Application of balloon guide catheter in emergency endovascular thrombectomy for large vessel occlusion

doi:10.3969/j.issn.1672-6731.2024.11.002

Abstract

Abstract:

Endovascular thrombectomy is a first-line treatment option for acute large vessel occlusive ischemic stroke after strict selection, which is an effective method to improve the good prognosis rate of patients. More and more evidence-based medicine proves that balloon guide catheter (BGC) can shorten the reperfusion time, increase the rate of initial reperfusion, and reduce the risk of distal embolism due to it′s proximal blood flow occlusion, but the application of BGC in emergency endovascular thrombectomy is still limited. This review summarizes the clinical application progress of BGC to provide theoretical basis for it′s application in emergency endovascular thrombectomy.

Key words: Ischemic stroke, Thrombectomy, Balloon guide catheter(not in MeSH), Review This

摘要：

血管内机械取栓术是经严格筛选的急性大血管闭塞一线治疗方案，是提高预后良好率的有效方法。越来越多的循证医学证据证明，球囊导引导管因其近端血流阻断作用，可以缩短血管再通时间，增加首次再通率，减少远端血栓逃逸风险，但目前球囊导引导管在急诊机械取栓术中应用仍受限。本文综述球囊导引导管的临床应用进展，以为其在急诊机械取栓术中的应用提供理论依据。

关键词: 缺血性卒中, 血栓切除术, 球囊导引导管(非MeSH词), 综述

Lei-lei LUO, Jian-bin ZHAO, Ming WEI. Application of balloon guide catheter in emergency endovascular thrombectomy for large vessel occlusion[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2024, 24(11): 869-874.

罗雷雷, 赵建斌, 魏铭. 球囊导引导管在大血管闭塞急诊血管内机械取栓术中的应用[J]. 中国现代神经疾病杂志, 2024, 24(11): 869-874.

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References 30

1	Writing Committee for the TESLA Investigators , Yoo AJ , Zaidat OO , Sheth SA , Rai AT , Ortega-Gutierrez S , Given CA 2nd , Zaidi SF , Grandhi R , Cuellar H , Mokin M , Katz JM , Alshekhlee A , Taqi MA , Ansari SA , Siddiqui AH , Barazangi N , English JD , Maud A , Kirmani J , Gupta R , Yavagal DR , Tarpley J , Pandya DJ , Cress MC , Dharmadhikari S , Asif KS , Kass-Hout T , Puri AS , Janjua N , Majjhoo AQ , Badruddin A , Edgell RC , Khatri R , Morgan L , Razak A , Zha A , Khandelwal P , Mueller-Kronast N , Rivet DJ , Wolfe T , Snelling B , Sultan-Qurraie A , Lin SP , Khangura R , Spiotta AM , Bhuva P , Salazar-Marioni S , Lin E , Tarabishy AR , Samaniego EA , Kolikonda MK , Jumaa MA , Reddy VK , Sharma P , Berkhemer OA , van Doormaal PJ , van Es ACGM , van Zwam WH , Emmer BJ , Beenen LF , Majoie CBLM , Buderer N , Detry MA , Bosse A , Graves TL , Saunders C , Elijovich L , Jadhav A , Patterson M , Slight H , Below K , Al Kasab S , TESLA Investigators . Thrombectomy for stroke with large infarct on noncontrast CT: the TESLA randomized clinical trial. JAMA, 2024, 332: 1355- 1366. doi: 10.1001/jama.2024.13933
2	Tao C , Nogueira RG , Zhu Y , Sun J , Han H , Yuan G , Wen C , Zhou P , Chen W , Zeng G , Li Y , Ma Z , Yu C , Su J , Zhou Z , Chen Z , Liao G , Sun Y , Ren Y , Zhang H , Chen J , Yue X , Xiao G , Wang L , Liu R , Liu W , Liu Y , Wang L , Zhang C , Liu T , Song J , Li R , Xu P , Yin Y , Wang G , Baxter B , Qureshi AI , Liu X , Hu W , ATTENTION Investigators . Trial of endovascular treatment of acute basilar-artery occlusion. N Engl J Med, 2022, 387: 1361- 1372. doi: 10.1056/NEJMoa2206317
3	Liu J, Zhou Y, Zhang L, Li Z, Chen W, Zhu Y, Yao X, Zhang L, Liu S, Peng Y, Wei M, Zhang Q, Shu H, Wang S, Liu W, Wan S, Li T, Fang Y, Han H, Zhang G, Huang L, Wang F, Cheng G, Gao L, Shi H, Han J, Luo Y, Li S, Cai C, Yin R, Jin Z, Shao C, Tian B, Zhang Y, Li Q, Zhang Y, Zhang P, Li B, Xing P, Shen H, Zhu X, Zhang X, Hua W, Shen F, Huyan M, Chen R, Zuo Q, Li Q, Huang Q, Xu Y, Deng B, Zhao R, Goyal M, Zhang Y, Yang P; PROTECT-MT Investigators. Balloon guide catheters for endovascular thrombectomy in patients with acute ischaemic stroke due to large-vessel occlusion in China (PROTECT-MT): a multicentre, open-label, blinded-endpoint, randomised controlled trial[J]. Lancet, 2024. [Epub ahead of print]
4	Huo X , Ma G , Tong X , Zhang X , Pan Y , Nguyen TN , Yuan G , Han H , Chen W , Wei M , Zhang J , Zhou Z , Yao X , Wang G , Song W , Cai X , Nan G , Li D , Wang AY , Ling W , Cai C , Wen C , Wang E , Zhang L , Jiang C , Liu Y , Liao G , Chen X , Li T , Liu S , Li J , Gao F , Ma N , Mo D , Song L , Sun X , Li X , Deng Y , Luo G , Lv M , He H , Liu A , Zhang J , Mu S , Liu L , Jing J , Nie X , Ding Z , Du W , Zhao X , Yang P , Liu L , Wang Y , Liebeskind DS , Pereira VM , Ren Z , Wang Y , Miao Z , ANGEL-ASPECT Investigators . Trial of endovascular therapy for acute ischemic stroke with large infarct. N Engl J Med, 2023, 388: 1272- 1283. doi: 10.1056/NEJMoa2213379
5	Jovin TG , Li C , Wu L , Wu C , Chen J , Jiang C , Shi Z , Gao Z , Song C , Chen W , Peng Y , Yao C , Wei M , Li T , Wei L , Xiao G , Yang H , Ren M , Duan J , Liu X , Yang Q , Liu Y , Zhu Q , Shi W , Zhu Q , Li X , Guo Z , Yang Q , Hou C , Zhao W , Ma Q , Zhang Y , Jiao L , Zhang H , Liebeskind DS , Liang H , Jadhav AP , Wen C , Brown S , Zhu L , Ye H , Ribo M , Chang M , Song H , Chen J , Ji X , BAOCHE Investigators . Trial of thrombectomy 6 to 24 hours after stroke due to basilar-artery occlusion. N Engl J Med, 2022, 387: 1373- 1384. doi: 10.1056/NEJMoa2207576
6	LeCouffe NE , Kappelhof M , Treurniet KM , Rinkel LA , Bruggeman AE , Berkhemer OA , Wolff L , van Voorst H , Tolhuisen ML , Dippel DWJ , van der Lugt A , van Es ACGM , Boiten J , Lycklama À , Nijeholt GJ , Keizer K , Gons RAR , Yo LSF , van Oostenbrugge RJ , van Zwam WH , Roozenbeek B , van der Worp HB , Lo RTH , van den Wijngaard IR , de Ridder IR , Costalat V , Arquizan C , Lemmens R , Demeestere J , Hofmeijer J , Martens JM , Schonewille WJ , Vos JA , Uyttenboogaart M , Bokkers RPH , van Tuijl JH , Kortman H , Schreuder FHBM , Boogaarts HD , de Laat KF , van Dijk LC , den Hertog HM , van Hasselt BAAM , Brouwers PJAM , Bulut T , Remmers MJM , van Norden A , Imani F , Rozeman AD , Elgersma OEH , Desfontaines P , Brisbois D , Samson Y , Clarençon F , Krietemeijer GM , Postma AA , van Doormaal PJ , van den Berg R , van der Hoorn A , Beenen LFM , Nieboer D , Lingsma HF , Emmer BJ , Coutinho JM , Majoie CBLM , Roos YBWEM , MR CLEAN-NO Ⅳ Investigators . A randomized trial of intravenous alteplase before endovascular treatment for stroke. N Engl J Med, 2021, 385: 1833- 1844. doi: 10.1056/NEJMoa2107727
7	Goyal M , Kappelhof M , Ospel JM , Bala F . Balloon guide catheters: use, reject, or randomize. Neuroradiology, 2021, 63: 1179- 1183. doi: 10.1007/s00234-021-02739-2
8	Blasco J , Puig J , Daunis-I-Estadella P , González E , Fondevila Monso JJ , Manso X , Oteros R , Jimenez-Gomez E , Bravo Rey I , Vega P , Murias E , Jimenez JM , López-Rueda A , Renú A , Aixut S , Chirife Chaparro O , Rosati S , Moreu M , Remollo S , Aguilar Tejedor Y , Terceño M , Mosqueira A , Nogueira RG , San Roman L . Balloon guide catheter improvements in thrombectomy outcomes persist despite advances in intracranial aspiration technology. J Neurointerv Surg, 2021, 13: 773- 778. doi: 10.1136/neurintsurg-2020-017027
9	Ohki T , Parodi J , Veith FJ , Bates M , Bade M , Chang D , Mehta M , Rabin J , Goldstein K , Harvey J , Lipsitz E . Efficacy of a proximal occlusion catheter with reversal of flow in the prevention of embolic events during carotid artery stenting: an experimental analysis. J Vasc Surg, 2001, 33: 504- 509. doi: 10.1067/mva.2001.112278
10	Coppi G , Moratto R , Silingardi R , Rubino P , Sarropago G , Salemme L , Cremonesi A , Castriota F , Manetti R , Sacca S , Reimers B . PRIAMUS. Proximal flow blockage cerebral protectIon during cArotid stenting: Results from a Multicenter Italian regiStry. J Cardiovasc Surg (Torino), 2005, 46: 219- 227.
11	Mehta T , Male S , Quinn C , Kallmes DF , Siddiqui AH , Turk A , Grande AW , Tummala RP , Jagadeesan BD . Institutional and provider variations for mechanical thrombectomy in the treatment of acute ischemic stroke: a survey analysis. J Neurointerv Surg, 2019, 11: 884- 890. doi: 10.1136/neurintsurg-2018-014614
12	Nogueira RG , Haussen DC , Castonguay A , Rebello LC , Abraham M , Puri A , Alshekhlee A , Majjhoo A , Farid H , Finch I , English J , Mokin M , Froehler MT , Kabbani M , Taqi MA , Vora N , Khoury RE , Edgell RC , Novakovic R , Nguyen T , Janardhan V , Veznedaroglu E , Prabhakaran S , Budzik R , Frankel MR , Nordhaus BL , Zaidat OO . Site experience and outcomes in the Trevo Acute Ischemic Stroke (TRACK) multicenter registry. Stroke, 2019, 50: 2455- 2460. doi: 10.1161/STROKEAHA.118.024639
13	Kang BM , Yi HJ , Shin DS , Kim BT . Effect of early balloon inflation of balloon guide catheter in mechanical thrombectomy for large vessel occlusion. Curr Neurovasc Res, 2023, 20: 124- 131. doi: 10.2174/1567202620666230404125627
14	Yoo AJ , Andersson T . Thrombectomy in acute ischemic stroke: challenges to procedural success. J Stroke, 2017, 19: 121- 130. doi: 10.5853/jos.2017.00752
15	Chueh JY , Kang DH , Kim BM , Gounis MJ . Role of balloon guide catheter in modern endovascular thrombectomy. J Korean Neurosurg Soc, 2020, 63: 14- 25. doi: 10.3340/jkns.2019.0114
16	Ospel JM , Volny O , Jayaraman M , McTaggart R , Goyal M . Optimizing fast first pass complete reperfusion in acute ischemic stroke: the BADDASS approach (BAlloon guiDe with large bore Distal Access catheter with dual aspiration with Stent-retriever as Standard approach). Expert Rev Med Devices, 2019, 16: 955- 963. doi: 10.1080/17434440.2019.1684263
17	Lee SH , Lee DG , Kwon SU , Lee DH . Relay-balloon technique for recanalization of acute symptomatic proximal internal carotid artery occlusion with short balloon-tipped guiding catheter landing zone. J Neurointerv Surg, 2018, 10: 39- 43. doi: 10.1136/neurintsurg-2016-012900
18	Zaidat OO , Mueller-Kronast NH , Hassan AE , Haussen DC , Jadhav AP , Froehler MT , Jahan R , Ali Aziz-Sultan M , Klucznik RP , Saver JL , Hellinger FR Jr , Yavagal DR , Yao TL , Gupta R , Martin CO , Bozorgchami H , Kaushal R , Nogueira RG , Gandhi RH , Peterson EC , Dashti S , Given CA 2nd , Mehta BP , Deshmukh V , Starkman S , Linfante I , McPherson SH , Kvamme P , Grobelny TJ , Hussain MS , Thacker I , Vora N , Chen PR , Monteith SJ , Ecker RD , Schirmer CM , Sauvageau E , Chebl AB , Derdeyn CP , Maidan L , Badruddin A , Siddiqui AH , Dumont TM , Alhajeri A , Taqi MA , Asi K , Carpenter J , Boulos A , Jindal G , Puri AS , Chitale R , Deshaies EM , Robinson D , Kallmes DF , Baxter BW , Jumaa M , Sunenshine P , Majjhoo A , English JD , Suzuki S , Fessler RD , Delgado-Almandoz J , Martin JC , Liebeskind DS , STRATIS Investigators . Impact of balloon guide catheter use on clinical and angiographic outcomes in the STRATIS stroke thrombectomy registry. Stroke, 2019, 50: 697- 704. doi: 10.1161/STROKEAHA.118.021126
19	Matsumoto H , Nishiyama H , Tetsuo Y , Takemoto H , Nakao N . Initial clinical experience using the two-stage aspiration technique (TSAT) with proximal flow arrest by a balloon guiding catheter for acute ischemic stroke of the anterior circulation. J Neurointerv Surg, 2017, 9: 1160- 1165. doi: 10.1136/neurintsurg-2016-012787
20	Zaidat OO , Castonguay AC , Nogueira RG , Haussen DC , English JD , Satti SR , Chen J , Farid H , Borders C , Veznedaroglu E , Binning MJ , Puri A , Vora NA , Budzik RF , Dabus G , Linfante I , Janardhan V , Alshekhlee A , Abraham MG , Edgell R , Taqi MA , Khoury RE , Mokin M , Majjhoo AQ , Kabbani MR , Froehler MT , Finch I , Ansari SA , Novakovic R , Nguyen TN . TREVO stent-retriever mechanical thrombectomy for acute ischemic stroke secondary to large vessel occlusion registry. J Neurointerv Surg, 2018, 10: 516- 524. doi: 10.1136/neurintsurg-2017-013328
21	Zaidat OO , Castonguay AC , Gupta R , Sun CH , Martin C , Holloway WE , Mueller-Kronast N , English JD , Linfante I , Dabus G , Malisch TW , Marden FA , Bozorgchami H , Xavier A , Rai AT , Froehler MT , Badruddin A , Nguyen TN , Taqi MA , Abraham MG , Janardhan V , Shaltoni H , Novakovic R , Yoo AJ , Abou-Chebl A , Chen PR , Britz GW , Kaushal R , Nanda A , Issa MA , Nogueira RG . North American Solitaire Stent Retriever Acute Stroke registry: post-marketing revascularization and clinical outcome results. J Neurointerv Surg, 2014, 6: 584- 588. doi: 10.1136/neurintsurg-2013-010895
22	Brinjikji W , Starke RM , Murad MH , Fiorella D , Pereira VM , Goyal M , Kallmes DF . Impact of balloon guide catheter on technical and clinical outcomes: a systematic review and meta-analysis. J Neurointerv Surg, 2018, 10: 335- 339. doi: 10.1136/neurintsurg-2017-013179
23	Eesa M , Almekhlafi MA , Mitha AP , Wong JH , Goyal M . Manual aspiration thrombectomy through balloon-tipped guide catheter for rapid clot burden reduction in endovascular therapy for ICA L/T occlusion. Neuroradiology, 2012, 54: 1261- 1265. doi: 10.1007/s00234-012-1039-3
24	Velasco A , Buerke B , Stracke CP , Berkemeyer S , Mosimann PJ , Schwindt W , Alcázar P , Cnyrim C , Niederstadt T , Chapot R , Heindel W . Comparison of a balloon guide catheter and a non-balloon guide catheter for mechanical thrombectomy. Radiology, 2016, 280: 169- 176. doi: 10.1148/radiol.2015150575
25	Kammerer S , du Mesnil de Rochemont R , Wagner M , You S-J , Tritt S , Mueller-Eschner M , Keil FC , Lauer A , Berkefeld J . Efficacy of mechanical thrombectomy using stent retriever and balloon-guiding catheter. Cardiovasc Intervent Radiol, 2018, 41: 699- 705. doi: 10.1007/s00270-018-1901-8
26	Lee DH , Sung JH , Kim SU , Yi HJ , Hong JT , Lee SW . Effective use of balloon guide catheters in reducing incidence of mechanical thrombectomy related distal embolization. Acta Neurochir (Wien), 2017, 159: 1671- 1677. doi: 10.1007/s00701-017-3256-3
27	Shah VA , Martin CO , Hawkins AM , Holloway WE , Junna S , Akhtar N . Groin complications in endovascular mechanical thrombectomy for acute ischemic stroke: a 10-year single center experience. J Neurointerv Surg, 2016, 8: 568- 570. doi: 10.1136/neurintsurg-2015-011763
28	Powers WJ , Rabinstein AA , Ackerson T , Adeoye OM , Bambakidis NC , Becker K , Biller J , Brown M , Demaerschalk BM , Hoh B , Jauch EC , Kidwell CS , Leslie-Mazwi TM , Ovbiagele B , Scott PA , Sheth KN , Southerland AM , Summers DV , Tirschwell DL . Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke. A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 2019, 50: e344- e418. doi: 10.1161/STROKEAHA.118.022606
29	Turc G , Bhogal P , Fischer U , Khatri P , Lobotesis K , Mazighi M , Schellinger PD , Toni D , de Vries J , White P , Fiehler J . European Stroke Organisation (ESO): European Society for Minimally Invasive Neurological Therapy (ESMINT) guidelines on mechanical thrombectomy in acute ischemic stroke. J Neurointerv Surg, 2023, 15: e8. doi: 10.1136/neurintsurg-2018-014569
30	Chinese Stroke Association , Neurointervention Branch, Chinese Stroke Association , Interventional Group, Stroke Prevention and Control Committee, Chinese Preventive Medicine Association . Chinese guidelines for endovascular treatment of acute ischemic stroke 2023. Zhongguo Zu Zhong Za Zhi, 2023, 18: 684- 711.
	中国卒中学会, 中国卒中学会神经介入分会, 中华预防医学会卒中预防与控制专业委员会介入学组. 急性缺血性卒中血管内治疗中国指南2023. 中国卒中杂志, 2023, 18: 684- 711.

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