Comparison of balloon guide catheter versus non-balloon guide catheter for mechanical thrombectomy in patients with distal medium vessel occlusion

Atakan Orscelik; David Kallmes; Cem Bilgin; Basel Musmar; Yigit Can Senol; Hassan Kobeissi; Sameh Elawady; Conor Cunningham; Hidetoshi Matsukawa; Sara Zandpazandi; Mohammad-Mahdi Sowlat; Ilko Maier; Sami Al Kasab; Pascal Jabbour; Joon-Tae Kim; Stacey Wolfe; Ansaar Rai; Robert Starke; Marios-Nikos Psychogios; Edgar Samaniego; Adam Arthur; Shinichi Yoshimura; Hugo Cuellar; Brian Howard; Ali Alawieh; Daniele Romano; Omar Tanweer; Justin Mascitelli; Isabel Fragata; Adam Polifka; Joshua Osbun; Roberto Crosa; Charles Matouk; Min Park; Michael Levitt; Mark Moss; Travis Dumont; Richard Williamson; Pedro Navia; Peter Kan; Reade De Leacy; Shakeel Chowdhry; Mohamad Ezzeldin; Alejandro Spiotta; Waleed Brinjikji

doi:10.1136/jnis-2023-020925

Back

Comparison of balloon guide catheter versus non-balloon guide catheter for mechanical thrombectomy in patients with distal medium vessel occlusion

Journal article

Peer reviewed

Comparison of balloon guide catheter versus non-balloon guide catheter for mechanical thrombectomy in patients with distal medium vessel occlusion

Atakan Orscelik, David Kallmes, Cem Bilgin, Basel Musmar, Yigit Can Senol, Hassan Kobeissi, Sameh Elawady, Conor Cunningham, Hidetoshi Matsukawa, Sara Zandpazandi, …

Journal of neurointerventional surgery, Vol.16(6), pp.587-594

11/01/2023

DOI: 10.1136/jnis-2023-020925

PMID: 37918906

Files and links (1)

url

https://resolver.sub.uni-goettingen.de/purl?gro-2/139203View

Open Access

Abstract

Background Several studies have established the safety and efficacy of balloon guide catheters (BGCs) for large vessel occlusions. However, the utility of BGCs remains largely unexplored for distal medium vessel occlusions (DMVOs). In this study, we aim to compare the outcomes of BGC vs. Non-BGC in patients undergoing mechanical thrombectomy (MT) for DMVO. Method This retrospective study from the Stroke Thrombectomy and Aneurysm Registry (STAR) encompassed adult patients with acute anterior cerebral artery, posterior cerebral artery, and middle cerebral artery-M2–3–4 occlusions. Procedure times, safety, recanalization, and neurological outcomes were compared between the two groups, with subgroup analysis based on first-line thrombectomy techniques. Results A total of 1508 patients were included, with 231 patients (15.3%) in the BGC group and 1277 patients (84.7%) in the non-BGC group. The BGC group had a lower modified Thrombolysis in Cerebral Infarction (mTICI) score ≥2C (43.2% vs 52.7%, P=0.01), longer time from puncture to intracranial access (15 vs 8 min, P<0.01), and from puncture to final recanalization (97 vs 34 min, P<0.01). In the Solumbra subgroup, the first pass effect (FPE) rate was lower in the BGC group (17.4% vs 30.7%, P=0.03). Regarding clinical outcomes, the BGC group had a lower rate of distal embolization (8.8% vs 14.9%, P=0.03).Conclusion Our study found that use of BGC in patients with DMVO was associated with lower mTICI scores, decreased FPE rates, reduced distal embolization, and longer procedure times.

Angioplasty

Diabetes

Embolisms

Heart Failure

Hypertension

Ischemia

Stroke

Cardiac arrhythmia

Catheters

Clinical outcomes

Embolization

Hemorrhage

Hyperlipidemia

Patients

Veins & arteries

Details

Title: Subtitle: Comparison of balloon guide catheter versus non-balloon guide catheter for mechanical thrombectomy in patients with distal medium vessel occlusion
Creators: Atakan Orscelik - Mayo Clinic
David Kallmes - Mayo Clinic
Cem Bilgin - Mayo Clinic
Basel Musmar - Mayo Clinic
Yigit Can Senol - Mayo Clinic
Hassan Kobeissi - Mayo Clinic
Sameh Elawady - Medical University of South Carolina
Conor Cunningham - Medical University of South Carolina
Hidetoshi Matsukawa - Medical University of South Carolina
Sara Zandpazandi - Medical University of South Carolina
Mohammad-Mahdi Sowlat - Medical University of South Carolina
Ilko Maier
Sami Al Kasab - Medical University of South Carolina
Pascal Jabbour - Thomas Jefferson University
Joon-Tae Kim
Stacey Wolfe - Wake Forest University
Ansaar Rai - West Virginia University Hospitals
Robert Starke - University of Miami
Marios-Nikos Psychogios
Edgar Samaniego - University of Iowa
Adam Arthur - University of Tennessee Health Science Center
Shinichi Yoshimura - Hyogo Medical University
Hugo Cuellar - Louisiana State University in Shreveport
Brian Howard - Emory University
Ali Alawieh - Emory University
Daniele Romano - Ospedali Riuniti San Giovanni di Dio e Ruggi d'Aragona
Omar Tanweer - Baylor College of Medicine
Justin Mascitelli - The University of Texas Health Science Center at San Antonio
Isabel Fragata - Unidade Local de Saúde de São José
Adam Polifka - University of Florida
Joshua Osbun - Washington University in St. Louis
Roberto Crosa
Charles Matouk - Yale University
Min Park - University of Virginia
Michael Levitt - University of Washington
Mark Moss - Washington Regional Medical Center
Travis Dumont - University of Arizona
Richard Williamson - Allegheny Health Network
Pedro Navia - Hospital Universitario La Paz
Peter Kan - The University of Texas Medical Branch at Galveston
Reade De Leacy - Icahn School of Medicine at Mount Sinai
Shakeel Chowdhry - NorthShore University HealthSystem
Mohamad Ezzeldin - University of Houston
Alejandro Spiotta - Medical University of South Carolina
Waleed Brinjikji - Mayo Clinic in Arizona
Resource Type: Journal article
Publication Details: Journal of neurointerventional surgery, Vol.16(6), pp.587-594
DOI: 10.1136/jnis-2023-020925
PMID: 37918906
NLM abbreviation: J Neurointerv Surg
ISSN: 1759-8478
eISSN: 1759-8486
Publisher: BMJ Publishing Group LTD
Language: English
Electronic publication date: 11/01/2023
Academic Unit: Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
Record Identifier: 9984503056202771

Metrics

9 Record Views

14 Times Cited - Web of Science