Mechanical Thrombectomy by a Direct Aspiration First Pass Technique (ADAPT) in Ischemic Stroke: Results of Monocentric Study Based on Multimodal CT Patient Selection
Table 1
Clinical and imaging inclusion and exclusion criteria of patient.
Inclusion Criteria
Exclusion Criteria
Clinical: (i) Age >18 years (ii) Time from onset <6 hours (iii) NIHSS ≥5 at presentation
Clinical: (i) Concurrent myocardial infarction or severe infection (endocarditis or sepsis) (ii) Uncontrollable hypertension defined as systolic blood pressure >185mmHg or diastolic pressure > 110mmHg (iii) Life expectancy of less than 90 days before stroke onset (iv) Pregnant or lactating women (v) Known severe allergy to radiographic contrast medium (vi) Improvement of NIHSS score >4 in less than 1 hour
Imaging: (i) Arterial occlusion of distal Internal Carotid Artery (ICA) or Middle Cerebral Artery (M1/M2) (ii) ASPECT-score on NCCT ≥6 (iii) Evidence of favorable criteria on CTA or CTP or Collaterals (iv) Wide Mismatch between Mean Transit Time (MTT) and Cerebral Blood Volume (CBV)
Imaging: (i) CT evidence of significant mass effect with midline shift (ii) CT evidence of intracranial hemorrhage (ICH), Subarachnoid Hemorrhage (SAH), Aneurism or Cerebral arteriovenous malformations (CAVMs).