Comparison of a Balloon Guide Catheter and a Non-Balloon Guide Catheter for Mechanical Thrombectomy

Radiology
Aglaé VelascoWalter Heindel

Abstract

Purpose To evaluate the effectiveness of mechanical thrombectomy with the use of a stent retriever in acute ischemic stroke, performed by using a balloon guide catheter or non-balloon guide catheter. Materials and Methods In accordance with the institutional review board approval obtained at the two participating institutions, retrospective analysis was performed in 183 consecutive patients treated between 2013 and 2014 for occlusions in the middle cerebral artery or carotid terminus by using a stent retriever with a balloon guide catheter (n = 102) at one center and a non-balloon guide catheter (n = 81) at the other center. Data on procedure duration, number of passes, angiographic findings, type of stent retriever used, and expertise of the operators were collected. Successful recanalization was defined as grade 3 or 2b modified Treatment in Cerebral Ischemia recanalization accomplished in up to three passes. Univariate and multivariate subgroup analyses were conducted to control for the confounding variables of prior thrombolysis, location of occlusion, and operator expertise. Results Successful recanalization with the balloon guide catheter was achieved in 89.2% of thrombectomies (91 of 102) versus 67.9% (55 of 81) achieved...Continue Reading

References

Dec 14, 1995·The New England Journal of Medicine·UNKNOWN National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group
Mar 16, 2004·Lancet·Werner HackeUNKNOWN NINDS rt-PA Study Group Investigators
Jun 18, 2005·Stroke; a Journal of Cerebral Circulation·Wade S SmithUNKNOWN MERCI Trial Investigators
Feb 3, 2007·Stroke; a Journal of Cerebral Circulation·Joung-Ho Rha, Jeffrey L Saver
Mar 12, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Gary M AnselUNKNOWN Investigators for the ARMOUR Pivotal Trial
Sep 21, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Daniel G ClairUNKNOWN EMPiRE Clinical Study Investigators
Mar 29, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Robert M BersinPaolo Rubino
Feb 8, 2013·The New England Journal of Medicine·Alfonso CicconeUNKNOWN SYNTHESIS Expansion Investigators
Feb 9, 2013·The New England Journal of Medicine·Joseph P BroderickUNKNOWN Interventional Management of Stroke (IMS) III Investigators
Mar 16, 2013·Stroke; a Journal of Cerebral Circulation·Ju-Yu ChuehMatthew J Gounis
Aug 3, 2013·Stroke; a Journal of Cerebral Circulation·Vitor M PereiraGerhard Schroth
Aug 8, 2013·Stroke; a Journal of Cerebral Circulation·Albert J YooUNKNOWN Cerebral Angiographic Revascularization Grading Collaborators
Aug 8, 2013·European Neurology·Jordi A Matias-GuiuLuis López-Ibor
Oct 19, 2013·Cerebrovascular Diseases·Olav JansenUNKNOWN TREVO Study Group
Dec 18, 2014·The New England Journal of Medicine·Olvert A BerkhemerUNKNOWN MR CLEAN Investigators
Feb 12, 2015·The New England Journal of Medicine·Bruce C V CampbellUNKNOWN EXTEND-IA Investigators
Feb 12, 2015·The New England Journal of Medicine·Mayank GoyalUNKNOWN ESCAPE Trial Investigators
Apr 18, 2015·The New England Journal of Medicine·Jeffrey L SaverUNKNOWN SWIFT PRIME Investigators
Apr 18, 2015·The New England Journal of Medicine·Tudor G JovinUNKNOWN REVASCAT Trial Investigators

❮ Previous
Next ❯

Citations

Sep 30, 2016·Journal of Neurointerventional Surgery·Diogo C HaussenRaul G Nogueira
Jul 30, 2017·Journal of Neurointerventional Surgery·Waleed BrinjikjiDavid F Kallmes
Nov 25, 2017·International Journal of Stroke : Official Journal of the International Stroke Society·Joyce S BalamiAlastair M Buchan
Nov 10, 2017·Interventional Neurology·Ju-Yu ChuehMatthew J Gounis
Jun 9, 2017·Journal of Stroke·Byung Moon Kim
Nov 23, 2017·Scientific Reports·Jang-Hyun BaekJi Hoe Heo
Sep 3, 2016·Journal of Neurointerventional Surgery·Gaurav JindalDheeraj Gandhi
Jan 8, 2019·Stroke; a Journal of Cerebral Circulation·Tobias Boeckh-BehrensJohannes Kaesmacher
Jan 11, 2019·Stroke; a Journal of Cerebral Circulation·Osama O ZaidatMichael T Froehler
Jul 27, 2018·Journal of Neurointerventional Surgery·Naoki KanekoSatoshi Tateshima
Feb 20, 2019·Stroke; a Journal of Cerebral Circulation·Osama O ZaidatUNKNOWN STRATIS Investigators
Dec 1, 2018·Journal of Neurosurgery·Dong-Hun KangSang Heum Kim
Jun 9, 2017·Journal of Stroke·Albert J Yoo, Tommy Andersson
Feb 4, 2019·Journal of Neurointerventional Surgery·Thanh N NguyenOsama O Zaidat
Oct 9, 2019·Journal of Korean Neurosurgical Society·Ju-Yu ChuehMatthew J Gounis
Sep 30, 2019·Journal of Neurointerventional Surgery·Dong-Hun KangYong-Sun Kim
May 10, 2018·Journal of Neurointerventional Surgery·Vanessa ChalumeauMikael Mazighi
May 20, 2020·Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism·Anna Luisa KühnMatthew J Gounis
Jun 6, 2020·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Ryuta YasudaHidenori Suzuki
May 11, 2019·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Alejandro TomaselloÀlex Rovira
Sep 1, 2019·Current Cardiology Reports·Tasneem F HasanRabih G Tawk
Apr 4, 2017·Neurosurgical Focus·Alexander G ChartrainChristopher P Kellner
Feb 17, 2017·Journal of the American Heart Association·Johannes KaesmacherJustus F Kleine
Jun 20, 2020·Expert Review of Medical Devices·Raphaël BlancMichel Piotin
Jul 21, 2017·Radiology·Thanh N Nguyen, Osama O Zaidat
Feb 15, 2017·Clinical Neuroradiology·Volker MausMarios Nikos Psychogios
Oct 13, 2018·AJNR. American Journal of Neuroradiology·O NikoubashmanM Wiesmann
Feb 6, 2018·Therapeutic Advances in Neurological Disorders·Sebastian Fischer, Werner Weber
Jul 22, 2018·Clinical Neuroradiology·Volker MausMarios-Nikos Psychogios
May 25, 2020·Translational Stroke Research·Aglaé Velasco GonzalezWalter Heindel
Sep 11, 2020·CVIR Endovascular·Tilman SchubertBeverly Aagaard-Kienitz
Jul 24, 2018·Current Neurology and Neuroscience Reports·Aravind Ganesh, Mayank Goyal
May 3, 2019·Stroke; a Journal of Cerebral Circulation·Jang-Hyun BaekHong-Jun Jeon
Nov 11, 2020·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·B FriedrichC Maegerlein

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.