Journal of Korean Neurosurgical Society

  • 제63권1호
  • /
  • Pages.14-25
  • /
  • 2020
  • /
  • 2005-3711(pISSN)
  • /
  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지
DOI QR코드

DOI QR Code

Role of Balloon Guide Catheter in Modern Endovascular Thrombectomy

  • Chueh, Ju-Yu (Department of Radiology, New England Center for Stroke Research, University of Massachusetts Medical School) ;
  • Kang, Dong-Hun (Department of Neurosurgery and Radiology, School of Medicine, Kyungpook National University) ;
  • Kim, Byung Moon (Department of Radiology, Severance Stroke Center, Severance Hospital, Yonsei University College of Medicine) ;
  • Gounis, Matthew J. (Department of Radiology, New England Center for Stroke Research, University of Massachusetts Medical School)
  • 투고 : 2019.05.09
  • 심사 : 2019.06.21
  • 발행 : 2020.01.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Ahn JH, Cho SS, Kim SE, Kim HC, Jeon JP. The effects of balloon-guide catheters on outcomes after mechanical thrombectomy in acute ischemic strokes : a meta-analysis. J Korean Neurosurg Soc 62 : 389-397, 2019 https://doi.org/10.3340/jkns.2018.0165
  2. Berkhemer OA, Fransen PS, Beumer D, van den Berg LA, Lingsma HF, Yoo AJ, et al. : A randomized trial of intraarterial treatment for acute ischemic stroke. N Engl J Med 372 : 11-20, 2015 https://doi.org/10.1056/NEJMoa1411587
  3. Brinjikji W, Starke RM, Murad MH, Fiorella D, Pereira VM, Goyal M, et al. : Impact of balloon guide catheter on technical and clinical outcomes: a systematic review and meta-analysis. J Neurointerv Surg 10 : 335-339, 2018 https://doi.org/10.1136/neurintsurg-2017-013179
  4. Campbell BC, Mitchell PJ, Kleinig TJ, Dewey HM, Churilov L, Yassi N, et al. : Endovascular therapy for ischemic stroke with perfusion-imaging selection. N Engl J Med 372 : 1009-1018, 2015 https://doi.org/10.1056/NEJMoa1414792
  5. Chalumeau V, Blanc R, Redjem H, Ciccio G, Smajda S, Desilles JP, et al. : Anterior cerebral artery embolism during thrombectomy increases disability and mortality. J Neurointerv Surg 10 : 1057-1062, 2018 https://doi.org/10.1136/neurintsurg-2018-013793
  6. Chueh JY, Kuhn AL, Puri AS, Wilson SD, Wakhloo AK, Gounis MJ : Reduction in distal emboli with proximal flow control during mechanical thrombectomy: a quantitative in vitro study. Stroke 44 : 1396-1401, 2013 https://doi.org/10.1161/STROKEAHA.111.670463
  7. Chueh JY, Puri AS, Gounis MJ : An in vitro evaluation of distal emboli following lazarus cover-assisted stent retriever thrombectomy. J Neurointerv Surg 9 : 183-187, 2017 https://doi.org/10.1136/neurintsurg-2015-012256
  8. Chueh JY, Puri AS, Wakhloo AK, Gounis MJ : Risk of distal embolization with stent retriever thrombectomy and adapt. J Neurointerv Surg 8 : 197-202, 2016 https://doi.org/10.1136/neurintsurg-2014-011491
  9. Chueh JY, Wakhloo AK, Gounis MJ : Neurovascular modeling: smallbatch manufacturing of silicone vascular replicas. AJNR Am J Neuroradiol 30 : 1159-1164, 2009 https://doi.org/10.3174/ajnr.A1543
  10. Demerath T, Reinhard M, Elsheikh S, Keuler A, Urbach H, Meckel S : Balloon guide catheter in complex anterior circulation mechanical thrombectomy: beyond proximal occlusion and flow reversal. Clin Neuroradiol 26 : 369-373, 2016 https://doi.org/10.1007/s00062-016-0498-z
  11. 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 54 : 1261-1265, 2012 https://doi.org/10.1007/s00234-012-1039-3
  12. Fargen KM, Arthur AS, Spiotta AM, Lena J, Chaudry I, Turner RD, et al. : A survey of neurointerventionalists on thrombectomy practices for emergent large vessel occlusions. J Neurointerv Surg 9 : 142-146, 2017 https://doi.org/10.1136/neurintsurg-2015-012235
  13. Gascou G, Lobotesis K, Machi P, Maldonado I, Vendrell JF, Riquelme C, et al. : Stent retrievers in acute ischemic stroke: complications and failures during the perioperative period. AJNR Am J Neuroradiol 35 : 734-740, 2014 https://doi.org/10.3174/ajnr.A3746
  14. Gilvarry M, Vale D : The role of in-vitro modeling in addressing challenging occlusions. J Neurointerv Surg 8 : A93, 2016
  15. Goto S, Ohshima T, Ishikawa K, Yamamoto T, Shimato S, Nishizawa T, et al. : A stent-retrieving into an aspiration catheter with proximal balloon (asap) technique: a technique of mechanical thrombectomy. World Neurosurg 109 : e468-e475, 2018 https://doi.org/10.1016/j.wneu.2017.10.004
  16. Goyal M, Demchuk AM, Menon BK, Eesa M, Rempel JL, Thornton J, et al. : Randomized assessment of rapid endovascular treatment of ischemic stroke. N Engl J Med 372 : 1019-1030, 2015 https://doi.org/10.1056/NEJMoa1414905
  17. Gralla J, Schroth G, Remonda L, Nedeltchev K, Slotboom J, Brekenfeld C : Mechanical thrombectomy for acute ischemic stroke: thrombus-device interaction, efficiency, and complications in vivo. Stroke 37 : 3019-3024, 2006 https://doi.org/10.1161/01.str.0000248457.55493.85
  18. Haussen DC, Bouslama M, Grossberg JA, Nogueira RG : Remote aspiration thrombectomy in large vessel acute ischemic stroke. J Neurointerv Surg 9 : 250-252, 2017 https://doi.org/10.1136/neurintsurg-2016-012692
  19. Hong KS, Ko SB, Yu KH, Jung C, Park SQ, Kim BM, et al. : Update of the Korean clinical practice guidelines for endovascular recanalization therapy in patients with acute ischemic stroke. J Stroke 18 : 102-113, 2016 https://doi.org/10.5853/jos.2015.01655
  20. Hougaard KD, Hjort N, Zeidler D, Sorensen L, Norgaard A, Hansen TM, et al. : Remote ischemic perconditioning as an adjunct therapy to thrombolysis in patients with acute ischemic stroke: a randomized trial. Stroke 45 : 159-167, 2014 https://doi.org/10.1161/STROKEAHA.113.001346
  21. Humphries W, Hoit D, Doss VT, Elijovich L, Frei D, Loy D, et al. : Distal aspiration with retrievable stent assisted thrombectomy for the treatment of acute ischemic stroke. J Neurointerv Surg 7 : 90-94, 2015 https://doi.org/10.1136/neurintsurg-2013-010986
  22. Jovin TG, Chamorro A, Cobo E, de Miquel MA, Molina CA, Rovira A, et al. : Thrombectomy within 8 hours after symptom onset in ischemic stroke. N Engl J Med 372 : 2296-2306, 2015 https://doi.org/10.1056/NEJMoa1503780
  23. Kammerer S, du Mesnil de Rochemont R, Wagner M, You SJ, Tritt S, Mueller-Eschner M, et al. : Efficacy of mechanical thrombectomy using stent retriever and balloon-guiding catheter. Cardiovasc Intervent Radiol 41 : 699-705, 2018 https://doi.org/10.1007/s00270-018-1901-8
  24. Kang DH, Hwang YH : Frontline contact aspiration treatment for emergent large vessel occlusion: a review focused on practical techniques. J Stroke 21 : 10-22, 2019 https://doi.org/10.5853/jos.2018.03076
  25. Kang DH, Kim BM, Heo JH, Nam HS, Kim YD, Hwang YH, et al. : Effect of balloon guide catheter utilization on contact aspiration thrombectomy. J Neurosurg, 2018 [Epub ahead of print]
  26. Kang DH, Kim JW, Kim BM, Heo JH, Nam HS, Kim YD, et al. : Need for rescue treatment and its implication: stent retriever versus contact aspiration thrombectomy. J Neurointerv Surg, 2019 [Epub ahead of print]
  27. Kang DH, Kim YW, Hwang YH, Park J, Hwang JH, Kim YS : Switching strategy for mechanical thrombectomy of acute large vessel occlusion in the anterior circulation. Stroke 44 : 3577-3579, 2013 https://doi.org/10.1161/STROKEAHA.113.002673
  28. Kang DH, Park J : Endovascular stroke therapy focused on stent retriever thrombectomy and direct clot aspiration: historical review and modern application. J Korean Neurosurg Soc 60 : 335-347, 2017 https://doi.org/10.3340/jkns.2016.0809.005
  29. Kim BM : Causes and solutions of endovascular treatment failure. J Stroke 19 : 131-142, 2017 https://doi.org/10.5853/jos.2017.00283
  30. Kim YW, Kang DH, Hwang YH, Park J, Kim YS : Efficacy of proximal aspiration thrombectomy for using balloon-tipped guide catheter in acute intracranial internal carotid artery occlusion. J Korean Neurosurg Soc 59 : 379-384, 2016 https://doi.org/10.3340/jkns.2016.59.4.379
  31. Knox K, Kerber CW, Singel SA, Bailey MJ, Imbesi SG : Rapid prototyping to create vascular replicas from ct scan data: making tools to teach, rehearse, and choose treatment strategies. Catheter Cardiovasc Interv 65 : 47-53, 2005 https://doi.org/10.1002/ccd.20333
  32. Lapergue B, Blanc R, Gory B, Labreuche J, Duhamel A, Marnat G, et al. : Effect of endovascular contact aspiration vs stent retriever on revascularization in patients with acute ischemic stroke and large vessel occlusion: the ASTER randomized clinical trial. JAMA 318 : 443-452, 2017 https://doi.org/10.1001/jama.2017.9644
  33. Lapergue B, Blanc R, Guedin P, Decroix JP, Labreuche J, Preda C, et al. : A direct aspiration, first pass technique (ADAPT) versus stent retrievers for acute stroke therapy: an observational comparative study. AJNR Am J Neuroradiol 37 : 1860-1865, 2016 https://doi.org/10.3174/ajnr.A4840
  34. 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) 159 : 1671-1677, 2017 https://doi.org/10.1007/s00701-017-3256-3
  35. Liebeskind DS, Jahan R, Nogueira RG, Zaidat OO, Saver JL; SWIFT Investigators : Impact of collaterals on successful revascularization in solitaire fr with the intention for thrombectomy. Stroke 45 : 2036-2040, 2014 https://doi.org/10.1161/STROKEAHA.114.004781
  36. Maegerlein C, Berndt MT, Monch S, Kreiser K, Boeckh-Behrens T, Lehm M, et al. : Further development of combined techniques using stent retrievers, aspiration catheters and BGC : the PROTECTPLUStechnique. Clin Neuroradiol, 2018 [Epub ahead of print]
  37. Massari F, Henninger N, Lozano JD, Patel A, Kuhn AL, Howk M, et al. : Arts (aspiration-retriever technique for stroke): initial clinical experience. Interv Neuroradiol 22 : 325-332, 2016 https://doi.org/10.1177/1591019916632369
  38. Maus V, Behme D, Kabbasch C, Borggrefe J, Tsogkas I, Nikoubashman O, et al. : Maximizing first-pass complete reperfusion with save. Clin Neuroradiol 28 : 327-338, 2018 https://doi.org/10.1007/s00062-017-0566-z
  39. McTaggart RA, Tung EL, Yaghi S, Cutting SM, Hemendinger M, Gale HI, et al. : Continuous aspiration prior to intracranial vascular embolectomy (CAPTIVE): a technique which improves outcomes. J Neurointerv Surg 9 : 1154-1159, 2017 https://doi.org/10.1136/neurintsurg-2016-012838
  40. Menon BK, Sajobi TT, Zhang Y, Rempel JL, Shuaib A, Thornton J, et al. : Analysis of workflow and time to treatment on thrombectomy outcome in the endovascular treatment for small core and proximal occlusion ischemic stroke (ESCAPE) randomized, controlled trial. Circulation 133 : 2279-2286, 2016 https://doi.org/10.1161/circulationaha.115.019983
  41. Mokin M, Abou-Chebl A, Castonguay AC, Nogueira RG, English JD, Farid H, et al. : Real-world stent retriever thrombectomy for acute ischemic stroke beyond 6 hours of onset: analysis of the nasa and track registries. J Neurointerv Surg 11 : 334-337, 2019 https://doi.org/10.1136/neurintsurg-2018-014272
  42. Mokin M, Ionita CN, Nagesh SV, Rudin S, Levy EI, Siddiqui AH : Primary stentriever versus combined stentriever plus aspiration thrombectomy approaches: in vitro stroke model comparison. J Neurointerv Surg 7 : 453-457, 2015 https://doi.org/10.1136/neurintsurg-2014-011148
  43. Mokin M, Setlur Nagesh SV, Ionita CN, Levy EI, Siddiqui AH : Comparison of modern stroke thrombectomy approaches using an in vitro cerebrovascular occlusion model. AJNR Am J Neuroradiol 36 : 547-551, 2015 https://doi.org/10.3174/ajnr.A4149
  44. Nguyen TN, Malisch T, Castonguay AC, Gupta R, Sun CH, Martin CO, et al. : Balloon guide catheter improves revascularization and clinical outcomes with the solitaire device: analysis of the north american solitaire acute stroke registry. Stroke 45 : 141-145, 2014 https://doi.org/10.1161/STROKEAHA.113.002407
  45. Nguyen TN, Malisch TW, Zaidat OO; North American Solitaire Acute Stroke Registry : Response to letter regarding article, "balloon guide catheter improves revascularization and clinical outcomes with the solitaire device: analysis of the north american solitaire acute stroke registry". Stroke 45 : e86, 2014 https://doi.org/10.1161/STROKEAHA.114.004828
  46. Nikoubashman O, Alt JP, Nikoubashman A, Busen M, Heringer S, Brockmann C, et al. : Optimizing endovascular stroke treatment: removing the microcatheter before clot retrieval with stent-retrievers increases aspiration flow. J Neurointerv Surg 9 : 459-462, 2017 https://doi.org/10.1136/neurintsurg-2016-012319
  47. Nikoubashman O, Wischer D, Hennemann HM, Sandmann J, Sichtermann T, Muschenich FS, et al. : Balloon-guide catheters are needed for effective flow reversal during mechanical thrombectomy. AJNR Am J Neuroradiol 39 : 2077-2081, 2018 https://doi.org/10.3174/ajnr.A5829
  48. Oh JS, Yoon SM, Shim JJ, Doh JW, Bae HG, Lee KS : Efficacy of balloonguiding catheter for mechanical thrombectomy in patients with anterior circulation ischemic stroke. J Korean Neurosurg Soc 60 : 155-164, 2017 https://doi.org/10.3340/jkns.2016.0809.003
  49. Okamura A, Kuroki K, Shinagawa K, Yamada N : Simple aspiration with balloon catheter technique (simple ABC technique) against proximal internal carotid artery occlusion in cases of cardiogenic cerebral embolism. Interv Neuroradiol 24 : 317-321, 2018 https://doi.org/10.1177/1591019917753823
  50. Pierot L, Soize S, Benaissa A, Wakhloo AK : Techniques for endovascular treatment of acute ischemic stroke: from intra-arterial fibrinolytics to stent-retrievers. Stroke 46 : 909-914, 2015 https://doi.org/10.1161/STROKEAHA.114.007935
  51. Powers WJ, Derdeyn CP, Biller J, Coffey CS, Hoh BL, Jauch EC, et al. : 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. Stroke 46 : 3020-3035, 2015 https://doi.org/10.1161/STR.0000000000000074
  52. Saver JL, Goyal M, Bonafe A, Diener HC, Levy EI, Pereira VM, et al. : Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke. N Engl J Med 372 : 2285-2295, 2015 https://doi.org/10.1056/NEJMoa1415061
  53. Seong J, Sadasivan C, Onizuka M, Gounis MJ, Christian F, Miskolczi L, et al. : Morphology of elastase-induced cerebral aneurysm model in rabbit and rapid prototyping of elastomeric transparent replicas. Biorheology 42 : 345-361, 2005
  54. 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 8 : 568-570, 2016 https://doi.org/10.1136/neurintsurg-2015-011763
  55. Simonsen CZ, Sorensen LH, Andersen G : Letter by simonsen et al Regarding article, "balloon guide catheter improves revascularization and clinical outcomes with the solitaire device: analysis of the north american solitaire acute stroke registry". Stroke 45 : e85, 2014 https://doi.org/10.1161/STROKEAHA.114.004789
  56. Smith WS, Furlan AJ : Brief history of endovascular acute ischemic stroke treatment. Stroke 47 : e23-e26, 2016 https://doi.org/10.1161/STROKEAHA.115.010863
  57. Stampfl S, Pfaff J, Herweh C, Pham M, Schieber S, Ringleb PA, et al. : Combined proximal balloon occlusion and distal aspiration: a new approach to prevent distal embolization during neurothrombectomy. J Neurointerv Surg 9 : 346-351, 2017 https://doi.org/10.1136/neurintsurg-2015-012208
  58. Stapleton CJ, Leslie-Mazwi TM, Torok CM, Hakimelahi R, Hirsch JA, Yoo AJ, et al. : A direct aspiration first-pass technique vs stentriever thrombectomy in emergent large vessel intracranial occlusions. J Neurosurg 128 : 567-574, 2018 https://doi.org/10.3171/2016.11.jns161563
  59. Teleb MS : Endovascular acute ischemic stroke treatment with flowgate balloon guide catheter: a single-center observational study of flowgate balloon guide catheter use. Interv Neurol 7 : 327-333, 2018 https://doi.org/10.1159/000488601
  60. Turk AS, Frei D, Fiorella D, Mocco J, Baxter B, Siddiqui A, et al. : ADAPT FAST study: a direct aspiration first pass technique for acute stroke thrombectomy. J Neurointerv Surg 6 : 260-264, 2014 https://doi.org/10.1136/neurintsurg-2014-011125
  61. Turk AS, Siddiqui A, Fifi JT, De Leacy RA, Fiorella DJ, Gu E, et al. : Aspiration thrombectomy versus stent retriever thrombectomy as first-line approach for large vessel occlusion (COMPASS): a multicentre, randomised, open label, blinded outcome, non-inferiority trial. Lancet 393 : 998-1008, 2019 https://doi.org/10.1016/S0140-6736(19)30297-1
  62. Turk AS, Spiotta A, Frei D, Mocco J, Baxter B, Fiorella D, et al. : Initial clinical experience with the ADAPT technique: a direct aspiration first pass technique for stroke thrombectomy. J Neurointerv Surg 6 : 231-237, 2014 https://doi.org/10.1136/neurintsurg-2013-010713
  63. van der Marel K, Chueh JY, Brooks OW, King RM, Marosfoi MG, Langan ET, et al. : Quantitative assessment of device-clot interaction for stent retriever thrombectomy. J Neurointerv Surg 8 : 1278-1282, 2016 https://doi.org/10.1136/neurintsurg-2015-012209
  64. Velasco A, Buerke B, Stracke CP, Berkemeyer S, Mosimann PJ, Schwindt W, et al. : Comparison of a balloon guide catheter and a non-balloon guide catheter for mechanical thrombectomy. Radiology 280 : 169-176, 2016 https://doi.org/10.1148/radiol.2015150575
  65. Wahlgren N, Moreira T, Michel P, Steiner T, Jansen O, Cognard C, et al. : Mechanical thrombectomy in acute ischemic stroke: consensus statement by ESO-Karolinska Stroke Update 2014/2015, supported by ESO, ESMINT, ESNR and EAN. Int J Stroke 11 : 134-147, 2016 https://doi.org/10.1177/1747493015609778
  66. Yoo AJ, Andersson T : Thrombectomy in acute ischemic stroke: challenges to procedural success. J Stroke 19 : 121-130, 2017 https://doi.org/10.5853/jos.2017.00752
  67. Zaidat OO, Castonguay AC, Linfante I, Gupta R, Martin CO, Holloway WE, et al. : First pass effect: a new measure for stroke thrombectomy devices. Stroke 49 : 660-666, 2018 https://doi.org/10.1161/STROKEAHA.117.020315
  68. Zaidat OO, Castonguay AC, Nogueira RG, Haussen DC, English JD, Satti SR, et al. : Trevo stent-retriever mechanical thrombectomy for acute ischemic stroke secondary to large vessel occlusion registry. J Neurointerv Surg 10 : 516-524, 2018 https://doi.org/10.1136/neurintsurg-2017-013328
  69. Zaidat OO, Mueller-Kronast NH, Hassan AE, Haussen DC, Jadhav AP, Froehler MT, et al. : Impact of balloon guide catheter use on clinical and angiographic outcomes in the stratis stroke thrombectomy registry. Stroke 50 : 697-704, 2019 https://doi.org/10.1161/STROKEAHA.118.021126

피인용 문헌

  1. Can Transradial Mechanical Thrombectomy Be an Alternative in Case of Impossible Transfemoral Approach for Mechanical Thrombectomy? A Single Center's Experience vol.64, pp.1, 2020, https://doi.org/10.3340/jkns.2020.0240
  2. Preclinical evaluation of Millipede 088 intracranial aspiration catheter in cadaver and in vitro thrombectomy models vol.13, pp.5, 2021, https://doi.org/10.1136/neurintsurg-2020-016218
  3. Clinical and Procedural Outcomes with or without Balloon Guide Catheters during Endovascular Thrombectomy in Acute Ischemic Stroke: A Systematic Review and Meta-analysis with First-line Technique Subg vol.42, pp.8, 2020, https://doi.org/10.3174/ajnr.a7164
  4. In vitro and in silico modeling of endovascular stroke treatments for acute ischemic stroke vol.127, 2020, https://doi.org/10.1016/j.jbiomech.2021.110693
  5. Comparison of Balloon Guide Catheters and Standard Guide Catheters for Acute Ischemic Stroke: A Systematic Review and Meta-Analysis vol.154, 2021, https://doi.org/10.1016/j.wneu.2021.07.034