring an overlapping technology, providing physicians with improved delivery performance, effective clot retention and faster flow restoration timelines, designed to be deployed with a lower microcatheter profile, to provide expanded ease of delivery. The image artifact extends approximately 2 mm from the device, both inside and outside the device lumen. Thrombectomy within 8 hours after symptom onset in ischemic stroke. The overlapping stent design allows the device to expand in larger vessels and compress in smaller vessels during deployment and retrieval3 as well as: Our Solitaire X revascularisation device - designed with an optimised delivery system - produces lower delivery force7 for improved procedural efficiency and smooth navigation through even the most complicated anatomy. This site uses cookies to store information on your computer. Shellock R & D Services, Inc. email: Frank.ShellockREMOVE@MRIsafety.com. per pulse sequence). PDF Guidelines for the Management of Patients with Coronary Artery Stents MR Safety and Imaging of Neuroform Stents at 3T AIS Revascularization Products Safety of the Solitaire 4 40 mm Stent Retriever in the Treatment of Home With an updated browser, you will have a better Medtronic website experience. Goyal M, Demchuk AM, Menon BK, et al. 36746380_ Neuroimaging of Acute Ischemic Stroke Multimodal Imaging Approach for Acute Endovascular Therapy - Read online for free. F= Z1SWb-h{1-9mJqc52u[(Mk[){g~,YJmnixZq:aNPWj/N4j % N. Engl. STRATIS, SWIFT PRIME, ESCAPE, Nasa Registry, THRACE, MR CLEAN, STAR, EXTEND IA, HERMES, SEER, REVASCAT, DEFUSE 3, Note: The Solitaire X Revascularization Device was not evaluated in these studies. Oral presentation at: International Stroke Conference; February 9, 2022; New Orleans, LA. Solitaire AB stentassisted coiling embolization for the treatment of Stroke. Based on bench testing results. Background The number of elderly patients suffering from ischemic stroke is rising. Do not recover (i.e. High field MR imaging: Magnetic field interactions of aneurysm clips, coronary artery stents and iliac artery stents with a 3.0 Tesla MR system. SMart Piston Otologic Implant Fluoroplastic/Nitinol Gyrus ACMI (Olympus Medical), www.medical.olympusamerica.com Do not advance the microcatheter against any resistance. Brand Name: Solitaire X Version or Model: SFR4-3-20-10 Commercial Distribution Status: In Commercial Distribution Catalog Number: Company Name: Micro Therapeutics, Inc. Primary DI Number: 00763000367619 Issuing Agency: GS1 Commercial Distribution End Date: Device Count: 1 Labeler D-U-N-S Number*: 826110710 * Terms of Use Markus MHLENBRUCH | Senior Consultant | Doctor of Medicine MRI-induced The Solitaire device has become the most-published stent retriever with over 200 publications demonstrating clinically proven, tried-and-true performance. This study explores the use of Solitaire AB as an off-label vascular stent to treat stenoses in the MCA and BA. using stent-retrievers has been proven to be a safe and effective treatment in acute ischemic stroke (AIS . Carry the Patient Implant Card with you at all times and show it to any medical professional who treats you. The drug is slowly released to help keep the blood vessel from narrowing again. (17) Sommer T, et al. Methods: From the Safe Implementation of Treatments in Stroke-International Stroke Thrombolysis Register, we included consecutive acute ischemic stroke patients (2015-2021) treated within 4.5. Interventional Radiology Mechanical thrombectomy after intravenous alteplase versus alteplase alone after stroke (THRACE): a randomized controlled trial. Neurological All current, commercially available coronary stents may be imaged at 1.5T or 3T at any time: Maximum whole-body-averaged specific absorption rate (SAR) of 2-W/kg in Normal Operating Mode. Neurological This stent can be safely scanned in an MR system meeting the following . Mar 12 2015;372(11):1009-1018. This site is Exclusively Sponsored by BRACCO, Orthopedic Implants, Materials, and Devices, Ocular Implants, Lens Implants, and Devices, Cardiovascular Catheters, Other Catheters, and Accessories, Vascular Access Ports, Infusion Pumps*, Catheters, and Accessories, Cerebrospinal Fluid (CSF) Shunt Valves and Accessories. If a stent is put into a patient's bile duct during an MRI, it will not be visible. Stroke. Medtronic creates meaningful technologies to empower AIS physicians. The Solitaire X Revascularization Device is not to be used after the expiration date imprinted on the product label. Warning: Do not use magnetic resonance imaging (MRI) on a patient who has an implanted device until you review the following: Failure to comply with the conditions for use can cause damage to the implanted devices or serious injury to the patient, including death. . Keywords. NV AIS Solitaire X Animation J. Med. Registration is free and gives you unlimited access to all of the content and features of Which Medical Device. "MR Conditional" stent graft treating a thoracic aneurysm (Courtesy Cook), To my knowledge, there are no currently implanted stents that are considered. The presence of this implant may produce an image artifact. Medtronic MRI Resource Library: Home Reasons for Reperfusion Failures in Stent-Retriever-Based Thrombectomy: Registry Analysis and Proposal of a Classification System Do not torque the Solitaire X Revascularization Device. nial stents and to assess the utility of performing gadolin-ium-enhanced MRA. Apr 23 2016;387(10029):1723-1731. For the most current and complete MR safety information on any product, always refer to the IFU at eifu.goremedical.com. !mqHfALY48 cexRM_ #6O{'_SAK5sUHGOnX-6Aw !664W@q '#qJi&qI Please Enter the Model Number or Select the Valid Model Number From the List, Please Enter the Product Name or Select the Valid Product Name From the List. Am J Roentgenol 1999;173:543-546. Patients who are ineligible for intravenous tissue plasminogen activator (IV t-PA) or who fail IV t-PA therapy are candidates for treatment. Endovascular thrombectomy after large-vessel ischaemic stroke: A meta-analysis of individual patient data from five randomised trials. If resistance is encountered during resheathing, discontinue and remove the entire system under aspiration. Open-cell stent and use of cone-beam CT enables a safe and effective MRI exams are safe for some devices. The purpose of this study was to . The MRI safety information is given on the Patient Implant Card. Includes Solitaire FR, Solitaire 2. The safety and effectiveness has not been established for the Solitaire X device to reduce disability in patients with the following: More distal occlusions in the anterior circulation. Contact Medtronic | Terms of Use | Privacy Statement | Medtronic Manual Library | Choose Region, (such as 9528, 3875-45, 305U219, ENSP30030W), (such as Revo MRI, SynchroMed, Endeavor, Mosaic, Delta, InterStim), (such as pacemaker, stent, otology implants, drug pump), All conditions for use for all implanted devices, The associated risks for a patient with these devices. For indication 3, users should validate their imaging analysis techniques to ensure robust and consistent results for assessing core infarct size. Among . Coronary Stents | UCSF Radiology Pereira VM, Gralla J, Davalos A, et al. As there are no known coronary stents made from ferromagnetic metallic materials, it is not necessary to wait 6 weeks or longer for MRI scanning. Safety of Intra-Arterial Tirofiban Administration in Ischemic Stroke Patients after Unsuccessful Mechanical Thrombectomy . Less information (see less), Images courtesy of Dr. Alejandro Tomasello Weitz, Differentiated radial outward force promotes clot and vessel wall contact during retrieval with the optimal amount of radial force.10*, A large real-world patient cohort demonstrated a first pass effect (FPE) rate of 40.5% and a modified FPE (mFPE) rate of 58.9% across patients treated with the Solitaire device.14, A large real-world patient cohort demonstrated the following results with the Solitaire device.15, modified Rankin Scale (mRS) 02 at 90days, Symptomatic intercranial hemorrhage (sICH). Bench and animal testing may not be representative of actual clinical performance. Precautions Inspect the product prior to use. Jadhav AP, Desai SM, Zaidat OO, et al. 15 minutes of scanning (i.e. See Table XXI in online Data Supplement 1 Downloaded from httpahajournalsorg by from MNGMT 123 at University of Virginia Initiate mechanical thrombectomy treatment as soon as possible. Copyright 2002-2023 | W. L. Gore & Associates, Inc. | Products listed may not be available in all markets. MR:comp GmbH | MR Safety and Compatibility Testing - MR:comp GmbH The Solitaire device has become the most-published stent retriever with over 200 publications demonstrating clinically proven, tried-and-true performance.1,2 Stents are widely used throughout the entire arterial system, ranging from vessels several centimeters across (like the thoracic aorta) down to vessels only a few millimeters in diameter (like coronary and intracranial arteries). Trevo NXT | Stryker Did you know you can Register for FREE with this website? This MRI Resource Library is filtered to provide MRI-specific information. Methods: Solitaire AB stents were placed during angioplasty and stenting of MCA and BA stenoses in patients at our department between January 2015 and May 2017 with 6-36 months follow-up. Registration is free and gives you unlimited access to all of the content and features of this website. Patients who are ineligible for intravenous tissue plasminogen activator (IV t-PA) or who fail IV t-PA therapy are candidates for treatment. Purpose Stent retrievers apply mechanical force to the intracranial vasculature. If you consent, analytics cookies will also be used to improve your user experience. A stent-graft is an expandable metal stent covered with fabric that forms its own lumen and is commonly placed in aneurysms. Judicious selection of patients is necessary, since the use of this device carries the associated risk of stent thrombosis, vascular complications, and/or bleeding events. Patients who are ineligible for IV t-PA or who fail IV t-PA therapy are candidates for treatment. Copyright 2023 by Shellock R & D Services, Inc. and Frank G. Shellock, Ph.D. All rights reserved. Reprocessing and re-sterilization increase the risks of patient infection and compromised device performance. The distinctive, evenly-spaced platinum markers let you visualise the optimal working length and stent behavior for real-time procedural feedback, ensuring accurate alignment, optimal revascularisation, and clot capture success.2, The 6x40 length device simplifies placement with proximal ophthalmic alignment, providing complete visualisation and coverage from M2 to ICA.4,6, Our SolitaireTM portfolio is backed by published data with 11+ trials and case studies worldwide, proving it reduces stroke-related disability in patients suffering a large vessel acute ischemic stroke following IV t-PA.9-19. This device is supplied STERILE for single use only. Do not cause delays in this therapy. The Use of Solitaire AB Stents in Coil Embolization of Wide-Necked Cerebral Aneurysms. Visi-pro balloon expandable vascular and biliary stent, SUPERA Veritas Self-Expanding Nitinol Stent, Maris Deep Infrapopliteal Self-Expanding Stent, Chromis Deep Infrapopliteal Balloon-Expandable Stent, Tsunami Peripheral Balloon-expandable Stent, Continuous Renal Replacement Therapy (CRRT), Percutaneous Ventricular Restoration Therapy. Do not reprocess or re-sterilize. Is there an increased risk of IVC filters moving during MRI? First pass effect: A new measure for stroke thrombectomy devices. Usable length that is at least as long as the length of the thrombus. Bolstered by the integration of a historic $50 billion acquisition, Medtronic garnered $28.8 billion in fiscal 2016 sales to surpass rival Johnson & Johnson for top industry billing and bragging rights. They are typically inserted during a procedure called. NOTE: A patient may have more than one implanted device. Magnetic Resonance Imaging (MRI) Safety Information for Devices Labeled A total of 20 stents were placed in 19 patients. stenting of symptomatic middle cerebral artery stenosis and perioperative evaluation using high-resolution 3 Tesla MRI (2012 . The Solitaire X device is a revascularization device designed for effective clot retrieval during thrombectomy procedures for acute ischemic stroke patients. Trevo NXT ProVue Retriever is the next generation of the Trevo evolution, now optimized for combination technique use with aspiration catheters. Although the authors blamed the MRI for the displacement, subsequent letters to the editor cast doubt on this assertion, providing evidence that the original stent was poorly chosen and placed and that spontaneous displacement of similarly placed stents had been reported in the absence of MRI. Campbell BC, Mitchell PJ, Kleinig TJ, et al. 2016;387(10029):1723-1731. Please help keep this site free for everyone in the world! Which Medical Device is a community of clinicians sharing knowledge and experience of the devices and procedures we use on a daily basis. Stents are basically small tubes or sometimes springs that help prop arteries open. For indication 3, endovascular therapy with the device should be started within 16 hours of symptom onset. The information on this page is current as of November 2022. Clot Retrieval Thrombectomy for Acute Ischemic Stroke, Central/Eastern Europe, Middle East & Africa, Acute Ischemic Stroke Revascularisation Products, Access & Delivery Products for Neurovascular, Unique parametric design for dynamic clot integration, Complete visualisation and coverage from M2 to ICA, Optimised delivery system produces lower delivery force, Maintaining consistent stent cell size and structure, Providing multiple planes of clot integration contact, Length from Distal Tip to Flurorosafe marker: <130cm. We ask that our members register with us so that we can maintain the unbiased and independent nature of our content. Or information on our products and solutions? Metallic stents may indeed undergo heating during RF-excitation, but this also does not seem to be a major problem even with overlapping stents or with big aortic stent-grafts, in part because flowing blood serves to diffuse away whatever heat is locally generated. Solo MicroPumpInsulin PumpMedingo US, Inc.www.Medingo.com, Solo Smart Heart Valve ProsthesisSorin Group, www.sorin.com, Solo Tympanostomy Tube Device Ventilation Tube Otologic implant High Density Polyethylene (HDPE) AventaMed,www.aventamed.com, Solo+ Tympanostomy Tube Device (TTD) Ventilation Tube, Solus Anterior Lumbar Interbody Fusion (ALIF)Alphatec Spine Inc., www.alphatecspine.com, Solus Double Pigtail StentCook Medical, Inc.www.cookmedical.com, Solyx SIS(Single Incision Sling) SystemBoston Scientific CorporationMarlborough, MA, SOPH-A-PORT Mini Spinal Implantable Access PortSophysa, www.sophysa.com, SOPHY Adjustable Pressure Valve Sophysa USA, Inc. www.sophysa.com, Sophy programmable pressure valveModel SM8misc.SophysaOrsay, France, Sophy programmable pressure valveModel SM8SophysaOrsay, France, Sophy programmable pressure valveModel SP3misc.SophysaOrsay, France, Sophy programmable pressure valveModel SU8SophysaOrsay, France, Sophysa SOPH-A-PORT Mini SImplantable Access PortShire, www.shire.com, Soprano Armonia Heart Valve ProsthesisSorin Group, www.sorin.com, Sorin Allcarbon, ASModel MTR-29AS, 29 mmpyrolitic carbonHeart ValveSorin Biomedica Cardio S.p.A.Saluggia, Italy. Registration is quick and free. PDF XIENCE V and Magnetic Resonance Imaging Examination Safety of magnetic resonance imaging in patients with cardiovascular devices: An American Heart Association scientific statement from the Committee on Diagnostic and Interventional Cardiac Catheterization, Council on Clinical Cardiology, and the Council on Cardiovascular Radiology and Intervention: Endorsed by the American College of Cardiology Foundation, the North American Society for Cardiac Imaging, and the Society for Cardiovascular Magnetic Resonance, MRI safety and devices: an update and expert consensus, Safety of magnetic resonance imaging one to three days after bare metal and drug-eluting stent implantation, Metallic stents: Evaluation of MR imaging, Long-term safety of cardiac magnetic resonance imaging performed in the first few days after bare-metal stent implantation. N. Engl. The device is a self-expanding stent designed for bridging the neck of aneurysms that can be fully retrieved when fully deployed. Update my browser now. For a full version of conditions, please see product Instructions for Use (IFU). Bench testing may not be representative of actual clinical performance. We've kept the same highly effective Trevo stent, designed to reduce disability in patients experiencing acute ischemic stroke (AIS) up to 24 hours from time last seen well by removing clots to . The Orsiro Mission stent is MR conditional. This means that the devices have demonstrated safety in a specified MRI environment with the defined conditions of use listed. Prospective, multicenter, single-arm study of mechanical thrombectomy using Solitaire Flow Restoration in acute ischemic stroke. Safety and Efficacy of Solitaire Stent Thrombectomy: Individual Patient Data Meta-Analysis of Randomized Trials. For device safety, do not use each Solitaire X Revascularization Device for more than three flow restoration recoveries. RESULTS: All except two types of stents showed minimal ferromagnetism. With an updated browser, you will have a better Medtronic website experience. Comparison of a direct aspiration first pass technique vs. stent 5.2 (MISE JOUR DE 2022) Administration de la thrombolyse intraveineuse La thrombolyse intraveineuse doit tre offerte tous les patients ayant subi un AVC ischmique invalidant qui sont admissibles l'altplase ou la tnectplase dans les 4,5 heures suivant l'apparition des symptmes ou partir du dernier moment o ils ont t vus en bonne sant (recommandation forte . 2020 Jun;51(6):e118]. Magnetic Resonance Imaging (MRI) Safety Information for Devices Labeled as MR Conditional The tables show the Gore devices that are labeled as MR conditional. J. Med. Download the latest version, at no charge. Reports from device programmers include references to the model number: Product Name search includes brand or trademark names for many Medtronic products; however, not all products are included. Is it safe to have MRI with heart stents? Registration gives you full access to all of the features of WhichMedicalDevice. Saver JL, Goyal M, Bonafe A, et al. More information (see more) 5. Traitement de l'AVC ischmique aigu Less information (see less). With a gradient echo pulse sequence, the artifact may extend up to 5 mm from the implant and may obscure the lumen. Stents: Evaluation of MRI safety. Methods We conducted a retrospective analysis of all patients treated for acute ischemic large vessel occlusion stroke with the Solitaire 2 FR 4 40 device between May . 2016; 15: 113847. It is generally safe to undergo magnetic resonance imaging (MRI) scans with stents in place, though a lot of this depends on when the stent was implanted and what, exactly, it is intended to do. 2022 The Regents of the University of California | Accessibility | Terms of Use | Privacy Policy, (T32) Biomedical Imaging for Clinician Scientists. A nondetachable balloon is inflated in front of the aneurysm neck during coil deposition and removed at the end of the procedure. When to Stop [published correction appears in Stroke. A comprehensive portfolio for all AIS techniques. Implantable Cardiac Devices - MR Conditional Status, Find MRI technical support phone numbers and supplemental MRI resources. XIENCE Important Safety Information | Abbott Do not use if the package is open or damaged. 2014;45:141-145. MRI Information. This means that the devices have demonstrated safety in a specified MRI environment with the defined conditions of use listed. N. Engl. Treatment of ischemic stroke among patients with occlusion. Medical 2018;49(10):2523-2525. Goyal M, Menon BK, van Zwam WH, et al. Berkhemer OA, Fransen PS, Beumer D, et al. Stroke. More information (see more) Methods Between January 2015 and April 2017, 96 . Disclaimer: This page may include information about products that may not be available in your region or country. Absolute Pro Vascular Self-Expanding Stent System | Abbott Contact Technical Support. AccessGUDID - DEVICE: Solitaire X (00763000367619) We do not review or control the content on non-Medtronic sites, and we are not responsible for any business dealings or transactions you have there. It is delivered througha standard 0.021" or 0.027" micro catheter on a 0.016" pushwire. Oct 2013;44(10):2802-2807. Healthcare professionals must research the conditions for use and instructions for each implanted device before proceeding with MRI procedures. > Stroke. Guidant acs multilink stent mri safety - United States guide User Examples Metabolic encephalophaties are by definition those disorder of the central nervous system that are not due primarily to structural abnormalities . J. Med. The Solitaire X revascularisation device is designed for use in the flow restoration of patients with ischemic stroke due to large intracranial vessel occlusion. If the product name you seek is not listed, try looking for information by device type. Indications, Safety and Warnings IFU MR:comp is the leading company for MR safety and MR compatibility testing of implants, instruments and medical devices. Instead, resheath the device with the microcatheter and then, remove the entire system under aspiration. As recently as 10 years ago, the package inserts of many stents, especially uncovered coronary stents, carried a warning not to scan patients in the first 6 weeks unless absolutely necessary. GORE VIABIL Biliary Endoprosthesis/GORE VIABIL Short WireBiliary Endoprosthesis, GORE TAG Conformable Thoracic Stent Graft, GORE TAG Thoracic Branch Endoprosthesis, GORE EXCLUDER Conformable AAA Endoprosthesis, GORE EXCLUDER Iliac Branch Endoprosthesis, GORE VIABAHN Endoprosthesis/GORE VIABAHN Endoprosthesis with Heparin Bioactive Surface, GORE VIABAHN VBX Balloon Expandable Endoprosthesis, GORE VIATORR TIPS Endoprosthesis/GORE VIATORR TIPS Endoprosthesis with Controlled Expansion. Frequent questions. PDF Orsiro Mission - mars THE List - MRI Safety The study will demonstrate safety and efficacy of the SOLITAIRE Device in subjects requiring mechanical thrombectomy diagnosed with acute ischemic stroke. Read our cookie policy to learn more including how you may change your settings. The information on this page provides only a summary of MR conditions for each device and is intended as a reference for the U.S. only. Randomized assessment of rapid endovascular treatment of ischemic stroke. ?\IY6u_lBP#T"42%J`_X MUOd J Neurosurg. 4 0 obj SUMMARY: The balloon remodeling technique was initially designed for the endovascular treatment of anatomically complex aneurysms, specifically wide-neck aneurysms. The risk of clot migration into arteries downstream during the procedure is also a concern, as it may complicate reperfusion and increase the possibility of neurological impairment.11-13 The regimen for isolated ICA with EVT is ambiguous, and the therapeutic efficacy needs further examination. 1. Medtronic plc : Top Global Medical Device Companies in 2017