Titre :

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

Auteur(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]

Titre de la revue :

AJNR. American journal of neuroradiology

Nom court de la revue :

AJNR Am J Neuroradiol

Numéro :

37

Pagination :

1860-1865

Date de publication :

2016-06-02

ISSN :

1936-959X

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [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 ...
Lire la suite >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.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(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

Date de dépôt :

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