Balloon Guide Catheter Is Beneficial in Endovascular Treatment Regardless of Mechanical Recanalization Modality

Jang Hyun Baek, Byung Moon Kim, Dong Hun Kang, Ji Hoe Heo, Hyo Suk Nam, Young Dae Kim, Yang Ha Hwang, Yong Won Kim, Yong Sun Kim, Dong Joon Kim, Hyo Sung Kwak, Hong Gee Roh, Young Jun Lee, Sang Heum Kim, Seung Kug Baik, Pyoung Jeon, Joonsang Yoo, Sang Hyun Suh, Byungjun Kim, Jin Woo KimSang-Il Suh, Hong Jun Jeon

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background and Purpose- Based on its mechanism, the use of balloon guide catheters (BGCs) may be beneficial during endovascular treatment, regardless of the type of mechanical recanalization modality used-stent retriever thrombectomy or thrombaspiration. We evaluated whether the use of BGCs can be beneficial regardless of the first-line mechanical endovascular modality used. Methods- We retrospectively reviewed consecutive acute stroke patients who underwent stent retriever thrombectomy or thrombaspiration from the prospectively maintained registries of 17 stroke centers nationwide. Patients were assigned to the BGC or non-BGC group based on the use of BGCs during procedures. Endovascular and clinical outcomes were compared between the BGC and non-BGC groups. To adjust the influence of the type of first-line endovascular modality on successful recanalization and favorable outcome, multivariable analyses were also performed. Results- This study included a total of 955 patients. Stent retriever thrombectomy was used as the first-line modality in 526 patients (55.1%) and thrombaspiration in 429 (44.9%). BGC was used in 516 patients (54.0%; 61.2% of stent retriever thrombectomy patients; 45.2% of thrombaspiration patients). The successful recanalization rate was significantly higher in the BGC group compared with the non-BGC group (86.8% versus 74.7%, respectively; P<0.001). Furthermore, the first-pass recanalization rate was more frequent (37.0% versus 14.1%; P<0.001), and the number of device passes was fewer in the BGC group (2.5±1.9 versus 3.3±2.1; P<0.001). The procedural time was also shorter in the BGC group (54.3±27.4 versus 67.6±38.2; P<0.001). The use of BGC was an independent factor for successful recanalization (odds ratio, 2.18; 95% CI, 1.54-3.10; P<0.001) irrespective of the type of first-line endovascular modality used. The use of BGC was also an independent factor for a favorable outcome (odds ratio, 1.40; 95% CI, 1.02-1.92; P=0.038) irrespective of the type of first-line endovascular modality used. Conclusions- Regardless of the first-line mechanical endovascular modality used, the use of BGC in endovascular treatment was beneficial in terms of both recanalization success and functional outcome.

Original languageEnglish
Pages (from-to)1490-1496
Number of pages7
JournalStroke
Volume50
Issue number6
DOIs
Publication statusPublished - 2019 Jun 1

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Catheters
Thrombectomy
Therapeutics
Stents
Stroke
Odds Ratio
Registries
Equipment and Supplies

Keywords

  • balloon occlusion
  • endovascular treatment
  • stroke
  • thrombectomy

ASJC Scopus subject areas

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialised Nursing

Cite this

Baek, J. H., Kim, B. M., Kang, D. H., Heo, J. H., Nam, H. S., Kim, Y. D., ... Jeon, H. J. (2019). Balloon Guide Catheter Is Beneficial in Endovascular Treatment Regardless of Mechanical Recanalization Modality. Stroke, 50(6), 1490-1496. https://doi.org/10.1161/STROKEAHA.118.024723

Balloon Guide Catheter Is Beneficial in Endovascular Treatment Regardless of Mechanical Recanalization Modality. / Baek, Jang Hyun; Kim, Byung Moon; Kang, Dong Hun; Heo, Ji Hoe; Nam, Hyo Suk; Kim, Young Dae; Hwang, Yang Ha; Kim, Yong Won; Kim, Yong Sun; Kim, Dong Joon; Kwak, Hyo Sung; Roh, Hong Gee; Lee, Young Jun; Kim, Sang Heum; Baik, Seung Kug; Jeon, Pyoung; Yoo, Joonsang; Suh, Sang Hyun; Kim, Byungjun; Kim, Jin Woo; Suh, Sang-Il; Jeon, Hong Jun.

In: Stroke, Vol. 50, No. 6, 01.06.2019, p. 1490-1496.

Research output: Contribution to journalArticle

Baek, JH, Kim, BM, Kang, DH, Heo, JH, Nam, HS, Kim, YD, Hwang, YH, Kim, YW, Kim, YS, Kim, DJ, Kwak, HS, Roh, HG, Lee, YJ, Kim, SH, Baik, SK, Jeon, P, Yoo, J, Suh, SH, Kim, B, Kim, JW, Suh, S-I & Jeon, HJ 2019, 'Balloon Guide Catheter Is Beneficial in Endovascular Treatment Regardless of Mechanical Recanalization Modality', Stroke, vol. 50, no. 6, pp. 1490-1496. https://doi.org/10.1161/STROKEAHA.118.024723
Baek, Jang Hyun ; Kim, Byung Moon ; Kang, Dong Hun ; Heo, Ji Hoe ; Nam, Hyo Suk ; Kim, Young Dae ; Hwang, Yang Ha ; Kim, Yong Won ; Kim, Yong Sun ; Kim, Dong Joon ; Kwak, Hyo Sung ; Roh, Hong Gee ; Lee, Young Jun ; Kim, Sang Heum ; Baik, Seung Kug ; Jeon, Pyoung ; Yoo, Joonsang ; Suh, Sang Hyun ; Kim, Byungjun ; Kim, Jin Woo ; Suh, Sang-Il ; Jeon, Hong Jun. / Balloon Guide Catheter Is Beneficial in Endovascular Treatment Regardless of Mechanical Recanalization Modality. In: Stroke. 2019 ; Vol. 50, No. 6. pp. 1490-1496.
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abstract = "Background and Purpose- Based on its mechanism, the use of balloon guide catheters (BGCs) may be beneficial during endovascular treatment, regardless of the type of mechanical recanalization modality used-stent retriever thrombectomy or thrombaspiration. We evaluated whether the use of BGCs can be beneficial regardless of the first-line mechanical endovascular modality used. Methods- We retrospectively reviewed consecutive acute stroke patients who underwent stent retriever thrombectomy or thrombaspiration from the prospectively maintained registries of 17 stroke centers nationwide. Patients were assigned to the BGC or non-BGC group based on the use of BGCs during procedures. Endovascular and clinical outcomes were compared between the BGC and non-BGC groups. To adjust the influence of the type of first-line endovascular modality on successful recanalization and favorable outcome, multivariable analyses were also performed. Results- This study included a total of 955 patients. Stent retriever thrombectomy was used as the first-line modality in 526 patients (55.1{\%}) and thrombaspiration in 429 (44.9{\%}). BGC was used in 516 patients (54.0{\%}; 61.2{\%} of stent retriever thrombectomy patients; 45.2{\%} of thrombaspiration patients). The successful recanalization rate was significantly higher in the BGC group compared with the non-BGC group (86.8{\%} versus 74.7{\%}, respectively; P<0.001). Furthermore, the first-pass recanalization rate was more frequent (37.0{\%} versus 14.1{\%}; P<0.001), and the number of device passes was fewer in the BGC group (2.5±1.9 versus 3.3±2.1; P<0.001). The procedural time was also shorter in the BGC group (54.3±27.4 versus 67.6±38.2; P<0.001). The use of BGC was an independent factor for successful recanalization (odds ratio, 2.18; 95{\%} CI, 1.54-3.10; P<0.001) irrespective of the type of first-line endovascular modality used. The use of BGC was also an independent factor for a favorable outcome (odds ratio, 1.40; 95{\%} CI, 1.02-1.92; P=0.038) irrespective of the type of first-line endovascular modality used. Conclusions- Regardless of the first-line mechanical endovascular modality used, the use of BGC in endovascular treatment was beneficial in terms of both recanalization success and functional outcome.",
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TY - JOUR

T1 - Balloon Guide Catheter Is Beneficial in Endovascular Treatment Regardless of Mechanical Recanalization Modality

AU - Baek, Jang Hyun

AU - Kim, Byung Moon

AU - Kang, Dong Hun

AU - Heo, Ji Hoe

AU - Nam, Hyo Suk

AU - Kim, Young Dae

AU - Hwang, Yang Ha

AU - Kim, Yong Won

AU - Kim, Yong Sun

AU - Kim, Dong Joon

AU - Kwak, Hyo Sung

AU - Roh, Hong Gee

AU - Lee, Young Jun

AU - Kim, Sang Heum

AU - Baik, Seung Kug

AU - Jeon, Pyoung

AU - Yoo, Joonsang

AU - Suh, Sang Hyun

AU - Kim, Byungjun

AU - Kim, Jin Woo

AU - Suh, Sang-Il

AU - Jeon, Hong Jun

PY - 2019/6/1

Y1 - 2019/6/1

N2 - Background and Purpose- Based on its mechanism, the use of balloon guide catheters (BGCs) may be beneficial during endovascular treatment, regardless of the type of mechanical recanalization modality used-stent retriever thrombectomy or thrombaspiration. We evaluated whether the use of BGCs can be beneficial regardless of the first-line mechanical endovascular modality used. Methods- We retrospectively reviewed consecutive acute stroke patients who underwent stent retriever thrombectomy or thrombaspiration from the prospectively maintained registries of 17 stroke centers nationwide. Patients were assigned to the BGC or non-BGC group based on the use of BGCs during procedures. Endovascular and clinical outcomes were compared between the BGC and non-BGC groups. To adjust the influence of the type of first-line endovascular modality on successful recanalization and favorable outcome, multivariable analyses were also performed. Results- This study included a total of 955 patients. Stent retriever thrombectomy was used as the first-line modality in 526 patients (55.1%) and thrombaspiration in 429 (44.9%). BGC was used in 516 patients (54.0%; 61.2% of stent retriever thrombectomy patients; 45.2% of thrombaspiration patients). The successful recanalization rate was significantly higher in the BGC group compared with the non-BGC group (86.8% versus 74.7%, respectively; P<0.001). Furthermore, the first-pass recanalization rate was more frequent (37.0% versus 14.1%; P<0.001), and the number of device passes was fewer in the BGC group (2.5±1.9 versus 3.3±2.1; P<0.001). The procedural time was also shorter in the BGC group (54.3±27.4 versus 67.6±38.2; P<0.001). The use of BGC was an independent factor for successful recanalization (odds ratio, 2.18; 95% CI, 1.54-3.10; P<0.001) irrespective of the type of first-line endovascular modality used. The use of BGC was also an independent factor for a favorable outcome (odds ratio, 1.40; 95% CI, 1.02-1.92; P=0.038) irrespective of the type of first-line endovascular modality used. Conclusions- Regardless of the first-line mechanical endovascular modality used, the use of BGC in endovascular treatment was beneficial in terms of both recanalization success and functional outcome.

AB - Background and Purpose- Based on its mechanism, the use of balloon guide catheters (BGCs) may be beneficial during endovascular treatment, regardless of the type of mechanical recanalization modality used-stent retriever thrombectomy or thrombaspiration. We evaluated whether the use of BGCs can be beneficial regardless of the first-line mechanical endovascular modality used. Methods- We retrospectively reviewed consecutive acute stroke patients who underwent stent retriever thrombectomy or thrombaspiration from the prospectively maintained registries of 17 stroke centers nationwide. Patients were assigned to the BGC or non-BGC group based on the use of BGCs during procedures. Endovascular and clinical outcomes were compared between the BGC and non-BGC groups. To adjust the influence of the type of first-line endovascular modality on successful recanalization and favorable outcome, multivariable analyses were also performed. Results- This study included a total of 955 patients. Stent retriever thrombectomy was used as the first-line modality in 526 patients (55.1%) and thrombaspiration in 429 (44.9%). BGC was used in 516 patients (54.0%; 61.2% of stent retriever thrombectomy patients; 45.2% of thrombaspiration patients). The successful recanalization rate was significantly higher in the BGC group compared with the non-BGC group (86.8% versus 74.7%, respectively; P<0.001). Furthermore, the first-pass recanalization rate was more frequent (37.0% versus 14.1%; P<0.001), and the number of device passes was fewer in the BGC group (2.5±1.9 versus 3.3±2.1; P<0.001). The procedural time was also shorter in the BGC group (54.3±27.4 versus 67.6±38.2; P<0.001). The use of BGC was an independent factor for successful recanalization (odds ratio, 2.18; 95% CI, 1.54-3.10; P<0.001) irrespective of the type of first-line endovascular modality used. The use of BGC was also an independent factor for a favorable outcome (odds ratio, 1.40; 95% CI, 1.02-1.92; P=0.038) irrespective of the type of first-line endovascular modality used. Conclusions- Regardless of the first-line mechanical endovascular modality used, the use of BGC in endovascular treatment was beneficial in terms of both recanalization success and functional outcome.

KW - balloon occlusion

KW - endovascular treatment

KW - stroke

KW - thrombectomy

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