LAUSR.org creates dashboard-style pages of related content for over 1.5 million academic articles. Sign Up to like articles & get recommendations!

Effect of Early Balloon Inflation of Balloon Guide Catheter in Mechanical Thrombectomy for Large Vessel Occlusion.

Photo from wikipedia

OBJECTIVE A balloon guide catheter (BGC) is widely used in mechanical thrombectomy (MT). However, the balloon inflation timing of BGC has not been clearly established. We evaluated whether balloon inflation… Click to show full abstract

OBJECTIVE A balloon guide catheter (BGC) is widely used in mechanical thrombectomy (MT). However, the balloon inflation timing of BGC has not been clearly established. We evaluated whether balloon inflation timing of BGC affects the results of MT. METHODS Patients who underwent MT with BGC for anterior circulation occlusion were enrolled. Patients were dichotomized into early and late balloon inflation groups, according to the timing of BGC inflation. Angiographic and clinical outcomes were compared between the two groups. Multivariable analyses were performed to evaluate the predictive factors for first-pass reperfusion (FPR) and successful reperfusion (SR). RESULTS Of 436 patients, the early balloon inflation group showed a shorter procedure time (21 min [11-37] vs. 29 min [14-46], P = 0.014), a higher rate of SR with aspiration only (64.0% vs. 55.4%, P=0.016), a lower aspiration catheter delivery failure rate (11.1% vs. 19.4%, P = 0.005), less frequent technique conversion (36.0% vs. 44.5%, P = 0.009), higher rate of FPR (58.2% vs. 50.2%, P = 0.011), and a lower rate of distal embolization (7.9% vs. 11.7%, P = 0.006), compared to the late balloon inflation group. In multivariate analysis, early balloon inflation was an independent predictor for FPR (odds ratio, OR 1.53, 95% confidence interval, CI 1.37-2.57; P = 0.011) and SR (OR 1.26, 95% CI 1.18-1.64; P = 0.018). CONCLUSION Early balloon inflation of BGC enables an effective procedure than late balloon inflation. Early balloon inflation was associated with higher rates of FPR and SR.

Keywords: catheter; balloon; early balloon; inflation; balloon inflation; balloon guide

Journal Title: Current neurovascular research
Year Published: 2023

Link to full text (if available)


Share on Social Media:                               Sign Up to like & get
recommendations!

Related content

More Information              News              Social Media              Video              Recommended



                Click one of the above tabs to view related content.