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dc.contributor.authorChueh, Ju-Yu
dc.contributor.authorKang, Dong-Hun
dc.contributor.authorKim, Byung Moon
dc.contributor.authorGounis, Matthew J.
dc.date2022-08-11T08:09:54.000
dc.date.accessioned2022-08-23T16:48:14Z
dc.date.available2022-08-23T16:48:14Z
dc.date.issued2019-10-08
dc.date.submitted2019-11-13
dc.identifier.citation<p>J Korean Neurosurg Soc. 2019 Oct 8. doi: 10.3340/jkns.2019.0114. [Epub ahead of print] <a href="https://doi.org/10.3340/jkns.2019.0114">Link to article on publisher's site</a></p>
dc.identifier.issn1225-8245 (Linking)
dc.identifier.doi10.3340/jkns.2019.0114
dc.identifier.pmid31591997
dc.identifier.urihttp://hdl.handle.net/20.500.14038/41233
dc.description.abstractProximal flow control achieved with a balloon guide catheter (BGC) during endovascular treatment of acute ischemic stroke is reviewed in this article. In clinical practice, BGCs offer a multi-faceted approach for clot retrieval by creating proximal flow arrest, reducing embolic burden, and shortening procedure time. Evaluation of frontline thrombectomy procedures with BGCs revealed advantages of combined use over the conventional guide catheter (CGC), notably in the significant reduction of distal emboli to both the affected and previously unaffected territories. Recently, new measures of early and complete reperfusion at first thrombectomy pass have been identified as independent predictors of improved outcomes, which were consistently demonstrated with use of BGC as a safe and effective option to minimize number of passes during intervention. Prior randomized controlled trials reported the positive correlation between BGC-treated patients and a lower risk of mortality as well as shortened procedure time. While BGC use is more common in stent retriever-mediated mechanical thrombectomy, preliminary data has shown the potential benefit of device application during contact aspiration thrombectomy to achieve successful recanalization. However, the question of which major endovascular strategy reigns superior as a frontline remains to be answered. Along with clinical case assessments, BGC performance during in-vitro simulation was analyzed to further understand mechanisms for optimization of thrombectomy technique.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=31591997&dopt=Abstract">Link to Article in PubMed</a></p>
dc.rightsCopyright © 2019 The Korean Neurosurgical Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectAcute stroke
dc.subjectBalloon occlusion
dc.subjectEndovascular thrombectomy
dc.subjectThrombectomy
dc.subjectAnalytical, Diagnostic and Therapeutic Techniques and Equipment
dc.subjectCardiovascular Diseases
dc.subjectNervous System Diseases
dc.subjectRadiology
dc.titleRole of Balloon Guide Catheter in Modern Endovascular Thrombectomy
dc.typeJournal Article
dc.source.journaltitleJournal of Korean Neurosurgical Society
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=5034&amp;context=oapubs&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/oapubs/4017
dc.identifier.contextkey15769071
refterms.dateFOA2022-08-23T16:48:14Z
html.description.abstract<p>Proximal flow control achieved with a balloon guide catheter (BGC) during endovascular treatment of acute ischemic stroke is reviewed in this article. In clinical practice, BGCs offer a multi-faceted approach for clot retrieval by creating proximal flow arrest, reducing embolic burden, and shortening procedure time. Evaluation of frontline thrombectomy procedures with BGCs revealed advantages of combined use over the conventional guide catheter (CGC), notably in the significant reduction of distal emboli to both the affected and previously unaffected territories. Recently, new measures of early and complete reperfusion at first thrombectomy pass have been identified as independent predictors of improved outcomes, which were consistently demonstrated with use of BGC as a safe and effective option to minimize number of passes during intervention. Prior randomized controlled trials reported the positive correlation between BGC-treated patients and a lower risk of mortality as well as shortened procedure time. While BGC use is more common in stent retriever-mediated mechanical thrombectomy, preliminary data has shown the potential benefit of device application during contact aspiration thrombectomy to achieve successful recanalization. However, the question of which major endovascular strategy reigns superior as a frontline remains to be answered. Along with clinical case assessments, BGC performance during in-vitro simulation was analyzed to further understand mechanisms for optimization of thrombectomy technique.</p>
dc.identifier.submissionpathoapubs/4017
dc.contributor.departmentDepartment of Radiology, New England Center for Stroke Research


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Copyright © 2019 The Korean Neurosurgical Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0)  which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Except where otherwise noted, this item's license is described as Copyright © 2019 The Korean Neurosurgical Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.