Balloon Guide Catheter Improves Revascularization and Clinical Outcomes With the Solitaire Device

Abstract

Background and Purpose-Efficient and timely recanalization is an important goal in acute stroke endovascular therapy.Several studies demonstrated improved recanalization and clinical outcomes with the stent retriever devices compared with the Merci device. The goal of this study was to evaluate the role of the balloon guide catheter (BGC) and recanalization success in a substudy of the North American Solitaire Acute Stroke (NASA) registry. Methods-The

Comparison of Modern Stroke Thrombectomy Approaches Using an In Vitro Cerebrovascular Occlusion Model

“…12 In our experiments, we observed the presence of substantial ENT with all approaches except for direct aspiration; however, regarding EDT events, no technique protects effectively from this occurrence. Nguyen et al 13 published their experience with the use of the balloon-guide catheter in conjunction with Solitaire FR stent retriever thrombectomy. Although TICI 3 recanalization was seen more often in cases in which the balloon-guide catheter was used (54% with the balloon-guide catheter versus 33% without; P Ͻ .001), overall rates of TICI 2b or 3 recanalization were similar (76% with versus 71% without, P ϭ .3).…”

Mechanical Thrombectomy of Distal Occlusions in the Anterior Cerebral Artery: Recanalization Rates, Periprocedural Complications, and Clinical Outcome

“…5,6 Unfortunately, for patients with ICA-T occlusions and MCA occlusions, there is a risk of approximately 8.6%-11.4% for secondary emboli into the anterior cerebral artery (ACA), especially the distal branches such as the pericallosal artery, during MT. 2,7,8 Although various technical possibilities, such as proximal flow control or combined aspiration, have been recommended to reduce the risk of secondary emboli [9][10][11][12][13] , occlusions of the distal ACA occur. Regardless of the cause of the occlusion (primary occlusion or secondary emboli during MT), cerebral infarctions in the ACA territory may cause relevant clinical deficits by affecting the primary or supplementary motor areas.…”

Transradial Approach for Mechanical Thrombectomy of Posterior Circulation Stroke

“…for patients with proximal occlusion of the basilar trunk or VA or those in whom the thrombus volume was expected to be large, and an aspiration catheter for those with distal occlusion of the basilar tip or PCA. Balloon guiding catheters, 18) which are useful for treating the anterior circulation occlusion, are not used for the treatment of the posterior circulation occlusion due to the presence of contralateral VA blood flow and a small VA diameter. Concerning the site of puncture, the radial artery, where the incidence of puncture-site complications is lower than at the brachial artery, is adopted, 19) as IV rt-PA therapy is combined in many cases.…”