BACKGROUND Scarce reports exist of permanent deployment of Solitaire FR™ devices for arterial steno-occlusive disease as it is primarily indicated for temporary deployment for thrombectomy in large-vessel, anterior-circulation ischemic strokes. Even more scarce are reports describing permanent deployment of the Solitaire device for posterior circulation strokes. SUMMARY We present 2 cases where the Solitaire device was electrolytically detached to re-establish flow in an occluded or stenotic basilar artery in acutely symptomatic patients. In both cases, a 4 × 15 mm Solitaire device was positioned across the stenotic or occluded portion of the basilar artery and electrolytically detached to maintain vessel patency. Both cases had good clinical outcomes with a National Institutes of Health Stroke Scale (NIHSS) score of 1 (from 24) on 90-day follow-up and an NIHSS score of 2 (from 7) on 30-day follow-up. KEY MESSAGES Permanent deployment of the Solitaire device may potentially be a safe and effective means of maintaining vessel patency in an occluded or stenotic basilar artery.

中文翻译：

---

Solitaire FR™ 装置在急性中风情景中永久部署在基底动脉中。

背景关于将 Solitaire FR™ 装置永久部署用于动脉狭窄闭塞性疾病的报道很少，因为它主要用于大血管前循环缺血性卒中的血栓切除术的临时部署。更罕见的是描述 Solitaire 装置用于后循环卒中的永久性部署的报告。总结 我们介绍了 2 例在急性症状患者中电解分离 Solitaire 装置以在闭塞或狭窄的基底动脉中重建血流的案例。在这两种情况下，将一个 4 × 15 mm Solitaire 装置放置在基底动脉的狭窄或闭塞部分并通过电解分离以保持血管通畅。两个病例都有良好的临床结果，90 天随访时美国国立卫生研究院卒中量表 (NIHSS) 评分为 1（从 24 分），30 天随访时 NIHSS 评分为 2（从 7 分）。关键信息 Solitaire 装置的永久部署可能是在闭塞或狭窄的基底动脉中保持血管通畅的安全有效的方法。