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Article

Combined Aspiration and Stent Retriever Thrombectomy for Distal Carotid Artery Occlusion Using Balloon Guide versus Non-Balloon Guide Catheter

1
Radiology Clinic Antalya, Antalya Training and Research Hospital, University of Health Sciences, Antalya 07100, Turkey
2
Radiology Clinic, Istanbul Sisli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, Istanbul 34098, Turkey
3
Neurology Clinic Istanbul, Istanbul Sisli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, Istanbul 34098, Turkey
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(7), 1978; https://doi.org/10.3390/jcm13071978
Submission received: 3 March 2024 / Revised: 17 March 2024 / Accepted: 28 March 2024 / Published: 29 March 2024
(This article belongs to the Special Issue State of the Art in Invasive Vascular Interventions)

Abstract

Background: The introduction of endovascular thrombectomy dramatically changed acute stroke management and became the standard treatment. Balloon guide catheters provide flow arrest during the clot retrieval process and have several advantages.This study aimed to compare balloon guide catheters (BGCs) versus non-balloon guide catheters (NBGCs) as a part of a combined treatment modality in patients presenting with acute ischemic stroke. Methods: This retrospective study included n = 65 patients who underwent a combined endovascular stroke treatment for distal internal carotid artery (ICA) occlusion. Patients underwent aspiration and stent retriever thrombectomy with the use of BGCs (Group 1, n = 27) or NBGCs (Group 2, n = 38). Results: The groups were compared for outcomes: the National Institutes of Health Stroke Scale (NIHSSS) score change, successful recanalization, good functional outcome at three months, and in-hospital mortality. Conclusion: The two groups didn’t differ in terms of the NIHSS score change compared to baseline (p > 0.05). Moreover, there were no significant differences between the two groups in terms of the successful recanalization rate, three-month favorable functional outcome rate, and in-hospital mortality (p = 0.292, p = 0.952, p = 0.178), respectively. Further prospective studies with a larger number of patients and better methodology are warranted.
Keywords: acute ischemic stroke treatment; thrombectomy; balloon guide catheter; non-balloon guide catheter; combined treatment acute ischemic stroke treatment; thrombectomy; balloon guide catheter; non-balloon guide catheter; combined treatment

Share and Cite

MDPI and ACS Style

Uysal, E.; von Bodelschwingh, B.; Tabakci, O.N.; Basarir, C.I.; Bulut, S. Combined Aspiration and Stent Retriever Thrombectomy for Distal Carotid Artery Occlusion Using Balloon Guide versus Non-Balloon Guide Catheter. J. Clin. Med. 2024, 13, 1978. https://doi.org/10.3390/jcm13071978

AMA Style

Uysal E, von Bodelschwingh B, Tabakci ON, Basarir CI, Bulut S. Combined Aspiration and Stent Retriever Thrombectomy for Distal Carotid Artery Occlusion Using Balloon Guide versus Non-Balloon Guide Catheter. Journal of Clinical Medicine. 2024; 13(7):1978. https://doi.org/10.3390/jcm13071978

Chicago/Turabian Style

Uysal, Ender, Bade von Bodelschwingh, Omer Naci Tabakci, Celal Ilker Basarir, and Serpil Bulut. 2024. "Combined Aspiration and Stent Retriever Thrombectomy for Distal Carotid Artery Occlusion Using Balloon Guide versus Non-Balloon Guide Catheter" Journal of Clinical Medicine 13, no. 7: 1978. https://doi.org/10.3390/jcm13071978

APA Style

Uysal, E., von Bodelschwingh, B., Tabakci, O. N., Basarir, C. I., & Bulut, S. (2024). Combined Aspiration and Stent Retriever Thrombectomy for Distal Carotid Artery Occlusion Using Balloon Guide versus Non-Balloon Guide Catheter. Journal of Clinical Medicine, 13(7), 1978. https://doi.org/10.3390/jcm13071978

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