The direct first pass aspiration technique in the treatment of acute ischemic stroke resulting from large vessel occlusions
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000700412 |
Resumo: | 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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Arquivos de neuro-psiquiatria (Online) |
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The direct first pass aspiration technique in the treatment of acute ischemic stroke resulting from large vessel occlusionsstrokestentscathetersABSTRACT 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.Academia Brasileira de Neurologia - ABNEURO2017-07-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000700412Arquivos de Neuro-Psiquiatria v.75 n.7 2017reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282x20170059info:eu-repo/semantics/openAccessCastro-Afonso,Luís Henrique deNakiri,Guilherme SeizemMonsignore,Lucas MorettiCougo-Pinto,Pedro TellesDias,Francisco AntunesAléssio-Alves,FredericoPontes-Neto,Octávio MarquesAbud,Daniel Giansanteeng2018-04-02T00:00:00Zoai:scielo:S0004-282X2017000700412Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2018-04-02T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
The direct first pass aspiration technique in the treatment of acute ischemic stroke resulting from large vessel occlusions |
title |
The direct first pass aspiration technique in the treatment of acute ischemic stroke resulting from large vessel occlusions |
spellingShingle |
The direct first pass aspiration technique in the treatment of acute ischemic stroke resulting from large vessel occlusions Castro-Afonso,Luís Henrique de stroke stents catheters |
title_short |
The direct first pass aspiration technique in the treatment of acute ischemic stroke resulting from large vessel occlusions |
title_full |
The direct first pass aspiration technique in the treatment of acute ischemic stroke resulting from large vessel occlusions |
title_fullStr |
The direct first pass aspiration technique in the treatment of acute ischemic stroke resulting from large vessel occlusions |
title_full_unstemmed |
The direct first pass aspiration technique in the treatment of acute ischemic stroke resulting from large vessel occlusions |
title_sort |
The direct first pass aspiration technique in the treatment of acute ischemic stroke resulting from large vessel occlusions |
author |
Castro-Afonso,Luís Henrique de |
author_facet |
Castro-Afonso,Luís Henrique de Nakiri,Guilherme Seizem Monsignore,Lucas Moretti Cougo-Pinto,Pedro Telles Dias,Francisco Antunes Aléssio-Alves,Frederico Pontes-Neto,Octávio Marques Abud,Daniel Giansante |
author_role |
author |
author2 |
Nakiri,Guilherme Seizem Monsignore,Lucas Moretti Cougo-Pinto,Pedro Telles Dias,Francisco Antunes Aléssio-Alves,Frederico Pontes-Neto,Octávio Marques Abud,Daniel Giansante |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Castro-Afonso,Luís Henrique de Nakiri,Guilherme Seizem Monsignore,Lucas Moretti Cougo-Pinto,Pedro Telles Dias,Francisco Antunes Aléssio-Alves,Frederico Pontes-Neto,Octávio Marques Abud,Daniel Giansante |
dc.subject.por.fl_str_mv |
stroke stents catheters |
topic |
stroke stents catheters |
description |
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. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-07-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000700412 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000700412 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0004-282x20170059 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.75 n.7 2017 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
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