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

Arq Neuropsiquiatr. 2017 Jul;75(7):412-418. doi: 10.1590/0004-282X20170059.

Abstract

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.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Arterial Occlusive Diseases / etiology
  • Arterial Occlusive Diseases / therapy*
  • Brain Ischemia / complications
  • Brain Ischemia / therapy*
  • Female
  • Humans
  • Male
  • Mechanical Thrombolysis / adverse effects
  • Mechanical Thrombolysis / methods*
  • Middle Aged
  • Prospective Studies
  • Stents*
  • Stroke / complications
  • Stroke / therapy*
  • Thrombectomy*
  • Treatment Outcome