Contact aspiration compared to stent retriever as sole intention to treat large-vessel occlusion in ischemic stroke
| Autor: | Eitan Auriel, Guy Raphaeli, Ran Brauner |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
lcsh:Surgery lcsh:RC346-429 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Occlusion medicine Acute stroke Acute ischemic stroke lcsh:Neurology. Diseases of the nervous system Stent retriever Thrombectomy Intention-to-treat analysis Stroke scale business.industry Endovascular recanalization Mean age Aspiration catheter lcsh:RD1-811 Surgery Ischemic stroke Neurology (clinical) business 030217 neurology & neurosurgery Large vessel occlusion |
| Zdroj: | Interdisciplinary Neurosurgery, Vol 22, Iss, Pp 100835-(2020) |
| ISSN: | 2214-7519 |
| Popis: | Background and purpose: A direct aspiration first-pass technique (ADAPT) was recently evaluated in three retrospective trials as the primary method for large-vessel recanalization in acute ischemic stroke. This study sought to evaluate the clinical and angiographic outcome of ADAPT when used as the first and only method of clot retrieval compared to the accepted mechanical approach. Materials and methods: Patients with acute ischemic stroke associated with large-vessel occlusion who underwent ADAPT as the first and only intention-to-treat endovascular approach in 2010–2017 were matched 1-to-2 with patients treated by stent retriever thrombectomy. Demographic, imaging, procedural, and clinical data were collected retrospectively for between-group analysis. Results: The study group included 39 patients (51% male) of mean age 67 years; median National Institute of Health Stroke Scale score was 16. Compared to the stent-retriever group (N = 80), the ADAPT group had a significantly shorter puncture-to-recanalization time (58 min vs 76 min, P = 0.05), higher rate of good recanalization (TICI 2B/3 95% vs 86%, P = 0.15), and significantly higher rate of early neurological improvement (64% vs 43% of patients, P |
| Databáze: | OpenAIRE |
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