2018
DOI: 10.12659/msm.913458
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Comparison of Mechanical Thrombectomy with Contact Aspiration, Stent Retriever, and Combined Procedures in Patients with Large-Vessel Occlusion in Acute Ischemic Stroke

Abstract: BackgroundWe investigated the properties and effects of 5 mechanical thrombectomy procedures in patients with acute ischemic stroke. The relationships between the type of procedure, the time required, the success of recanalization, and the clinical outcome were analyzed.Material/MethodsThis prospective comparative analysis included 500 patients with acute ischemic stroke and large-vessel occlusion. We compared contact aspiration thrombectomy (ADAPT, n=100), stent retriever first line (SRFL, n=196), the Solumbr… Show more

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Cited by 21 publications
(23 citation statements)
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“…In previous reports ( 14 , 18 ), ADAPT has been demonstrated to recanalize occlusions more quickly than the SR method. Because longer time in occlusion has been shown to put more quantities of tissue at the risk of becoming infarct core ( 19 ), we applied the ADAPT technique as first-line therapy in most cases.…”
Section: Discussionmentioning
confidence: 89%
“…In previous reports ( 14 , 18 ), ADAPT has been demonstrated to recanalize occlusions more quickly than the SR method. Because longer time in occlusion has been shown to put more quantities of tissue at the risk of becoming infarct core ( 19 ), we applied the ADAPT technique as first-line therapy in most cases.…”
Section: Discussionmentioning
confidence: 89%
“…There are two main methods of retrieving a thrombus from an artery: aspiration or using stent retrievers [14]. In our opinion, it is advisable to not introduce metal devices such as stent retrievers into the dissected artery segment in order to prevent vessel walls from incurring further damage.…”
Section: Discussionmentioning
confidence: 99%
“…Since fast recanalization is the most important factor in determining the clinical outcomes, multiple endovascular management techniques are needed to recanalize intracranial atherosclerosis-related LVO compared with thromboembolism-related LVO. Two currently principal techniques for mechanical thrombectomy are (1) application of a stent retriever like the Solitaire FR stent (Medtronic Neurovascular, Irvine, CA, USA) and (2) direct aspiration of the thrombus with the technique of A Direct Aspiration First-Pass Thrombectomy (ADAPT) using a large-bore aspiration catheter like the ACE 64 or 5 Max ACE catheter (Penumbra, Alameda, CA, USA) (14,15). Moreover, a stent retriever can be used together with direct aspiration at the proximal end of a thrombus at the time of mechanical thrombectomy (16)(17)(18).…”
Section: Introductionmentioning
confidence: 99%