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Lessons Learned Over More than 500 Stroke Thrombectomies Using ADAPT With Increasing Aspiration Catheter Size.

Abstract:

BACKGROUND:Endovascular thrombectomy is currently the standard of care for acute ischemic stroke (AIS). Although earlier trials on endovascular thrombectomy were performed using stent retrievers, recently completed the contact aspiration vs stent retriever for successful revascularization (ASTER) and a comparison of direct aspiration versus stent retriever as a first approach (COMPASS) trials have shown the noninferiority of direct aspiration. OBJECTIVE:To report the largest experience with ADAPT thrombectomy and compare the impact of advancement in reperfusion catheter technologies on outcomes. METHODS:We reviewed a retrospective database of AIS patients who underwent ADAPT thrombectomy between January 2013 and November 2017 at the Medical University of South Carolina. Demographics and baseline characteristics, technical variables, and radiological and clinical outcomes were reviewed. RESULTS:Among 510 patients (mean age: 67.7, 50.6% females), successful recanalization at first pass was achieved in 61.8%, and with aspiration only in 77.5%. Mean procedure time was 27.4 min, and the rate of good outcomes (mRS 0-2) at 90 d was 42.9%. The rate of recanalization with aspiration only was significantly higher, and procedure time was significantly lower in patients treated with larger catheters (ACE 064 and ACE 068) compared to smaller catheters (5 MAX and ACE, P .05); however, use of ACE 068 was an independent predictor of good outcomes at 90 d on multivariate regression analysis (odds ratio = 1.6, P

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NEUROSURGERY

最新影响因子：5.315	期刊ISSN：0148-396X	CiteScore：1.41
出版周期：Monthly	是否OA：YES	出版年份：1977

期刊官方网址：http://journals.lww.com/neurosurgery/pages/default.aspx

期刊投稿地址：http://www.editorialmanager.com/neu/

自引率：6.80%	研究方向：医学-临床神经学
出版地区：UNITED STATES

SCI期刊coverage：Science Citation Index Expanded（科学引文索引扩展）

NCBI查询：PubMed Central (PMC)链接全文检索(pubmed central)

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NEUROSURGERY 期刊简介

英文简介：

Neurosurgery, the Official Journal of the Congress of Neurological Surgeons is your most complete window on the contemporary field of neurosurgery. Members of the Congress and non-member subscribers receive 3000 pages per year packed with the very latest science, technology, and medicine, not to mention full-text online access to the world''s most complete, up-to-the-minute neurosurgery resource. For professionals aware of the rapid pace of developments in the field,Neurosurgery is nothing short of indispensable. We at the Congress of Neurological Surgeons, theNeurosurgery editorial office, and Wolters Kluwer hope you enjoy these features of the online site. Unlimited site access for Journal subscribers. Free access to all Journal abstracts for all site visitors. More than 20 years of Journal content online. Subscriber access to the full-text of the Journal from 1992 to the present. Access to author abstracts from the Journal from 1977 to 1991. Complete current issue contents are just one click away from the Home page. Rapid browsing access to entire tables-of-contents of any online issue. Extensive content linking, including images, tables and references. Bibliography citations linked to MEDLINE abstracts and other available online Journal content. Page image PDF files let you download conveniently printable copies of an entire article. PDF files can also be saved on your personal computer. Pay-per-View A pay-per-view option is available for non-subscribers. Simply click on the article you''d like to purchase and click the ''Buy Article'' button to initiate the purchase process to access the full text article. If you would like to provide editorial feedback contact the editorial office at:EICNS@emory.edu or managingeditor@cns.org. Journal Profile Category: Surgery Impact Factor: 3.780 Rank: 40/192 in Clinical Neurology 12/199 in Surgery ISSN: 0148-396X Indexing Sources Current Contents/Clinical Medicine Current Contents/Life Sciences Current Contents/Science Citation Index Index Medicus/Medline

中文简介：（来自Google、百度翻译）

神经外科，神经外科医师大会的官方杂志，是你在当代神经外科领域最完整的窗口。国会成员和非会员用户每年收到3000页的最新科学、技术和医学信息，更不用说全文本在线访问世界最完整、最新的神经外科资源了。对于专业人士来说，意识到这一领域的快速发展，神经外科是必不可少的。我们在神经外科医师大会，欧洲外科编辑办公室，和Wolters Kluwer希望您能享受这些在线网站的功能。日志订阅服务器的站点访问不受限制。免费访问所有网站访问者的所有期刊摘要。 20多年的在线期刊内容。从1992年至今，订阅者可以查阅期刊全文。查阅1977年至1991年期刊的作者摘要。完整的当前问题内容只需单击一次就可以离开主页。快速浏览任何在线问题的整个目录。广泛的内容链接，包括图像、表格和引用。参考书目引用链接到Medline摘要和其他可用的在线期刊内容。页面图像PDF文件让您可以方便地下载整篇文章的可打印副本。PDF文件也可以保存在您的个人计算机上。按次付费非订户可以使用按视图付费选项。只需单击您要购买的文章，然后单击“购买文章”按钮启动购买过程即可访问全文文章。如果您想提供编辑反馈，请联系编辑部：eicns@emory.edu或managingeditor@cns.org。轴颈轮廓类别：外科影响系数：3.780 临床神经病学排名：40/192 12/199手术中 ISSN：0148—96X 索引源当前内容/临床医学当前内容/生命科学当前内容/科学引文索引索引Medicus/Medline

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NEUROSURGERY 期刊CiteScore评价数据

CiteScore排名

序号	类别	排名	百分位
1	大类(学科)：Medicine 小类(学科)：Surgery	#138/393 点击查看排名表	64th
2	大类(学科)：Medicine 小类(学科)：Neurology (clinical)	#193/336 点击查看排名表	42th

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偏重的研究方向：

外科 (6) 神经外科 (5) 神经外科学 (1)
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37.50%(计算公式：参与点评网友投稿录用人数/总点评网友人数×100%)
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年度总发文量	年度论文发表量	年度综述发表量
233	210	23

Lessons Learned Over More than 500 Stroke Thrombectomies Using ADAPT With Increasing Aspiration Catheter Size.