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

Authors
Oh, Jae-SangYoon, Seok-MannShim, Jai-JoonDoh, Jae-WonBae, Hack-GunLee, Kyeong-Seok
Issue Date
Mar-2017
Publisher
대한신경외과학회
Keywords
Balloon guiding catheter; Anterior circulation; Ischemic stroke; Thronnbectonny; ICA occlusion.
Citation
Journal of Korean Neurosurgical Society, v.60, no.2, pp 155 - 164
Pages
10
Journal Title
Journal of Korean Neurosurgical Society
Volume
60
Number
2
Start Page
155
End Page
164
URI
https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/7737
DOI
10.3340/jkns.2016.0809.003
ISSN
2005-3711
1598-7876
Abstract
Objective: To evaluate the efficacy of balloon guiding catheter (BGC) during thronnbectonny in anterior circulation ischennic stroke. Methods : 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. Results: Successful recanalization was more frequent in BGC than in non-BGC (83% vs. 66%, p=013). Distal emboli occurred less in BGC than in non-BGC (231% vs. 57.1%, p=0.02). Good clinical outcome was more frequent in BGC than in non-BGC (50% vs. 16%, p=0.03). The multivariate analysis showed that use of BGC was the only independent predictor of good clinical outcome (odds ratio, 519 95% confidence interval, 1.07-25.11). More patients in BGC were successfully recanalized in internal carotid artery (ICA) occlusion with small retrieval numbers (<3) than those in non-BGC (70% vs. 24%, p=0.005). In successfully recanalized ICA occlusion, distal emboli did not occur in BGC, whereas nine patients had distal emboli in non-BGC (0% vs. 75%, p=0.001) and good clinical outcome was superior in BGC than in non-BGC (55.6% vs. 8.3%, p=0.01). Conclusion : A BGC significantly reduces the number of retrievals and the occurrence of distal emboli, thereby resulting in better clinical outcomes in patients with anterior circulation ischemic stroke, particularly
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