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

Abstract : 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.
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https://hal.univ-lille.fr/hal-02613531
Contributeur : Lilloa Université de Lille <>
Soumis le : mercredi 20 mai 2020 - 11:07:10
Dernière modification le : jeudi 11 juin 2020 - 04:42:51

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Bertrand Lapergue, Raphael Blanc, Pierre Guedin, Jean-Pierre Decroix, Julien Labreuche, et al.. A direct aspiration, first pass technique (adapt) versus stent retrievers for acute stroke therapy: an observational comparative study. AJNR. American journal of neuroradiology, 2016, AJNR. American journal of neuroradiology, 37 (10), pp.1860-1865. ⟨10.3174/ajnr.A4840⟩. ⟨hal-02613531⟩

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