Frontline Contact Aspiration Treatment for Emergent Large Vessel Occlusion: A Review Focused on Practical Techniques
Endovascular thrombectomy (EVT) as the standard care for acute stroke due to large vessel occlusion has recently been validated through several randomized controlled trials (RCTs). Contact aspiration (CA) and stent retriever (SR) are the two major EVT methods currently used. Because the RCTs have mo...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Stroke Society
2019-01-01
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| Series: | Journal of Stroke |
| Subjects: | |
| Online Access: | http://www.j-stroke.org/upload/pdf/jos-2018-03076.pdf |
| _version_ | 1828431163610365952 |
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| author | Dong-Hun Kang Yang-Ha Hwang |
| author_facet | Dong-Hun Kang Yang-Ha Hwang |
| author_sort | Dong-Hun Kang |
| collection | DOAJ |
| description | Endovascular thrombectomy (EVT) as the standard care for acute stroke due to large vessel occlusion has recently been validated through several randomized controlled trials (RCTs). Contact aspiration (CA) and stent retriever (SR) are the two major EVT methods currently used. Because the RCTs have mostly evaluated SR devices, there was a demand to test CA in relation to SR as a frontline EVT treatment method. Recently, the Contact Aspiration vs Stent Retriever for Successful Recanalization (ASTER) study, the first RCT to compare CA and SR, demonstrated similar efficacy between them as a frontline EVT for patients with large vessel occlusions. This facilitates further investigation to confirm better frontline EVT for patients with acute stroke. In this review, we discuss past and recent developments in CA techniques, focusing on related literature. Additionally, we describe practical skills to overcome technical difficulties that can be encountered during the CA procedure. Finally, we review the evolution of device technologies, including a newer version of using a large-bore aspiration catheter. |
| first_indexed | 2024-12-10T17:59:05Z |
| format | Article |
| id | doaj.art-172b95fe435945689baf0ea6a6abb574 |
| institution | Directory Open Access Journal |
| issn | 2287-6391 2287-6405 |
| language | English |
| last_indexed | 2024-12-10T17:59:05Z |
| publishDate | 2019-01-01 |
| publisher | Korean Stroke Society |
| record_format | Article |
| series | Journal of Stroke |
| spelling | doaj.art-172b95fe435945689baf0ea6a6abb5742022-12-22T01:38:50ZengKorean Stroke SocietyJournal of Stroke2287-63912287-64052019-01-01211102210.5853/jos.2018.03076260Frontline Contact Aspiration Treatment for Emergent Large Vessel Occlusion: A Review Focused on Practical TechniquesDong-Hun Kang0Yang-Ha Hwang1 Department of Neurosurgery, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea Department of Neurology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, KoreaEndovascular thrombectomy (EVT) as the standard care for acute stroke due to large vessel occlusion has recently been validated through several randomized controlled trials (RCTs). Contact aspiration (CA) and stent retriever (SR) are the two major EVT methods currently used. Because the RCTs have mostly evaluated SR devices, there was a demand to test CA in relation to SR as a frontline EVT treatment method. Recently, the Contact Aspiration vs Stent Retriever for Successful Recanalization (ASTER) study, the first RCT to compare CA and SR, demonstrated similar efficacy between them as a frontline EVT for patients with large vessel occlusions. This facilitates further investigation to confirm better frontline EVT for patients with acute stroke. In this review, we discuss past and recent developments in CA techniques, focusing on related literature. Additionally, we describe practical skills to overcome technical difficulties that can be encountered during the CA procedure. Finally, we review the evolution of device technologies, including a newer version of using a large-bore aspiration catheter.http://www.j-stroke.org/upload/pdf/jos-2018-03076.pdfbrain infarctionembolismatherosclerosisendovascular proceduresthrombectomyreperfusion |
| spellingShingle | Dong-Hun Kang Yang-Ha Hwang Frontline Contact Aspiration Treatment for Emergent Large Vessel Occlusion: A Review Focused on Practical Techniques Journal of Stroke brain infarction embolism atherosclerosis endovascular procedures thrombectomy reperfusion |
| title | Frontline Contact Aspiration Treatment for Emergent Large Vessel Occlusion: A Review Focused on Practical Techniques |
| title_full | Frontline Contact Aspiration Treatment for Emergent Large Vessel Occlusion: A Review Focused on Practical Techniques |
| title_fullStr | Frontline Contact Aspiration Treatment for Emergent Large Vessel Occlusion: A Review Focused on Practical Techniques |
| title_full_unstemmed | Frontline Contact Aspiration Treatment for Emergent Large Vessel Occlusion: A Review Focused on Practical Techniques |
| title_short | Frontline Contact Aspiration Treatment for Emergent Large Vessel Occlusion: A Review Focused on Practical Techniques |
| title_sort | frontline contact aspiration treatment for emergent large vessel occlusion a review focused on practical techniques |
| topic | brain infarction embolism atherosclerosis endovascular procedures thrombectomy reperfusion |
| url | http://www.j-stroke.org/upload/pdf/jos-2018-03076.pdf |
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