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Commentary on ’ADAPT FAST study: a direct aspiration first pass technique for acute stroke thrombectomy'
  1. Michael Chen
  1. Correspondence to Dr Michael Chen, Neurological Surgery, Rush University Medical Center, Chicago, IL 60612, USA; michael_chen{at}

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Perhaps in some part a response to the pessimism surrounding publication of three negative stroke thrombectomy studies in 2013, neurointerventionalists from the Medical University of South Carolina fortunately persisted in studying how to improve the technique. The ’ADAPT-FAST' study,1 published online in February 2014, is the most highly cited paper in the Journal of Neurointerventional Surgery’s 10-year history.1 Following the initial single center report,2 the follow-up multicenter ADAPT-FAST study reported favorable technical and clinical outcomes with direct aspiration using exclusively a large bore catheter. The microcatheter was no longer merely …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial, or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Commissioned; internally peer reviewed.

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