Balloon guide catheter improves revascularization and clinical outcomes with the Solitaire device: analysis of the North American Solitaire Acute Stroke Registry.
Thanh N. Nguyen,T Malisch,Alicia C. Castonguay,Rishi Gupta,Chung Huan J Sun,Coleman O. Martin,William E. Holloway,Nils Mueller-Kronast,Joey English,Italo Linfante,Guilherme Dabus,Franklin A. Marden,Hormozd Bozorgchami,Andrew R. Xavier,Ansaar T Rai,Michael T. Froehler,Aamir Badruddin,M Taqi,Michael G. Abraham,Vallabh Janardhan,Hashem Shaltoni,Roberta Novakovic,Albert J Yoo,Alex Abou-Chebl,Peng R Chen,Gavin W. Britz,Ritesh Kaushal,Ashish Nanda,Mohammad A. Issa,Hesham Masoud,Raul G Nogueira,Alexander Norbash,Osama O. Zaidat +32 more
Reads0
Chats0
TLDR
Use of a BGC with the Solitaire Flow Restoration device resulted in superior revascularization results, faster procedure times, decreased need for adjunctive therapy, and improved clinical outcome.Abstract:
Background and Purpose—Efficient and timely recanalization is an important goal in acute stroke endovascular therapy. Several studies demonstrated improved recanalization and clinical outcomes with the stent retriever devices compared with the Merci device. The goal of this study was to evaluate the role of the balloon guide catheter (BGC) and recanalization success in a substudy of the North American Solitaire Acute Stroke (NASA) registry. Methods—The investigator-initiated NASA registry recruited 24 clinical sites within North America to submit demographic, clinical, site-adjudicated angiographic, and clinical outcome data on consecutive patients treated with the Solitaire Flow Restoration device. BGC use was at the discretion of the treating physicians. Results—There were 354 patients included in the NASA registry. BGC data were reported in 338 of 354 patients in this subanalysis, of which 149 (44%) had placement of a BGC. Mean age was 67.3±15.2 years, and median National Institutes of Health Stroke Sc...read more
Citations
More filters
Journal ArticleDOI
2015 American Heart Association/American Stroke Association Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association.
William J. Powers,Colin P. Derdeyn,José Biller,Christopher S. Coffey,Brian L. Hoh,Edward C. Jauch,Karen C. Johnston,S. Claiborne Johnston,Alexander A. Khalessi,Chelsea S. Kidwell,James F. Meschia,Bruce Ovbiagele,Dileep R. Yavagal +12 more
TL;DR: In this article, a focused update of the current recommendations for the endovascular treatment of acute ischemic stroke is provided, where the recommendations made here supersede those of previous guidelines when there is overlap.
Journal ArticleDOI
ADAPT FAST study: a direct aspiration first pass technique for acute stroke thrombectomy
Aquilla S Turk,Don Frei,David Fiorella,J Mocco,Blaise Baxter,Adnan H. Siddiqui,Alex Spiotta,Maxim Mokin,Michael C. Dewan,Steve Quarfordt,Holly Battenhouse,Raymond D Turner,Imran Chaudry +12 more
TL;DR: The ADAPT technique is a fast, safe, simple, and effective method that has facilitated the approach to acute ischemic stroke thrombectomy by utilizing the latest generation of large bore aspiration catheters to achieve previously unparalleled angiographic outcomes.
Journal ArticleDOI
First Pass Effect: A New Measure for Stroke Thrombectomy Devices.
Osama O. Zaidat,Alicia C. Castonguay,Italo Linfante,Rishi Gupta,C Martin,William E. Holloway,Nils Mueller-Kronast,Joey English,Guilherme Dabus,Tim W. Malisch,Franklin A. Marden,Hormozd Bozorgchami,Andrew R. Xavier,Ansaar T Rai,Michael T. Froehler,Aamir Badruddin,Thanh N. Nguyen,M. Asif Taqi,Michael G. Abraham,Albert J. Yoo,Vallabh Janardhan,Hashem Shaltoni,Roberta Novakovic,Alex Abou-Chebl,Peng R. Chen,Gavin W. Britz,Chung Huan J Sun,Vibhav Bansal,Ritesh Kaushal,Ashish Nanda,Raul G. Nogueira +30 more
TL;DR: The achievement of complete revascularization from a single Solitaire thrombectomy device pass (FPE) is associated with significantly higher rates of good clinical outcome and the FPE is more frequently associated with the use of balloon guide catheters and less likely to be achieved with internal carotid artery terminus occlusion.
Journal ArticleDOI
European Stroke Organisation (ESO) – European Society for Minimally Invasive Neurological Therapy (ESMINT) Guidelines on Mechanical Thrombectomy in Acute Ischaemic StrokeEndorsed by Stroke Alliance for Europe (SAFE):
Guillaume Turc,Pervinder Bhogal,Urs Fischer,Pooja Khatri,Kyriakos Lobotesis,Mikael Mazighi,Peter D. Schellinger,Danilo Toni,Joost de Vries,Philip White,Jens Fiehler +10 more
TL;DR: High quality evidence to recommend MT plus best medical management (BMM, including intravenous thrombolysis whenever indicated) to improve functional outcome in patients with LVO-related acute ischaemic stroke within 6 hours after symptom onset is found.
Journal ArticleDOI
European Stroke Organisation (ESO)- European Society for Minimally Invasive Neurological Therapy (ESMINT) guidelines on mechanical thrombectomy in acute ischemic stroke
Guillaume Turc,Pervinder Bhogal,Urs Fischer,Pooja Khatri,Kyriakos Lobotesis,Mikael Mazighi,Peter D. Schellinger,Danilo Toni,Joost de Vries,Philip White,Jens Fiehler +10 more
TL;DR: High quality evidence is found to recommend Mechanical thrombectomy plus best medical management (BMM) to improve functional outcome in patients with LVO related acute ischemic stroke within 6 hours after symptom onset.
References
More filters
Journal ArticleDOI
Endovascular Therapy after Intravenous t-PA versus t-PA Alone for Stroke
Joseph P. Broderick,Yuko Y. Palesch,Andrew M. Demchuk,Sharon D. Yeatts,Pooja Khatri,Michael D. Hill,Edward C. Jauch,Tudor G Jovin,Bernard Yan,Frank L. Silver,Ruediger von Kummer,Carlos A. Molina,Bart M. Demaerschalk,Ronald F. Budzik,Wayne M. Clark,Osama O. Zaidat,Tim W. Malisch,Mayank Goyal,Wouter J. Schonewille,Mikael Mazighi,Stefan T. Engelter,Craig S. Anderson,Judith Spilker,Janice Carrozzella,Karla J Ryckborst,L. Scott Janis,Renee H Martin,Lydia D. Foster,Thomas A. Tomsick +28 more
TL;DR: The trial showed similar safety outcomes and no significant difference in functional independence with endovascular therapy after intravenous t-PA, as compared with intravenoust-PA alone.
Journal ArticleDOI
A Trial of Imaging Selection and Endovascular Treatment for Ischemic Stroke
Chelsea S. Kidwell,Reza Jahan,Jeffrey Gornbein,Jeffry R. Alger,Val Nenov,Zahra Ajani,Lei Feng,Brett C. Meyer,Scott E Olson,Scott E Olson,Lee H. Schwamm,Albert J Yoo,Randolph S. Marshall,Philip M. Meyers,Dileep R. Yavagal,Max Wintermark,Judy Guzy,Sidney Starkman,Jeffrey L. Saver +18 more
TL;DR: A favorable penumbral pattern on neuroimaging did not identify patients who would differentially benefit from endovascular therapy for acute ischemic stroke, nor was embolectomy shown to be superior to standard care.
Journal ArticleDOI
Endovascular Treatment for Acute Ischemic Stroke
Alfonso Ciccone,Luca Valvassori,Michele Nichelatti,Annalisa Sgoifo,Michela Ponzio,Roberto Sterzi,Edoardo Boccardi +6 more
TL;DR: The results of this trial in patients with acute ischemic stroke indicate that endovascular therapy is not superior to standard treatment with intravenous t-PA.
Journal ArticleDOI
Solitaire flow restoration device versus the Merci Retriever in patients with acute ischaemic stroke (SWIFT): a randomised, parallel-group, non-inferiority trial
Jeffrey L. Saver,Reza Jahan,Elad I. Levy,Tudor G Jovin,Blaise Baxter,Raul G Nogueira,Wayne M. Clark,Ronald F. Budzik,Osama O. Zaidat +8 more
TL;DR: The Solitaire Flow Restoration Device achieved substantially better angiographic, safety, and clinical outcomes than did the Merci Retrieval System and might be a future treatment of choice for endovascular recanalisation in acute ischaemic stroke.
Journal ArticleDOI
Trevo versus Merci retrievers for thrombectomy revascularisation of large vessel occlusions in acute ischaemic stroke (TREVO 2): a randomised trial
Raul G. Nogueira,Helmi L. Lutsep,Rishi Gupta,Tudor G Jovin,Gregory W. Albers,Gary Walker,David S Liebeskind,Wade S. Smith +7 more
TL;DR: Patients who have had large vessel occlusion strokes but are ineligible for (or refractory to) intravenous tissue plasminogen activator should be treated with the Trevo Retriever in preference to the Merci retriever.
Related Papers (5)
Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke
Jeffrey L. Saver,Mayank Goyal,Alain Bonafe,Hans-Christoph Diener,Elad I. Levy,Vitor Mendes Pereira,Gregory W. Albers,Christophe Cognard,David J. Cohen,Werner Hacke,Olav Jansen,Tudor G Jovin,Heinrich Mattle,Raul G Nogueira,Adnan H. Siddiqui,Dileep R. Yavagal,Blaise Baxter,Thomas Devlin,Demetrius K. Lopes,Vivek Y. Reddy,Richard du Mesnil de Rochemont,Oliver C. Singer,Reza Jahan +22 more
Thrombectomy within 8 hours after symptom onset in ischemic stroke
A. Chamorro,Erik Cobo,Alex Rovira,L. San Román,Joaquín Serena,Sònia Abilleira,Marc Ribo,Mónica Millán,Xabier Urra,Pedro Cardona,E. López-Cancio,Alejandro Tomasello,Carlos Castaño,Jordi Blasco,Lucia Aja,Laura Dorado,Helena Quesada,Marta Rubiera,María Hernández-Pérez,Mayank Goyal,R. von Kummer,Antonio Dávalos +21 more