Arquivos de Neuro-Psiquiatria ()

The direct first pass aspiration technique in the treatment of acute ischemic stroke resulting from large vessel occlusions

  • Luís Henrique de Castro-Afonso,
  • Guilherme Seizem Nakiri,
  • Lucas Moretti Monsignore,
  • Pedro Telles Cougo-Pinto,
  • Francisco Antunes Dias,
  • Frederico Aléssio-Alves,
  • Octávio Marques Pontes-Neto,
  • Daniel Giansante Abud

DOI
https://doi.org/10.1590/0004-282x20170059
Journal volume & issue
Vol. 75, no. 7
pp. 412 – 418

Abstract

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ABSTRACT Mechanical thrombectomy using stent retrievers is the standard treatment for acute ischemic stroke that results from large vessel occlusions. The direct aspiration first pass technique (ADAPT) has been proposed as an efficient, fast, and cost-effective thrombectomy strategy. The aim of this study was to assess the safety and efficacy of ADAPT. Methods Recanalization was assessed using the modified thrombolysis in cerebral infarction (mTICI) score. Neurological outcomes were assessed using the National Institutes of Health Stroke Scale and modified Rankin Scale. Results Fifteen patients were evaluated. The mTICI score was 2b-3 in 80%, and it was 3 in 60% of patients. No intracranial hemorrhage was seen. At three months, modified Rankin Scale scores ≤ 2 were observed in 60% of patients and the mortality rate was 13.3%. Conclusions The ADAPT appears to be a safe, effective, and fast recanalization strategy for treatment of acute ischemic stroke resulting from large vessel occlusions.

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