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Date Published: 25/04/2022
Abstract Views: 202
Views PDF: 142
DOI: https://doi.org/10.51298/vmj.v512i1.2194
Issue
Vol. 512 No. 1 (2022)
Section
Các bài báo
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Huỳnh Nhật Tuấn, N. ., & Văn Khôi, N. (2022). APPLICATION OF A DIRECT ASPIRATION FIRST PASS TECHNIQUE IN TREATMENT OF ACUTE ISCHEMIC STROKE AT CHORAY HOSPITAL. Vietnam Medical Journal, 512(1). https://doi.org/10.51298/vmj.v512i1.2194

APPLICATION OF A DIRECT ASPIRATION FIRST PASS TECHNIQUE IN TREATMENT OF ACUTE ISCHEMIC STROKE AT CHORAY HOSPITAL

Nguyễn Huỳnh Nhật Tuấn1,, Nguyễn Văn Khôi1
1 Cho Ray Hospital

Main Article Content

Abstract

Background: Stroke is the second cause of mortality worldwide, there are currently many endovascular treatment techniques for management of acute ischemic stroke (AIS). A direct aspiration first pass technique (ADAPT) has been introduced as a rapid, simple method for achieving good recanalization and clinical outcomes using large bore aspiration catheters in the treatment of AIS due to large vessel occlusion (LVO). Objectives: To assess the safety and efficacy of ADAPT in the treatment of AIS due to LVO at Choray hospital. Materials and Methods: A retrospective analysis of hospital database was conducted on all patients undergoing stroke therapy with the ADAPT technique at Choray hospital from January 2017 to January 2021. Efficacy and safety were evaluated by the variables: revascularization rates (thrombolysis in cerebral infarction [TICI] score), time to revascularization, procedural complications, and clinical outcomes (modified Rankin scale [mRS] score) at the 90‑day follow‑up visit. Results: From the database review, 140 AIS patients treated with ADAPT were identified. The mean NIHSS score on admission was 19.1 and improved to 8.9 at discharged. The average time from arterial puncture to revascularization was 34.9 minutes. TICI 2b-3 revascularization was achieved in 116/140 (82.9%) patients, good clinical outcomes were achieved (mRS 0–2) in 62/140 (44.3%) patients, and mortality rate was 24/140 (17.1%) during follow‑up. Conclusion: ADAPT utilizing large bore aspiration catheters appears to be a fast, simple, safe, and effective method for the management of AIS at Choray hospital.

Article Details

Keywords

A direct aspiration first pass technique, endovascular treatment, acute ischemic stroke, large vessel occlusion

References

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