{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:27:34Z","timestamp":1776126454941,"version":"3.50.1"},"reference-count":22,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J NeuroIntervent Surg"],"accepted":{"date-parts":[[2016,7,29]]},"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To investigate the associations between Alberta Stroke Program Early CT Score (ASPECTS) or distribution and sidedness of acute infarction and clinical outcomes following intervention with a direct aspiration first pass technique (ADAPT).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A review was performed of patients who had undergone thrombectomy with ADAPT for emergent large vessel occlusions of the middle cerebral artery (MCA) between December 2012 and May 2015. Preintervention CT scans were reviewed by a blinded radiologist to calculate ASPECTS and determine the distribution of infarction. Clinical outcomes were compared for subsets of patients depending upon ASPECTS and regional infarction distribution (cortical, subcortical, or both).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>One hundred and fifty-four patients (50% female, mean age 67) underwent thrombectomy using ADAPT for MCA emergent large vessel occlusion. The median presenting National Institute of Health Stroke Scale score was 15. Fifty-five per cent of patients had left-side occlusions. Similar good outcomes were achieved for patients with perfect and non-perfect ASPECTS (modified Rankin Scale (mRS) 0\u20132: 63% vs 51%, respectively; p=0.20). Similar outcomes were also achieved for patients with \u2018poor\u2019 ASPECTS (\u22646) compared with those with ASPECTS &gt;6 (mRS 0\u20132: 52% vs 53%, respectively; p=0.91). Regional distribution and sidedness of core infarction on preintervention CT also did not correlate with worse outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Patients with moderate-sized core infarcts involving various distributions in either hemisphere can potentially achieve similar good outcomes compared with those with no core infarction at presentation. A treatment algorithm for acute ischemic stroke, which employs hardline ASPECTS thresholds or excludes patients with basal ganglia infarcts, might preclude patients who would potentially benefit from mechanical thrombectomy with ADAPT.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/neurintsurg-2016-012528","type":"journal-article","created":{"date-parts":[[2016,8,22]],"date-time":"2016-08-22T22:28:33Z","timestamp":1471904913000},"page":"823-829","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":24,"title":["Impact of ASPECT scores and infarct distribution on outcomes among patients undergoing thrombectomy for acute ischemic stroke with the ADAPT technique"],"prefix":"10.1136","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9668-3528","authenticated-orcid":false,"given":"John P","family":"Hungerford","sequence":"first","affiliation":[{"name":"Department of Radiology, Medical University of South Carolina, Charleston, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madison","family":"Hyer","sequence":"additional","affiliation":[{"name":"Department of Radiology, Medical University of South Carolina, Charleston, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aquilla S","family":"Turk","sequence":"additional","affiliation":[{"name":"Department of Radiology, Medical University of South Carolina, Charleston, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond D","family":"Turner","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M Imran","family":"Chaudry","sequence":"additional","affiliation":[{"name":"Department of Radiology, Medical University of South Carolina, Charleston, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyle M","family":"Fargen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro M","family":"Spiotta","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,8,22]]},"reference":[{"key":"2025092911494993000_9.9.823.1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31820a55f5"},{"key":"2025092911494993000_9.9.823.2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1414905"},{"key":"2025092911494993000_9.9.823.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1415061"},{"key":"2025092911494993000_9.9.823.4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1414792"},{"key":"2025092911494993000_9.9.823.5","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1411587"},{"key":"2025092911494993000_9.9.823.6","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1503780"},{"key":"2025092911494993000_9.9.823.7","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2014-011591"},{"key":"2025092911494993000_9.9.823.8","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2013-011022"},{"key":"2025092911494993000_9.9.823.9","doi-asserted-by":"crossref","unstructured":"Vargas J , Spiotta A , Fargen K , et al . Long term experience using the ADAPT technique for the treatment of acute ischemic stroke. J Neurointerv Surg doi:10.1136\/neurintsurg-2015-012211 doi:10.1136\/neurintsurg-2015-012211","DOI":"10.1136\/neurintsurg-2015-012211"},{"key":"2025092911494993000_9.9.823.10","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2014-011125"},{"key":"2025092911494993000_9.9.823.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02237-6"},{"key":"2025092911494993000_9.9.823.12","first-page":"1534","article-title":"Use of the Alberta Stroke Program Early CT Score (ASPECTS) for assessing CT scans in patients with acute stroke","volume":"22","author":"Pexman","year":"2001","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025092911494993000_9.9.823.13","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2014-011195"},{"key":"2025092911494993000_9.9.823.14","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.109.551705"},{"key":"2025092911494993000_9.9.823.15","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2012-010452"},{"key":"2025092911494993000_9.9.823.16","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000082721.62796.09"},{"key":"2025092911494993000_9.9.823.17","doi-asserted-by":"publisher","DOI":"10.1159\/000324324"},{"key":"2025092911494993000_9.9.823.18","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A0689"},{"key":"2025092911494993000_9.9.823.19","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2012-010491"},{"key":"2025092911494993000_9.9.823.20","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000082483.37127.D0"},{"key":"2025092911494993000_9.9.823.21","doi-asserted-by":"crossref","unstructured":"Boers AM , Berkhemer OA , Slump CH , et al . Topographic distribution of cerebral infarct probability in patients with acute ischemic stroke: mapping of intra-arterial treatment effect. J Neurointerv Surg Published Online First: 25 Apr 2016. doi:10.1136\/neurintsurg-2016-012387 doi:10.1136\/neurintsurg-2016-012387","DOI":"10.1136\/neurintsurg-2016-012387"},{"key":"2025092911494993000_9.9.823.22","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2377-10-25"}],"container-title":["Journal of NeuroInterventional Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/neurintsurg-2016-012528","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T18:49:58Z","timestamp":1759171798000},"score":1,"resource":{"primary":{"URL":"https:\/\/jnis.bmj.com\/lookup\/doi\/10.1136\/neurintsurg-2016-012528"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8,22]]},"references-count":22,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2017,8,17]]},"published-print":{"date-parts":[[2017,9]]}},"alternative-id":["10.1136\/neurintsurg-2016-012528"],"URL":"https:\/\/doi.org\/10.1136\/neurintsurg-2016-012528","relation":{},"ISSN":["1759-8478","1759-8486"],"issn-type":[{"value":"1759-8478","type":"print"},{"value":"1759-8486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,8,22]]}}}