Efficacy and safety of a direct aspiration first -pass thrombectomy technique in treating atherosclerotic acute intracranial large vessel occlusion
10.3760/cma.j.issn.1671-8925.2019.11.005
- VernacularTitle:ADAPT技术治疗急性动脉粥样硬化性颅内大血管闭塞的疗效和安全性分析
- Author:
Zhaoshuo LI
1
;
Tengfei ZHOU
;
Qiang LI
;
Min GUAN
;
Huan LIU
;
Liangfu ZHU
;
Ziliang WANG
;
Tianxiao LI
Author Information
1. 河南省人民医院(郑州大学人民医院)脑血管病医院
- Keywords:
Atherosclerosis;
Acute intracranial large vessel occlusion;
A direct aspiration first-pass thrombectomy technique;
Solitaire stent combined with penumbra suction catheter extraction technique
- From:
Chinese Journal of Neuromedicine
2019;18(11):1103-1108
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy and safety of a direct aspiration first-pass thrombectomy (ADAPT) technique in treating acute atherosclerotic intracranial large vessel occlusion. MethodsSeventy-two patients with acute atherosclerotic intracranial large vessel occlusion underwent endovascular treatment in our hospital from March 2018 to March 2019 were chosen in our study; ADAPT technique was used in 24 patients, and Solitaire stent combined with penumbra suction catheter extraction (Solumbra) technique was used in 48 patients. Remedial measures were adopted after the failure of recanalization. Modified intraoperative cerebral infarction thrombolysis grading was used for vascular recanalization evaluation. The prognoses of the patients were determined according to modified Rankin scale (mRS) scores 3 months after operation, and the efficacy and safety of the patients in the two groups were compared.ResultsAs compared with patients in the Solumbra group, patients in the ADAPT group had statistically shorter time from femoral artery puncture to reflow (P<0.05). The first-time recanalization rates of patients in Solumbra group and ADAPT group were 25.0％ and 16.67％, without statistically significant difference (P>0.05). The final recanalization rates of patients in Solumbra group and ADAPT group were 83.33％ and 75.00％, without statistically significant difference (P>0.05). There was no significant difference in proportion of patients with good prognosis, incidence of perioperative symptomatic intracranial hemorrhage and mortality between the two groups (P>0.05). ConclusionFor patients with acute atherosclerotic intracranial large vessel occlusion, endovascular treatment with ADAPT technique is comparable with Solumbra technique.
