Title :

A direct aspiration, first pass technique (adapt) versus stent retrievers for acute stroke therapy: an observational comparative study

Author(s) :

Lapergue, Bertrand [Auteur]
Université de Versailles Saint-Quentin-en-Yvelines [UVSQ]
Blanc, Raphael [Auteur]
Hôpital Foch [Suresnes]
Guedin, Pierre [Auteur]
Hôpital Foch [Suresnes]
Decroix, Jean-Pierre [Auteur]
Université de Versailles Saint-Quentin-en-Yvelines [UVSQ]
Labreuche, Julien [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Preda, Cristian [Auteur]
Laboratoire Paul Painlevé - UMR 8524 [LPP]
Laboratoire Paul Painlevé - UMR 8524
Bartolini, B. [Auteur]
Fondation Ophtalmologique Adolphe de Rotschild
Coskun, Oguzhan [Auteur]
Hôpital Foch [Suresnes]
Redjem, Hocine [Auteur]
Fondation Ophtalmologique Adolphe de Rothschild [Paris]
Mazighi, Mikael [Auteur]
Hôpital Lariboisière
Bourdain, Frédéric [Auteur]
Hôpital Foch [Suresnes]
Rodesch, Georges [Auteur]
Hôpital Foch [Suresnes]
Piotin, Michel [Auteur]
Fondation Ophtalmologique Adolphe de Rothschild [Paris]

Journal title :

AJNR. American journal of neuroradiology

Abbreviated title :

AJNR Am J Neuroradiol

Volume number :

37

Pages :

1860-1865

Publication date :

2016-06-02

ISSN :

1936-959X

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

OBJECTIVE: Mechanical thrombectomy with stent retrievers is now the standard therapy for selected patients with ischemic stroke. The technique of A Direct Aspiration, First Pass Technique for the Endovascular Treatment of ...
Show more >OBJECTIVE: Mechanical thrombectomy with stent retrievers is now the standard therapy for selected patients with ischemic stroke. The technique of A Direct Aspiration, First Pass Technique for the Endovascular Treatment of Stroke (ADAPT) appears promising with a high rate of recanalization. We compared ADAPT versus stent retrievers (the Solitaire device) for efficacy and safety as a front-line endovascular procedure. METHODS: We analyzed 243 consecutive patients with large intracranial artery occlusions of the anterior circulation, treated within 6 hours with mechanical thrombectomy by either ADAPT or the Solitaire stent. Th primary outcome was complete recanalization (modified TICI ≥ 2b); secondary outcomes included complication rates and procedural and clinical outcomes. RESULTS: From November 2012 to June 2014, 119 patients were treated with stent retriever (Solitaire FR) and 124 by using the ADAPT with Penumbra reperfusion catheters. The median baseline NIHSS score was the same for both groups (Solitaire, 17 [interquartile range, 11-21] versus ADAPT, 17 [interquartile range, 12-21]). Time from groin puncture to recanalization (Solitaire, 50 minutes [range, 25-80 minutes] versus ADAPT, 45 minutes [range, 27-70 minutes], PPP CONCLUSIONS: Front-line ADAPT achieved higher recanalization rates than the Solitaire device. Further randomized controlled trials are warranted to define the best strategy for mechanical thrombectomy.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
CNRS
Université de Lille

Collections :

• Laboratoire Paul Painlevé - UMR 8524
• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2019-12-09T16:49:21Z
2020-05-20T09:06:58Z