Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Sep 28:2022:4278048.
doi: 10.1155/2022/4278048. eCollection 2022.

Efficacy of Balloon Guide Catheter-Assisted Thrombus Repair in Stroke Treatment: A Retrospective Survey in China

Qiang Li  1 , Tengfei Zhou  1 , Yingkun He  1 , Min Guan  1 , Zhaoshuo Li  1 , Liheng Wu  1 , Changming Wen  2 , Haibo Wang  3 , Guang Feng  1 , Ziliang Wang  1 , Liangfu Zhu  1 , Tianxiao Li  1
Affiliations

Efficacy of Balloon Guide Catheter-Assisted Thrombus Repair in Stroke Treatment: A Retrospective Survey in China

Qiang Li et al. Biomed Res Int. .

Retraction in

Abstract

Background: The first-pass (FP) effect, defined by successful cerebral reperfusion from a single pass of an endovascular stentriever, was associated with shorter procedural times and possible improved outcomes in patients with ischemic stroke secondary to large vessel occlusion. The adjunctive use of balloon guide catheter (BGC) may increase the rates of the first-pass effect. In this retrospective study we examined the impact of BGC on the first-pass effect in acute stroke patients.

Methods: We included patients with acute ischemic stroke with large vessel occlusion treated by endovascular thrombectomy from 2018 to 2019. We categorized the cases into BGC and non-BGC groups. Differences in time metrics and outcomes were compared.

Result: One hundred and thirty-two patients were included, and sixty-two were in BGC group (47.0%). The median procedural time was shorter (83.0 minutes vs 120.0 minutes, P = 0.000), and FP rate was higher in BGC group (58.1% vs 32.9%, P = 0.004) compared with non-BGC group. Proportion of modified Thrombolysis in Cerebral Infarction (mMTICI) 3 was higher (66.1% vs 37.1%, P = 0.001), and modified Rankin Scale (mRS) 0 to 2 was higher (59.7% vs 41.4%, P = 0.036) in BGC group compared with non-BGC group. In addition, BGC was associated with successful reperfusion odds ratio, 0.383; 95% confidence interval: 0.174-0.847; P = 0.018). The FP rate of BGC in the distal ICA was higher than that in the proximal ICA (87.5% vs 39.5%, P = 0.000), and the good clinical outcome rate at 90 days in the distal ICA was also higher than that in the proximal ICA (91.7% vs 39.5%, P = 0.000).

Conclusion: We showed that BGC shortened the procedural time and increased the rate of the successful FP. We recommend that BGC could be considered the preferred technique for endovascular intervention in stroke.

PubMed Disclaimer

Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1
Figure 1
Digital subtraction angiography (DSA) of a 67-year-old woman with middle cerebral artery M1 segment occlusion undergoing endovascular therapy using a balloon guide catheter (BGC). (a) Left middle cerebral artery occlusion on DSA. (b) BGC balloon being inflated to control the blood flow temporarily. (c) The stentriever of Trevo is released at the occluded segment, and Navien is placed at the proximal of the occluded segment. (d) Modified Thrombolysis in Cerebral Infarction (mMTICI) 3 after withdrawing the stentriever.
Figure 2
Figure 2
Digital subtraction angiography (DSA) of a 70-year-old man with middle cerebral artery M1 segment occlusion illustrates endovascular therapy using the MPA1 Guiding Catheter. (a) Right middle cerebral artery occlusion on DSA. (b) Angiograms of the distal vessel of occlusion segment. (c) The stentriever is released at the occluded segment, and Navien is placed at the proximal of the occluded segment. (d) Modified Thrombolysis in Cerebral Infarction (mMTICI) 3 after withdrawing the stentriever.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Wu S., Wu B., Liu M., et al. Stroke in China: advances and challenges in epidemiology, prevention, and management. The Lancet Neurology . 2019;18(4):394–405. doi: 10.1016/S1474-4422(18)30500-3. - DOI - PubMed
    1. Herpich F., Rincon F. Management of acute Ischemic stroke. Critical Care Medicine . 2020;48(11):1654–1663. doi: 10.1097/CCM.0000000000004597. - DOI - PMC - PubMed
    1. Berkhemer O. A., Fransen P. S., Beumer D., et al. A randomized trial of intraarterial treatment for acute ischemic stroke. The New England Journal of Medicine . 2015;372(1):11–20. doi: 10.1056/NEJMoa1411587. - DOI - PubMed
    1. Campbell B. C., Mitchell P. J., Kleinig T. J., et al. Endovascular therapy for ischemic stroke with perfusion-imaging selection. The New England Journal of Medicine . 2015;372(11):1009–1018. doi: 10.1056/NEJMoa1414792. - DOI - PubMed
    1. Goyal M., Demchuk A. M., Menon B. K., et al. Randomized assessment of rapid endovascular treatment of ischemic stroke. The New England Journal of Medicine . 2015;372(11):1019–1030. doi: 10.1056/NEJMoa1414905. - DOI - PubMed

Publication types