Comparison of balloon guide catheter versus non-balloon guide catheter for mechanical thrombectomy in patients with distal medium vessel occlusion.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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Orscelik Atakan, Kallmes David F, Bilgin Cem, Musmar Basel, Senol Yigit Can, Kobeissi Hassan, Elawady Sameh Samir, Cunningham Conor, Matsukawa Hidetoshi, Zandpazandi Sara, Sowlat Mohammad-Mahdi, Maier Ilko, Al Kasab Sami, Jabbour Pascal, Kim Joon-Tae, Wolfe Stacey Q, Rai Ansaar, Starke Robert M, Psychogios Marios-Nikos, Samaniego Edgar A, Arthur Adam S, Yoshimura Shinichi, Cuellar Hugo, Howard Brian M, Alawieh Ali, Romano Daniele G, Tanweer Omar, Mascitelli Justin, Fragata Isabel, Polifka Adam J, Osbun Joshua W, Crosa Roberto Javier, Matouk Charles, Park Min S, Levitt Michael R, Moss Mark, Dumont Travis M, Williamson Richard, Navia Pedro, Kan Peter, De Leacy Reade, Chowdhry Shakeel A, Ezzeldin Mohamad, Spiotta Alejandro M, Brinjikji Waleed, STAR Collaborators
Аннотация
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.