Asian Journal of Neurosurgery

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 15  |  Issue : 2  |  Page : 306--310

Safety and efficacy of a direct aspiration first-pass technique with large-bore catheters for acute ischemic stroke in vietnam: Experience of a single center


Vu Dang Luu1, Le Hoang Kien1, Tran Anh Tuan1, Nguyen Quang Anh1, Nguyen Tat Thien1, Nguyen Thu Trang1, Dao Viet Phuong2, Mai Duy Ton2, Pham Minh Thong1, Le Chi Cong1, Vu Van Trieu1, Nguyen Tien Manh1, Tran Cuong1 
1 Radiology Faculty, Bach Mai Radiology Center, Bach Mai Hospital, Hanoi Medical University, Hanoi, Vietnam
2 Department of Emergency, Bach Mai Hospital, Hanoi, Vietnam

Correspondence Address:
Dr. Vu Dang Luu
Radiology Faculty, Bach Mai Radiology Center, Bach Mai Hospital, Hanoi Medical University, 01 Ton That Tung Street, Hanoi
Vietnam

Purpose: The purpose of this study was to evaluate the safety and efficacy of mechanical thrombectomy with a direct aspiration first-pass technique (ADAPT) using large-bore catheters in patients with acute ischemic stroke due to large vessel occlusion (LVO) in a hospital in Vietnam. Methods: This was a retrospective review of patients with acute ischemic stroke due to LVO who were diagnosed and underwent mechanical thrombectomy using ADAPT with large-bore catheters at Bach Mai Hospital from January 2017 to June 2018. Results: Seventy-three patients (47.9% female; age: 61.29 ± 14.49 years) met study criteria. The average procedure duration was 45.09 ± 38.26 min. Successful recanalization post-ADAPT (thrombolysis in cerebral infarction 2b-3) was achieved in 72.6% (53/73) of patients. Good functional outcome (Modified Rankin Scale 0–2) at 3 months was achieved in 50.7% (37/73), with poor functional outcome in 24.7% (18/73). The 90-day mortality rate was 24.7% (18/73). The hemorrhagic transformation rate was 31.6%, in which 19.2% were symptomatic. Vessel perforation occurred in 5.5% (4/73) of patients but in all cases was associated with the guidewire and not the reperfusion catheter. Vessel dissection occurred in 1.4% (1/73) and vasospasm in 5.5% (4/73) of patients. Conclusion: Mechanical thrombectomy using ADAPT with large-bore catheters for acute ischemic stroke due to LVO is a method that yielded good results in recanalization and clinical recovery in a Vietnamese patient population.


How to cite this article:
Luu VD, Kien LH, Tuan TA, Anh NQ, Thien NT, Trang NT, Phuong DV, Ton MD, Thong PM, Cong LC, Trieu VV, Manh NT, Cuong T. Safety and efficacy of a direct aspiration first-pass technique with large-bore catheters for acute ischemic stroke in vietnam: Experience of a single center.Asian J Neurosurg 2020;15:306-310


How to cite this URL:
Luu VD, Kien LH, Tuan TA, Anh NQ, Thien NT, Trang NT, Phuong DV, Ton MD, Thong PM, Cong LC, Trieu VV, Manh NT, Cuong T. Safety and efficacy of a direct aspiration first-pass technique with large-bore catheters for acute ischemic stroke in vietnam: Experience of a single center. Asian J Neurosurg [serial online] 2020 [cited 2021 Sep 26 ];15:306-310
Available from: https://www.asianjns.org/article.asp?issn=1793-5482;year=2020;volume=15;issue=2;spage=306;epage=310;aulast=Luu;type=0