Addition of intracranial aspiration to balloon guide catheter does not improve outcomes in large vessel occlusion anterior circulation stent retriever based thrombectomy for acute stroke
| Autor: | Jordi, Blasco, Josep, Puig, Antonio, López-Rueda, Pepus, Daunis-I-Estadella, Laura, Llull, Federico, Zarco, Napoleon, Macias, Juan, Macho, Eva, González, Ion, Labayen, Pedro, Vega, Eduardo, Murias, Elvira, Jimenez-Gomez, Isabel, Bravo Rey, Manuel, Moreu, Carlos, Pérez-García, Oscar, Chirife Chaparro, Sonia, Aixut, Mikel, Terceño, Mariano, Werner, José Manuel, Pumar, Yeray, Aguilar Tejedor, Jose Carlos, Mendez, Sarai, Moliner, Raul G, Nogueira, Luis, San Roman, J C, Rayon |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Catheters medicine.medical_treatment Revascularization Brain Ischemia Modified Rankin Scale Internal medicine Medicine Humans Stroke Stent retriever Aged Retrospective Studies Thrombectomy business.industry Cerebral infarction Endovascular Procedures Stent General Medicine Thrombolysis Cerebral Infarction medicine.disease stroke Catheter Treatment Outcome thrombectomy Cardiology stent Surgery Stents Neurology (clinical) business |
| Zdroj: | Journal of NeuroInterventional Surgery r-IGTP. Repositorio Institucional de Producción Científica del Instituto de Investigación Germans Trias i Pujol instname |
| ISSN: | 1759-8486 |
| Popis: | BackgroundBalloon guide catheter (BGC) in stent retriever based thrombectomy (BGC+SR) for patients with large vessel occlusion strokes (LVOS) improves outcomes. It is conceivable that the addition of a large bore distal access catheter (DAC) to BGC+SR leads to higher efficacy. We aimed to investigate whether the combined BGC+DAC+SR approach improves angiographic and clinical outcomes compared with BGC+SR alone for thrombectomy in anterior circulation LVOS.MethodsConsecutive patients with anterior circulation LVOS from June 2019 to November 2020 were recruited from the ROSSETTI registry. Demographic, clinical, angiographic, and outcome data were compared between patients treated with BGC+SR alone versus BGC+DAC+SR. The primary outcome was first pass effect (FPE) rate, defined as near complete/complete revascularization (modified Thrombolysis in Cerebral Infarction (mTICI) 2c–3) after single device pass.ResultsWe included 401 patients (BGC+SR alone, 273 (66.6%) patients). Patients treated with BGC+SR alone were older (median age 79 (IQR 68–85) vs 73.5 (65–82) years; p=0.033) and had shorter procedural times (puncture to revascularization 24 (14–46) vs 37 (24.5–63.5) min, pConclusionsOur data showed that addition of distal intracranial aspiration catheters to BGC+SR based thrombectomy in patients with acute anterior circulation LVO did not provide higher rates of FPE or improved clinical outcomes. |
| Databáze: | OpenAIRE |
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