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As part of a novel session at the Annual Meeting of the Society of NeuroInterventional Surgery (Colorado Springs, USA), the associate editors of Journal of NeuroInterventional Surgery (JNIS) selected a series of manuscript published in 2014 as best articles. Each associate editor gave his preference, and the final list was approved by editor in chief, Robert Tarr. The aim of this commentary is to acknowledge the authors and briefly highlight the major points of their manuscripts.
Turk, et al. ADAPT FAST study: a direct aspiration first pass technique for acute stroke thrombectomy1
This article describes a novel method for mechanical revascularization using a large bore aspiration catheter. The operators utilized the largest caliber aspiration catheter that the target vessel would accommodate. The catheter was then advanced to the face of the thrombus and aspiration applied. The catheter was subsequently withdrawn, attempting to remove the clot en bloc. Adjunct devices were used at the discretion of the operator. The investigators employed the technique in 98 acute ischemic stroke patients harboring large vessel occlusions. The aspiration component achieved Thrombolysis in Cerebral Infarction (TICI) 2b or 3 revascularization in 78% of cases. The adjunct use of stent retrievers increased the TICI 2b/ 3 rate to 95%. The authors demonstrated that this versatile and technically straightforward revascularization method can be utilized to achieve revascularization.
This study is a good example of the ability of neuroendovascular surgeons to join together and channel collective energies and resources. This was a prospective registry, performed without financial support from industry or federal funding. The design and implementation was carried out entirely by the operators involved. Data from this type of prospective study, designed by practicing neurointerventional surgeons, stand the greatest chance of impacting practice patterns for our field. Furthermore, the concept behind this manuscript demonstrates the …
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