Efficacy of Balloon-Guiding Catheter for Mechanical Thrombectomy in Patients with Anterior Circulation Ischemic Stroke

To evaluate the efficacy of balloon guiding catheter (BGC) during thrombectomy in anterior circulation ischemic stroke. Sixty-two patients with acute anterior circulation ischemic stroke were treated with thrombectomy using a Solitaire stent from 2011 to 2016. Patients were divided into the BGC grou...

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Bibliographic Details
Published in:Journal of Korean Neurosurgical Society 2017, 60(2), , pp.155-164
Main Authors: Oh, Jae-Sang, Yoon, Seok-Mann, Shim, Jai-Joon, Doh, Jae-Won, Bae, Hack-Gun, Lee, Kyeong-Seok
Format: Article
Language:English
Subjects:
Clinical
신경외과학
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Summary:To evaluate the efficacy of balloon guiding catheter (BGC) during thrombectomy in anterior circulation ischemic stroke. Sixty-two patients with acute anterior circulation ischemic stroke were treated with thrombectomy using a Solitaire stent from 2011 to 2016. Patients were divided into the BGC group (n=24, 39%) and the non-BGC group (n=38, 61%). The number of retrievals, procedure time, thrombolysis in cerebral infarction (TICI) grade, presence of distal emboli, and clinical outcomes at 3 months were evaluated. Successful recanalization was more frequent in BGC than in non-BGC (83% vs. 66%, =0.13). Distal emboli occurred less in BGC than in non-BGC (23.1% vs. 57.1%, =0.02). Good clinical outcome was more frequent in BGC than in non-BGC (50% vs. 16%, =0.03). The multivariate analysis showed that use of BGC was the only independent predictor of good clinical outcome (odds ratio, 5.19: 95% confidence interval, 1.07-25.11). More patients in BGC were successfully recanalized in internal carotid artery (ICA) occlusion with small retrieval numbers (
ISSN:2005-3711
1598-7876
DOI:10.3340/jkns.2016.0809.003