We read with great interest the article recently published by Parry et al1 entitled "Solitaire salvage: a stent retriever-assisted catheter reduction technical report". This paper describes, through three embolization cases, a technique that allows a microcatheter to be anchored distally with a Solitaire FR device (eV3/Covidien, Irvine, California, USA) in order to straighten a looped microcatheter. Indeed, in some anatomical configurations, especially in giant and large aneurysms of the internal carotid artery (ICA), a loop inside the aneurysm sac is needed to catheterize the distal aspect of the parent artery. A distal anchor is then sometimes necessary to provide support for unlooping the microcatheter. Compared with other anchoring techniques previously described—such as a balloon catheter,2 a partially deployed intracranial stent (Enterprise stent; Codman Neurovascular, Raynham, Massachusetts, USA),3 or a deployed coil4—the use of a Solitaire FR device offers the advantage of...
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,