Research Article

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 CriteriaExclusion 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).