scholarly journals Acute ischemic stroke patients with diffusion-weighted imaging-Alberta Stroke Program Early Computed Tomography Score ≤ 5 can benefit from endovascular treatment: a single-center experience and literature review

2019 ◽  
Vol 61 (4) ◽  
pp. 451-459 ◽  
Author(s):  
Kangping Song ◽  
Min Guan ◽  
Wenxian Li ◽  
Zhen Jing ◽  
Xiaomei Xie ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Ischemic Stroke ◽  
Literature Review ◽  
Endovascular Treatment ◽  
Acute Ischemic Stroke ◽  
Diffusion Weighted Imaging ◽  
Single Center ◽  
Stroke Patients ◽  
Single Center Experience ◽  
Diffusion Weighted

Abstract T MP7: Single Center Experience With A Direct Aspiration Technique (adapt) For Endovascular Treatment Of Acute Ischemic Stroke

Stroke ◽  
2015 ◽  
Vol 46 (suppl_1) ◽  
Author(s):  
RAPHAEL BLANC ◽  
Hocine Redjem ◽  
Bruno bartolini ◽  
Gabriele Ciccio ◽  
Thomas Robert ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Endovascular Treatment ◽  
Acute Ischemic Stroke ◽  
Functional Outcomes ◽  
Arterial Occlusion ◽  
Single Center ◽  
Single Center Experience ◽  
Tandem Occlusion ◽  
Aspiration Technique ◽  
Procedural Complications

Background: We report our single center experience of endovascular treatment of stroke by the technique of direct clot aspiration. Methods: From September 2013 to July 2014, from our prospectively gathered database, we reviewed 114 patients presenting with large vessels occlusion in the settings of acute ischemic stroke and treated with the ADAPT technique in first intention. Results: Hundred and fourteen patients (55 female and 54 male patients (mean age: 64 y.o) presented with a median NIHSS score of 15,9 (1-26). The localisation of arterial occlusion was the MCA in 52/114 (45%), the ICA in 16/114 (14%), a tandem occlusion in 35/114 (30,7%) and the vertebro basilar territory in 11/114 (9,65%). Procedures were performed under sedation in 66% of cases and general anesthesia in 33%. The aspiration technique alone was successful in achieving TICI 2b/3 in 48,2% of cases (55/114) with a mean of 2 passes. The additional use of stent retrievers improved the TICI 2b/3 revascularization rate to 87,5%. With aspiration alone, the average time from groin puncture to at least TICI 2b recanalization was 37 min (from clot contact to recanalisation: 17 min). Ninety day functional outcomes was available for 87/114 patients with 50% of good functional outcomes (mRS≤ 0-2) and 15% death (mRS 6). For the overal series there were 10 cases (8,7%) of procedural complications (one non occlusive dissection, 4 distal emboli, and 5 Subarachnoid hemorrhages) and 2 symptomatic intracerebral hemorrhages (2,5%). Discussion: The aspiration technique utilizing large bore aspiration catheters technique alone was effective in 48% of the cases being fast, safe and simple, but to achieve a recanalization rate of 87,5% it add to be completed by the use of stentrievers in the other cases. The relevance of this technique needs to studied in larger prospective multicentric studies.

P-031 Endovascular treatment in young adults with acute ischemic stroke: a single center experience

2011 ◽  
Vol 3 (Suppl_1) ◽  
pp. A28-A29
Author(s):  
S. Mehta ◽  
J. Sharma ◽  
H. Masoud ◽  
S. Chowdhry ◽  
A. Nanda ◽  
...  
Keyword(s):  
Young Adults ◽  
Ischemic Stroke ◽  
Endovascular Treatment ◽  
Acute Ischemic Stroke ◽  
Single Center ◽  
Single Center Experience
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