Neuroradiology Journal最新文献

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Hemodynamic changes of arteriovenous malformation and endovascular embolization. 动静脉畸形和血管内栓塞的血流动力学变化。
IF 1.3
Neuroradiology Journal Pub Date : 2024-11-25 DOI: 10.1177/19714009241303056
Weiming Kong, Shikai Liang, Kevin Abel Sene, Xianli Lv
{"title":"Hemodynamic changes of arteriovenous malformation and endovascular embolization.","authors":"Weiming Kong, Shikai Liang, Kevin Abel Sene, Xianli Lv","doi":"10.1177/19714009241303056","DOIUrl":"10.1177/19714009241303056","url":null,"abstract":"<p><p><b>Objective:</b> To analyze the hemodynamic changes caused by arteriovenous malformation (AVM) and AVM embolization through a meta-analysis of the existing literature. <b>Method:</b> Search for relevant studies on PubMed/Medline until November 7, 2023, and further screen the bibliographies of relevant studies to ensure comprehensive search. According to the PRISMA guidelines, manuscripts were selected to provide local hemodynamic information on AVM arterial feeders and drainage veins. <b>Result:</b> A total of 13 studies were included in the final analysis. The diameter of the supplying artery (y = 0.002x + 2.24, R<sup>2</sup> = 0.99) and flow velocity (y = 0.09x + 54.55, R<sup>2</sup> = 0.92) had a positive linear relationship with cerebral blood flow. The pressure difference through the small AVM nidus was higher than that in the large AVM, with values of (y = -12.23x + 101.39, R<sup>2</sup> = 0.96). There was a negative linear correlation between the sessions of AVM embolization and blood flow (1 session: y = -150.7x + 564.97, R<sup>2</sup> = 0.98 and 4 sessions: y = -118.81x + 750.07, R<sup>2</sup> = 0.99). There was a positive linear relationship between the increase in arterial pressure, peri-AVM parenchymal perfusion, and the percentage of occlusion in the medium-sized AVMs. However, this correlation was a nonlinear relationship between elevated arterial pressure, peri-AVM parenchymal perfusion, and the percentage of large AVM occlusion. <b>Conclusion:</b> The hemodynamic changes of AVM (in the feeding arteries, compartments of AVM, and draining veins) follow a linear relationship. The impact of embolization on hemodynamics in medium and small AVMs follows a linear relationship. The impact of embolization of large AVMs on hemodynamics follows a nonlinear relationship.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009241303056"},"PeriodicalIF":1.3,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Abnormal cochlear enhancement in Norrie disease. 诺利病的耳蜗异常增强。
IF 1.3
Neuroradiology Journal Pub Date : 2024-11-24 DOI: 10.1177/19714009241303096
Emil Jernstedt Barkovich, Suely Fazio Ferraciolli, Camilo Jaimes
{"title":"Abnormal cochlear enhancement in Norrie disease.","authors":"Emil Jernstedt Barkovich, Suely Fazio Ferraciolli, Camilo Jaimes","doi":"10.1177/19714009241303096","DOIUrl":"10.1177/19714009241303096","url":null,"abstract":"<p><p>Norrie disease (ND) is a rare x-linked disease with retinal and cochlear vascular abnormalities. Clinically, it is characterized by congenital blindness and progressive sensorineural hearing loss during adolescence. We present images of a 3 year old child with ND and normal hearing demonstrating bilateral cochlear enhancement on brain MRI, a finding which has not been previously reported. ND mouse models show progressive degeneration of the endolymph-producing stria vascularis (SV); we hypothesize that these changes allow gadolinium leakage into the endolymph. Our images indicate that cochlear enhancement precedes changes in hearing and suggest that temporal bone/internal auditory canal MR imaging should be considered in the evaluation of ND. Future studies are needed to characterize the temporal evolution of this cochlear enhancement and how it corresponds with hearing loss. Mouse models suggest that it may be a transient phenomenon and diminish as the SV degenerates further. As ND gene therapy trials approach clinical use, cochlear enhancement could aid candidate selection and provide insight into treatment effect.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009241303096"},"PeriodicalIF":1.3,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11586931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The safety and efficiency of SMART coil for brain aneurysm: A systematic review and meta-analysis. SMART线圈治疗脑动脉瘤的安全性和有效性:系统回顾和荟萃分析。
IF 1.3
Neuroradiology Journal Pub Date : 2024-11-23 DOI: 10.1177/19714009241303095
Mohammad Amin Habibi, Mohammad Sina Mirjnani, Rasa Zafari, Zahra Saadat, Bahareh Zahedinasab, Pouria Delbari, Amir Hessam Zare, Amirmahdi Sheipouri, Sheida Mobader Sani
{"title":"The safety and efficiency of SMART coil for brain aneurysm: A systematic review and meta-analysis.","authors":"Mohammad Amin Habibi, Mohammad Sina Mirjnani, Rasa Zafari, Zahra Saadat, Bahareh Zahedinasab, Pouria Delbari, Amir Hessam Zare, Amirmahdi Sheipouri, Sheida Mobader Sani","doi":"10.1177/19714009241303095","DOIUrl":"10.1177/19714009241303095","url":null,"abstract":"<p><strong>Background: </strong>The SMART coil system is a relatively new generation of embolic coils consisting of a bare platinum coil, a detachment pusher, and a detachment handle. This study investigated the safety and efficiency of the SMART coil system in treating cerebral aneurysms.</p><p><strong>Method: </strong>PubMed/Medline, Embase, Web of Science, and Scopus were searched until October, 1st 2023. Non-English language, non-human studies, and non-original studies were excluded.</p><p><strong>Results: </strong>A total of 7 studies were included. The results of our study reflected complete aneurysm occlusion (mRRC1) rate of 45% (95% CI, 0.35-0.56), neck remnant aneurysm (mRRC2) rate of 36% (95% CI, 0.30-0.42), and residual aneurysm (mRRC3) rate of 22% (95% CI, 0.12-0.38) during post-procedural assessment. Moreover, considering longest follow-up, our study showed complete aneurysm occlusion (mRRC1) rate of 66% (95% CI, 0.43-0.84), neck remnant aneurysm (mRRC2) rate of 27% (95% CI, 0.13-0.49), and residual aneurysm (mRRC3) rate of 9% (95% CI, 0.04-0.20). In addition, recanalization and retreatment rates were reported 10% (95% CI, 0.06-0.17) and 9% (95% CI, 0.06-0.12), respectively. The rates of adverse and serious adverse events were 9% (95% CI, 0.07-0.10) and 6% (95% CI, 0.01-0.22), respectively. Three studies reported a stroke rate which was 2% (95% CI, 0.00-0.13), and five studies reported a mortality rate which was 6% (95% CI, 0.03-0.11).</p><p><strong>Conclusion: </strong>The findings suggested that the SMART coil can be a safe and efficient treatment in patients with intracranial aneurysms compared to other available treatment methods.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009241303095"},"PeriodicalIF":1.3,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Balloon protection of the Labbe vein during venous sinus stenting. 静脉窦支架术中的拉贝静脉球囊保护。
IF 1.3
Neuroradiology Journal Pub Date : 2024-11-22 DOI: 10.1177/19714009241303148
Ian Leonard-Lorant, Guillaume Koch, Mathilde Goudot, Anca Hasiu, Ciprian Juravle, Mihai Harangus, Rémy Beaujeux, Raoul Pop
{"title":"Balloon protection of the Labbe vein during venous sinus stenting.","authors":"Ian Leonard-Lorant, Guillaume Koch, Mathilde Goudot, Anca Hasiu, Ciprian Juravle, Mihai Harangus, Rémy Beaujeux, Raoul Pop","doi":"10.1177/19714009241303148","DOIUrl":"10.1177/19714009241303148","url":null,"abstract":"<p><p><b>Background:</b> Endovascular treatment of dural venous sinus stenosis using auto-expandable stents is progressively becoming a central part in the management of patients with idiopathic intracranial hypertension (IIH) and pulsatile tinnitus. One potential concern during stenting is impairment of venous outflow in the Labbé vein, which usually drains in close proximity to the culprit transverse sinus stenosis. <b>Methods:</b> We propose a technique which can counteract venous outflow impairment, consisting of temporary balloon protection of the Labbé vein during stent deployment. <b>Results:</b> We illustrate the use of this technique in a case of IIH with intrinsic dural sinus stenosis induced by a large arachnoid granulation situated close to the insertion of the Labbé vein. The stent was deployed under temporary balloon inflation in order to deflect the arachnoid granulation away from the vein ostium. <b>Conclusions:</b> In selected cases of intrinsic stenosis, temporary balloon protection can be used to avoid Labbé vein flow impairment during venous sinus stenting.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009241303148"},"PeriodicalIF":1.3,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11584999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cangrelor use in a pediatric patient with aneurysmal subarachnoid hemorrhage. 在一名动脉瘤性蛛网膜下腔出血的儿科患者中使用康瑞洛。
IF 1.3
Neuroradiology Journal Pub Date : 2024-11-22 DOI: 10.1177/19714009241303122
Riccardo Russo, Stefano Molinaro, Francesco Mistretta, Umberto Gava, Giovanni Morana, Paola Peretta, Giovanni Del Borrello, Pietro Zeppa, Mauro Bergui
{"title":"Cangrelor use in a pediatric patient with aneurysmal subarachnoid hemorrhage.","authors":"Riccardo Russo, Stefano Molinaro, Francesco Mistretta, Umberto Gava, Giovanni Morana, Paola Peretta, Giovanni Del Borrello, Pietro Zeppa, Mauro Bergui","doi":"10.1177/19714009241303122","DOIUrl":"10.1177/19714009241303122","url":null,"abstract":"<p><p>We herein report the case of a pediatric patient suffering from subarachnoid hemorrhage (SAH) due to a ruptured internal carotid artery (ICA) saccular aneurysm. Considering the unfavorable anatomy and irregular shape of the aneurysm, a flow diverter (FD) stent was positioned in addition to coils in an acute setting. Cangrelor (Kengreal, Chiesi, USA) IV bolus followed by maintenance IV infusion was administered in addition to ASA at the time of intervention. Transitioning from cangrelor to thienopyridine (clopidogrel) was done the day after the procedure without any ischemic or hemorrhagic complications. The patient was discharged symptom-free 24 days later. We discuss technical considerations focusing specifically on antiplatelet therapy management.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009241303122"},"PeriodicalIF":1.3,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Principles of a controlled imaging environment for neonatal brain MRI: Strategies for optimal image quality and safety. 新生儿脑部磁共振成像受控成像环境的原则:优化图像质量和安全性的策略。
IF 1.3
Neuroradiology Journal Pub Date : 2024-11-22 DOI: 10.1177/19714009241303149
Arulnathan Ebinesh, Swarna Saxena
{"title":"Principles of a controlled imaging environment for neonatal brain MRI: Strategies for optimal image quality and safety.","authors":"Arulnathan Ebinesh, Swarna Saxena","doi":"10.1177/19714009241303149","DOIUrl":"10.1177/19714009241303149","url":null,"abstract":"<p><p>Magnetic Resonance Imaging (MRI) is crucial for evaluating the neonatal brain, but high-quality images require a controlled environment. We discuss principles for creating this environment, including effective planning, presence of trained professionals, monitoring, preparedness for adversity, and ensuring optimal immobility. Planning reduces waiting times and anxiety, and a dedicated imaging team including a neonatologist and a radiologist improve image quality. Monitoring vital signs allows early identification of adverse events, while MR-compatible emergency equipment and a readily available hands-on resuscitation team reduces risk of such adverse events. Optimal immobility is critical for high-quality images. A controlled environment facilitates acquisition of optimal quality images in a quick and safe manner, enabling accurate diagnoses and timely interventions for neonates with brain abnormalities.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009241303149"},"PeriodicalIF":1.3,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhancing recanalization success: Thrombectomy plus stent angioplasty by coaxial balloon technique for acute ischemic stroke with tandem occlusions. 提高再通畅的成功率:通过同轴球囊技术进行血栓切除加支架血管成形术治疗急性缺血性中风串联闭塞。
IF 1.3
Neuroradiology Journal Pub Date : 2024-11-22 DOI: 10.1177/19714009241303137
Pao-Sheng Yen, Victor C Kok, Yu-Hui Lin, Yu Tzu Wu, Li-Ying Ko
{"title":"Enhancing recanalization success: Thrombectomy plus stent angioplasty by coaxial balloon technique for acute ischemic stroke with tandem occlusions.","authors":"Pao-Sheng Yen, Victor C Kok, Yu-Hui Lin, Yu Tzu Wu, Li-Ying Ko","doi":"10.1177/19714009241303137","DOIUrl":"10.1177/19714009241303137","url":null,"abstract":"<p><p>Recanalizing acute ischemic stroke with carotid tandem occlusion (CTO) is technically challenging because distal embolic migration during revascularization can significantly influence outcomes. In this study, we aimed to introduce our coaxial balloon technique using a balloon-guiding catheter (BCG), angioplasty catheter, and aspiration catheter sequentially to prevent thrombus migration to a new vascular territory. We used this technique for six patients with CTO. Technical success with good revascularization of the CTO was achieved in all six patients (100%) without neurological complications, including one and five cases of modified Thrombolysis in Cerebral Infarction 2b and 3, respectively. The median duration of the procedure was 61 (interquartile range, 52-90) min. The mean National Institutes of Health Stroke Scale score at discharge was 3.5 (2-8), with favorable clinical outcomes at 90 days for three of six patients (50%). The coaxial balloon technique for CTO is safe and effective for revascularization in patients with acute ischemic stroke. Thrombectomy before proximal stenting was associated with shorter reperfusion times and better clinical outcomes. Therefore, this approach is recommended for tandem occlusions requiring stent angioplasty.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009241303137"},"PeriodicalIF":1.3,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11584997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intracranial hypertension and papilledema secondary to an unruptured arteriovenous malformation: Review of the literature. 继发于未破裂动静脉畸形的颅内高压和乳头水肿:文献综述。
IF 1.3
Neuroradiology Journal Pub Date : 2024-11-21 DOI: 10.1177/19714009241303068
Mohammad Ghorbani, Christoph J Griessenauer, Christoph Wipplinger, Reza Bahrami, Hojjat Mirsardoo, Rana Sahraei, Abolghasem Mortazavi
{"title":"Intracranial hypertension and papilledema secondary to an unruptured arteriovenous malformation: Review of the literature.","authors":"Mohammad Ghorbani, Christoph J Griessenauer, Christoph Wipplinger, Reza Bahrami, Hojjat Mirsardoo, Rana Sahraei, Abolghasem Mortazavi","doi":"10.1177/19714009241303068","DOIUrl":"10.1177/19714009241303068","url":null,"abstract":"<p><p>Arteriovenous malformations (AVMs) are abnormal connections of arteries and veins without intermediate capillary components. As such, AVMs can remain asymptomatic or have a variety of clinical presentations ranging from mild headaches to severe symptoms like seizures, hemorrhage, and subsequent coma. Papilledema and increased intracranial pressure without hydrocephalus or hemorrhage are rare forms of presentations of cerebral AVM. The mechanism of intracranial hypertension accompanying brain AVMs is not entirely understood, and the right treatment strategy is controversial. Here, we present the treatment and outcomes of four patients with unruptured AVMs who presented with intracranial hypertension accompanied by visual symptoms, papilledema, and without evidence of hydrocephalus. In cases of AVMs accompanied by intracranial hypertension, AVM treatment should be considered the main target of management.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009241303068"},"PeriodicalIF":1.3,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11583166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiology-pathology correlation: Rosai-Dorfman disease. 放射学与病理学的相关性:罗赛-多夫曼病
IF 1.3
Neuroradiology Journal Pub Date : 2024-11-20 DOI: 10.1177/19714009241303077
John C Benson, Alex B Pais, Ian T Mark, William O Tobin, John J Chen, Frederic B Meyer, Christopher H Hunt, Caterina Giannini
{"title":"Radiology-pathology correlation: Rosai-Dorfman disease.","authors":"John C Benson, Alex B Pais, Ian T Mark, William O Tobin, John J Chen, Frederic B Meyer, Christopher H Hunt, Caterina Giannini","doi":"10.1177/19714009241303077","DOIUrl":"10.1177/19714009241303077","url":null,"abstract":"<p><p>Rosai-Dorfman Disease (RDD), also known as sinus histiocytosis with massive lymphadenopathy, is a rare non-Langerhans cell histiocytic neoplasm. Although the disease classically presents as massive painless lymphadenopathy in young adults, RDD can also involve the central nervous system in some patients. CNS lesions, can cause headaches, neurologic deficits, and even neurologic deficits. The imaging appearance of CNS RDD typically mimics that of meningiomas: well-circumscribed dural-based lesions that often have dural tails. However, some imaging clues also exist that might help a radiologist recognize RDD, even before histopathologic confirmation. This radiology-pathology report of a patient with CNS RDD highlights the most pertinent clinical, imaging, and pathologic features of CNS RDD, and discusses what the neuroradiologist needs to know about the disease.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009241303077"},"PeriodicalIF":1.3,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A direct aspiration first-pass technique (ADAPT) for acute ischemic stroke thrombectomy: Indications, technique, and emerging devices. 用于急性缺血性脑卒中血栓切除术的直接抽吸首次通过技术(ADAPT):适应症、技术和新兴设备。
IF 1.3
Neuroradiology Journal Pub Date : 2024-11-19 DOI: 10.1177/19714009241303063
Giulia Frauenfelder, Francesco Diana, Renato Saponiero, Daniele Giuseppe Romano
{"title":"A direct aspiration first-pass technique (ADAPT) for acute ischemic stroke thrombectomy: Indications, technique, and emerging devices.","authors":"Giulia Frauenfelder, Francesco Diana, Renato Saponiero, Daniele Giuseppe Romano","doi":"10.1177/19714009241303063","DOIUrl":"10.1177/19714009241303063","url":null,"abstract":"<p><p>To date, the use of the most suitable first-pass technique for Mechanical Thrombectomy is still debated. In last years, several observational studies have suggested noninferiority or superiority of A Direct Aspiration first-Pass Technique (ADAPT) technique to achieve better reperfusion in comparison to stent retriever. While ASA/AHA 2018 guidelines recommend that patients with AIS should receive Mechanical Thrombectomy with a stent retriever, last European Stroke Organization guidelines report no evidence that stent retriever compared with contact aspiration could improve reperfusion rate. ADAPT is based on aspiration alone as the primary mechanism of thrombectomy and, if initially unsuccessful, then incorporating adjunctive alternatives. ADAPT improvement is also related to last generation of aspiration catheters. The purpose of this review is to report ADAPT principles, technique, efficacy, and safety as first-line treatment for acute ischemic stroke with the latest generation of reperfusion devices.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009241303063"},"PeriodicalIF":1.3,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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