{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T22:51:54Z","timestamp":1780527114535,"version":"3.54.1"},"reference-count":28,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J NeuroIntervent Surg"],"accepted":{"date-parts":[[2018,8,16]]},"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Mechanical thrombectomy using a stent retriever has become the standard of care for acute large-vessel occlusions in the anterior circulation. Clots that are refractory to single stent retriever thrombectomy remain a challenge for neurointerventionalists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the efficacy and safety of double stent retriever (crossing Y-Solitaire) thrombectomy as a rescue treatment for acute middle cerebral artery (MCA) occlusions that are refractory to single stent retriever thrombectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed the databases of our hospitals to identify patients who presented with an acute MCA occlusion and were treated with crossing Y-Solitaire thrombectomy. The angiographic (Thrombolysis in Cerebral Infarction (TICI) scale) and clinical outcomes (National Institutes of Health Stroke Scale (NIHSS) and modified Rankin Scale (mRS) scores) and complications were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ten patients were included in the study. The median initial NIHSS score and Alberta Stroke Program Early CT Score (ASPECTS) were 19.0 and 9.6, respectively. Crossing Y-Solitaire thrombectomy was performed as a rescue technique after unsuccessful single Solitaire thrombectomy passes in all cases. Successful recanalization (TICI 2b\/3) was achieved in 8 (80%) patients. We observed asymptomatic reperfusion hemorrhages in 2 (20%) patients. No procedural related complications were seen other than reversible vasospasms in 5 (50%) patients. Sixty percent of the patients had a mRS score of between 2 and 0 at 90 days after the procedure. There was no mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Crossing Y-Solitaire thrombectomy seems to be an effective and safe alternative rescue technique to treat refractory MCA bifurcation occlusions that are refractory to standard thrombectomy procedures.<\/jats:p><\/jats:sec>","DOI":"10.1136\/neurintsurg-2018-014288","type":"journal-article","created":{"date-parts":[[2018,9,7]],"date-time":"2018-09-07T16:18:11Z","timestamp":1536337091000},"page":"246-250","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":33,"title":["Crossing Y-Solitaire thrombectomy as a rescue treatment for refractory acute occlusions of the middle cerebral artery"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6376-664X","authenticated-orcid":false,"given":"Kubilay","family":"Aydin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Barburoglu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ozgur","family":"Oztop Cakmak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilufer","family":"Yesilot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebru Nur Yavuz","family":"Vanli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergin","family":"Akpek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,9,7]]},"reference":[{"key":"2024052304371261000_11.3.246.1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1411587"},{"key":"2024052304371261000_11.3.246.2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1414905"},{"key":"2024052304371261000_11.3.246.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1414792"},{"key":"2024052304371261000_11.3.246.4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1415061"},{"key":"2024052304371261000_11.3.246.5","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1503780"},{"key":"2024052304371261000_11.3.246.6","doi-asserted-by":"publisher","DOI":"10.5469\/neuroint.2015.10.1.22"},{"key":"2024052304371261000_11.3.246.7","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.116.014073"},{"key":"2024052304371261000_11.3.246.8","doi-asserted-by":"publisher","DOI":"10.5853\/jos.2017.00752"},{"key":"2024052304371261000_11.3.246.9","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.9644"},{"key":"2024052304371261000_11.3.246.10","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-014-1346-y"},{"key":"2024052304371261000_11.3.246.11","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.112.663328"},{"key":"2024052304371261000_11.3.246.12","doi-asserted-by":"publisher","DOI":"10.3171\/2017.3.FOCUS16450"},{"key":"2024052304371261000_11.3.246.13","doi-asserted-by":"publisher","DOI":"10.3171\/2016.12.JNS161233"},{"key":"2024052304371261000_11.3.246.14","doi-asserted-by":"crossref","unstructured":"Maus V , Brehm A , Tsogkas I , et al . Stent retriever placement in embolectomy: the choice of the post-bifurcational trunk influences the first-pass reperfusion result in M1 occlusions. J Neurointerv Surg:neurintsurg-2018-014114.doi:10.1136\/neurintsurg-2018-014114","DOI":"10.1136\/neurintsurg-2018-SNIS.11"},{"key":"2024052304371261000_11.3.246.15","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)08020-9"},{"key":"2024052304371261000_11.3.246.16","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000258112.14918.24"},{"key":"2024052304371261000_11.3.246.17","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2014-011148"},{"key":"2024052304371261000_11.3.246.18","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2015-012208"},{"key":"2024052304371261000_11.3.246.19","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2015-012211"},{"key":"2024052304371261000_11.3.246.20","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A3746"},{"key":"2024052304371261000_11.3.246.21","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2017-013394"},{"key":"2024052304371261000_11.3.246.22","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4482"},{"key":"2024052304371261000_11.3.246.23","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.111.000502"},{"key":"2024052304371261000_11.3.246.24","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2015-012209"},{"key":"2024052304371261000_11.3.246.25","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.115.010044"},{"key":"2024052304371261000_11.3.246.26","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2016-012721"},{"key":"2024052304371261000_11.3.246.27","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2016-012322"},{"key":"2024052304371261000_11.3.246.28","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4133"}],"container-title":["Journal of NeuroInterventional Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/neurintsurg-2018-014288","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T12:12:07Z","timestamp":1716466327000},"score":1,"resource":{"primary":{"URL":"https:\/\/jnis.bmj.com\/lookup\/doi\/10.1136\/neurintsurg-2018-014288"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9,7]]},"references-count":28,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,2,18]]},"published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1136\/neurintsurg-2018-014288"],"URL":"https:\/\/doi.org\/10.1136\/neurintsurg-2018-014288","relation":{},"ISSN":["1759-8478","1759-8486"],"issn-type":[{"value":"1759-8478","type":"print"},{"value":"1759-8486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,9,7]]}}}