1. Solitaire FR Revascularization Device™ Jeffrey McCarthy BME181 University of Rhode Island

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

3. Symptoms of Stroke

4. What Causes a Stroke?

5. Treatment Options for Stroke Time from symptom onset – < 3 or < 4.5 hours – “clot buster” medication tPA (Alteplase) – Greater than 4.5 hours OR ineligible for tPA Mechanical thrombectomy – Up to 8 hours from symptom onset

6. Finding the Clot Normal AngiographyAngiography showing a Stroke

7. Solitaire in Action

8. Solitaire Device http://www.youtube.com/watch?v=0DQPD5T TS5Y http://www.youtube.com/watch?v=0DQPD5T TS5Y

9. Effectiveness of Solitaire Device SWIFT TRIAL Solitaire DeviceMerci Retriever Recanalization Rates 61%24% Good Neurological Outcomes at 90 Days 58%33% 90 Day Mortality17%38%

10. 1.)“Solitaire FR Revascularization Device” Covidien. 27 Feb 2013 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 References: