Impact of Balloon Guide Catheter Use on Clinical and Angiographic Outcomes in the STRATIS Stroke Thrombectomy Registry

被引：102

作者：

Zaidat, Osama O. ^{[1
]}

Mueller-Kronast, Nils H. ^{[2
]}

Hassan, Ameer E. ^{[3
]}

Haussen, Diogo C. ^{[4
,5
]}

Jadhav, Ashutosh P. ^{[6
]}

Froehler, Michael T. ^{[7
]}

Jahan, Reza ^{[8
]}

Aziz-Sultan, Mohammad Ali ^{[9
]}

Klucznik, Richard P. ^{[10
]}

Saver, Jeffrey L. ^{[8
]}

Hellinger, Frank R., Jr. ^{[11
]}

Yavagal, Dileep R. ^{[12
]}

Yao, Tom L. ^{[13
]}

Gupta, Rishi ^{[14
]}

Martin, Coleman O. ^{[15
]}

Bozorgchami, Hormozd ^{[16
]}

Kaushal, Ritesh ^{[2
]}

Nogueira, Raul G. ^{[5
]}

Gandhi, Ravi H. ^{[11
]}

Peterson, Eric C. ^{[12
]}

Dashti, Shervin ^{[13
]}

Given, Curtis A., II ^{[17
]}

Mehta, Brijesh P. ^{[18
]}

Deshmukh, Vivek ^{[19
]}

Starkman, Sidney ^{[8
]}

Linfante, Italo ^{[20
]}

McPherson, Scott H. ^{[21
]}

Kvamme, Peter ^{[22
]}

Grobelny, Thomas J. ^{[23
]}

Hussain, Muhammad Shazam ^{[24
]}

Thacker, Ike ^{[25
]}

Vora, Nirav ^{[26
]}

Chen, Peng Roc ^{[27
]}

Monteith, Stephen J. ^{[28
]}

Ecker, Robert D. ^{[29
]}

Schirmer, Clemens M. ^{[30
]}

Sauvageau, Eric ^{[31
]}

Chebl, Alex Bou ^{[32
]}

Derdeyn, Colin P. ^{[33
]}

Maidan, Lucian ^{[34
]}

Badruddin, Aamir ^{[35
]}

Siddiqui, Adnan H. ^{[36
]}

Dumont, Travis M. ^{[37
]}

Alhajeri, Abdulnasser ^{[38
]}

Taqi, Muhammad A. ^{[39
]}

Asi, Khaled ^{[40
]}

Carpenter, Jeffrey ^{[41
]}

Boulos, Alan ^{[42
]}

Jindal, Gaurav ^{[43
]}

Puri, Ajit S. ^{[44
]}

机构：

[1] Mercy Hlth St Vincent Mercy Hosp, 2222 Cherry St,M200, Toledo, OH 43608 USA

[2] Adv Neurosci Network Tenet South Florida, Coral Springs, FL USA

[3] Valley Baptist Med Ctr, Harlingen, TX USA

[4] Emory Univ, Sch Med, Atlanta, GA USA

[5] Grady Mem Hosp, Atlanta, GA USA

[6] Univ Pittsburgh, Med Ctr, Pittsburgh, PA 15260 USA

[7] Vanderbilt Univ, Med Ctr, Nashville, TN USA

[8] Univ Calif Los Angeles, Los Angeles, CA USA

[9] Brigham & Womens Hosp, 75 Francis St, Boston, MA 02115 USA

[10] Methodist Hosp, 6535 Fannin, Houston, TX 77030 USA

[11] Florida Hosp, Neurosci Inst, Winter Pk, FL USA

[12] Univ Miami, Miller Sch Med, Jackson Mem Hosp, Miami, FL 33136 USA

[13] Norton Healthcare, Norton Neurosci Inst, Louisville, KY USA

[14] WellStar Kennestone Reg Med Ctr, WellStar Neurosci Network, Marietta, GA USA

[15] St Lukes Hosp Kansas City, Kansas City, MO USA

[16] Oregon Hlth & Sci Univ Hosp, Portland, OR USA

[17] Baptist Hlth Lexington Cent Baptist, Lexington, KY USA

[18] South Broward Hosp, Hollywood, FL USA

[19] Providence St Vincent Med Ctr, Portland, OR USA

[20] Baptist Hosp Miami, Miami, FL USA

[21] St Dominics Jackson Mem Hosp, Jackson, MS USA

[22] Univ Tennessee, Med Ctr, Knoxville, TN USA

[23] Advocate Christ Med Ctr, Oak Lawn, IL USA

[24] Cleveland Clin, Cleveland, OH 44106 USA

[25] Baylor Univ, Med Ctr, Dallas, TX USA

[26] OhioHlth Riverside Methodist Hosp, Columbus, OH USA

[27] Mem Hermann Texas Med Ctr, Houston, TX USA

[28] Swedish Med Ctr, First Hill Campus, Seattle, WA USA

[29] Maine Med Ctr, Portland, ME 04102 USA

[30] Geisinger Med Clin, Danville, PA USA

[31] Baptist Med Ctr Jacksonville, Jacksonville, FL USA

[32] Baptist Hosp Louisville, Louisville, KY USA

[33] Barnes Jewish Hosp, St Louis, MO 63110 USA

[34] Mercy San Juan Med Ctr & Mercy Gen, Carmichael, CA USA

[35] Presence St Joseph Med Ctr, Joliet, IL USA

[36] Buffalo Gen Med Ctr, Buffalo, NY USA

[37] Univ Arizona, Med Ctr, Tucson, AZ USA

[38] Univ Kentucky Hosp, Lexington, KY USA

[39] Los Robles Med Ctr, Thousand Oaks, CA USA

[40] Aurora Hosp, Milwaukee, WI USA

[41] West Virginia Univ, Ruby Mem Hosp, Morgantown, WV 26506 USA

[42] Albany Med Ctr, Albany, NY USA

[43] Univ Maryland, Med Ctr, Baltimore, MD 21201 USA

[44] Univ Massachusetts, Mem Med Ctr, Worcester, MA 01605 USA

[45] Crouse Hosp, Syracuse, NY USA

[46] Virginia Mason Med Ctr, Seattle, WA 98101 USA

[47] Mayo Clin, Rochester, MN USA

[48] Erlanger Med Ctr, Chattanooga, TN USA

[49] ProMed Toledo Hosp, Toledo, OH USA

[50] Banner Univ, Med Ctr, Phoenix, AZ USA

来源：

STROKE | 2019年 / 50卷 / 03期

关键词：

animals; brain ischemia; humans; stroke; thrombectomy; ACUTE ISCHEMIC-STROKE; MECHANICAL THROMBECTOMY; ENDOVASCULAR TREATMENT; STENT-RETRIEVER; VESSEL OCCLUSION; RECANALIZATION; ASPIRATION; REVASCULARIZATION; THERAPY; DEVICE;

D O I：

10.1161/STROKEAHA.118.021126

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background and Purpose-Mechanical thrombectomy has been shown to improve clinical outcomes in patients with acute ischemic stroke. However, the impact of balloon guide catheter (BGC) use is not well established. Methods-STRATIS (Systematic Evaluation of Patients Treated With Neurothrombectomy Devices for Acute Ischemic Stroke) was a prospective, multicenter study of patients with large vessel occlusion treated with the Solitaire stent retriever as first-line therapy. In this study, an independent core laboratory, blinded to the clinical outcomes, reviewed all procedures and angiographic data to classify procedural technique, target clot location, recanalization after each pass, and determine the number of stent retriever passes. The primary clinical end point was functional independence (modified Rankin Scale, 0-2) at 3 months as determined on-site, and the angiographic end point was first-pass effect (FPE) success rate from a single device attempt (modified Thrombolysis in Cerebral Infarction, >= 2c) as determined by a core laboratory. Achieving modified FPE (modified Thrombolysis in Cerebral Infarction, >= 2b) was also assessed. Comparisons of clinical outcomes were made between groups and adjusted for baseline and procedural characteristics. All participating centers received institutional review board approval from their respective institutions. Results-Adjunctive technique groups included BGC (n=445), distal access catheter (n=238), and conventional guide catheter (n=62). The BGC group had a higher rate of FPE following first pass (212/443 [48%]) versus conventional guide catheter (16/62 [26%]; P=0.001) and distal access catheter (83/235 [35%]; P=0.002). Similarly, the BGC group had a higher rate of modified FPE (294/443 [66%]) versus conventional guide catheter (26/62 [42%]; P<0.001) and distal access catheter (129/234 [55%]; P=0.003). The BGC group achieved the highest rate of functional independence (253/415 [61%]) versus conventional guide catheter (23/55 [42%]; P=0.007) and distal access catheter (113/218 [52%]; P=0.027). Final revascularization and mortality rates did not differ across the groups. Conclusions-BGC use was an independent predictor of FPE, modified FPE, and functional independence, suggesting that its routine use may improve the rates of early revascularization success and good clinical outcomes.

引用

页码：697 / 704

页数：8

共 25 条

[1] Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy [J].

Barber, PA ;

Demchuk, AM ;

Zhang, JJ ;

Buchan, AM .

LANCET, 2000, 355 (9216) :1670-1674

[2] A Randomized Trial of Intraarterial Treatment for Acute Ischemic Stroke [J].

Berkhemer, O. A. ;

Fransen, P. S. S. ;

Beumer, D. ;

van den Berg, L. A. ;

Lingsma, H. F. ;

Yoo, A. J. ;

Schonewille, W. J. ;

Vos, J. A. ;

Nederkoorn, P. J. ;

Wermer, M. J. H. ;

van Walderveen, M. A. A. ;

Staals, J. ;

Hofmeijer, J. ;

van Oostayen, J. A. ;

Nijeholt, G. J. Lycklama A. ;

Boiten, J. ;

Brouwer, P. A. ;

Emmer, B. J. ;

de Bruijn, S. F. ;

van Dijk, L. C. ;

Kappelle, L. J. ;

Lo, R. H. ;

Van Dijk, E. J. ;

de Vries, J. ;

de Kort, P. L. M. ;

van Rooij, W. J. J. ;

van den Berg, J. S. P. ;

van Hasselt, B. A. A. M. ;

Aerden, L. A. M. ;

Dallinga, R. J. ;

Visser, M. C. ;

Bot, J. C. J. ;

Vroomen, P. C. ;

Eshghi, O. ;

Schreuder, T. H. C. M. L. ;

Heijboer, R. J. J. ;

Keizer, K. ;

Tielbeek, A. V. ;

den Hertog, H. M. ;

Gerrits, D. G. ;

van den Berg-Vos, R. M. ;

Karas, G. B. ;

Steyerberg, E. W. ;

Flach, H. Z. ;

Marquering, H. A. ;

Sprengers, M. E. S. ;

Jenniskens, S. F. M. ;

Beenen, L. F. M. ;

van den Berg, R. ;

Koudstaal, P. J. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (01) :11-20

[3] Mechanical thrombectomy after intravenous alteplase versus alteplase alone after stroke (THRACE): a randomised controlled trial [J].

Bracard, Serge ;

Ducrocq, Xavier ;

Mas, Jean Louis ;

Soudant, Marc ;

Oppenheim, Catherine ;

Moulin, Thieriy ;

Guillemin, Francis .

LANCET NEUROLOGY, 2016, 15 (11) :1138-1147

[4] Impact of balloon guide catheter on technical and clinical outcomes: a systematic review and meta-analysis [J].

Brinjikji, Waleed ;

Starke, Robert M. ;

Murad, M. Hassan ;

Fiorella, David ;

Pereira, Vitor M. ;

Goyal, Mayank ;

Kallmes, David F. .

JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2018, 10 (04) :335-339

[5] Endovascular Therapy for Ischemic Stroke with Perfusion-Imaging Selection [J].

Campbell, B. C. V. ;

Mitchell, P. J. ;

Kleinig, T. J. ;

Dewey, H. M. ;

Churilov, L. ;

Yassi, N. ;

Yan, B. ;

Dowling, R. J. ;

Parsons, M. W. ;

Oxley, T. J. ;

Wu, T. Y. ;

Brooks, M. ;

Simpson, M. A. ;

Miteff, F. ;

Levi, C. R. ;

Krause, M. ;

Harrington, T. J. ;

Faulder, K. C. ;

Steinfort, B. S. ;

Priglinger, M. ;

Ang, T. ;

Scroop, R. ;

Barber, P. A. ;

McGuinness, B. ;

Wijeratne, T. ;

Phan, T. G. ;

Chong, W. ;

Chandra, R. V. ;

Bladin, C. F. ;

Badve, M. ;

Rice, H. ;

de Villiers, L. ;

Ma, H. ;

Desmond, P. M. ;

Donnan, G. A. ;

Davis, S. M. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (11) :1009-1018

[6] Reduction in Distal Emboli With Proximal Flow Control During Mechanical Thrombectomy A Quantitative In Vitro Study [J].

Chueh, Ju-Yu ;

Kuehn, Anna Luisa ;

Puri, Ajit S. ;

Wilson, Scott D. ;

Wakhloo, Ajay K. ;

Gounis, Matthew J. .

STROKE, 2013, 44 (05) :1396-+

[7] Randomized Assessment of Rapid Endovascular Treatment of Ischemic Stroke [J].

Goyal, M. ;

Demchuk, A. M. ;

Menon, B. K. ;

Eesa, M. ;

Rempel, J. L. ;

Thornton, J. ;

Roy, D. ;

Jovin, T. G. ;

Willinsky, R. A. ;

Sapkota, B. L. ;

Dowlatshahi, D. ;

Frei, D. F. ;

Kamal, N. R. ;

Montanera, W. J. ;

Poppe, A. Y. ;

Ryckborst, K. J. ;

Silver, F. L. ;

Shuaib, A. ;

Tampieri, D. ;

Williams, D. ;

Bang, O. Y. ;

Baxter, B. W. ;

Burns, P. A. ;

Choe, H. ;

Heo, J. -H. ;

Holmstedt, C. A. ;

Jankowitz, B. ;

Kelly, M. ;

Linares, G. ;

Mandzia, J. L. ;

Shankar, J. ;

Sohn, S. -I. ;

Swartz, R. H. ;

Barber, P. A. ;

Coutts, S. B. ;

Smith, E. E. ;

Morrish, W. F. ;

Weill, A. ;

Subramaniam, S. ;

Mitha, A. P. ;

Wong, J. H. ;

Lowerison, M. W. ;

Sajobi, T. T. ;

Hill, M. D. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (11) :1019-1030

[8] Solitaire Flow-Restoration Device for Treatment of Acute Ischemic Stroke: Safety and Recanalization Efficacy Study in a Swine Vessel Occlusion Model [J].

Jahan, R. .

AMERICAN JOURNAL OF NEURORADIOLOGY, 2010, 31 (10) :1938-1943

[9] Thrombectomy within 8 Hours after Symptom Onset in Ischemic Stroke [J].

Jovin, T. G. ;

Chamorro, A. ;

Cobo, E. ;

de Miquel, M. A. ;

Molina, C. A. ;

Rovira, A. ;

San Roman, L. ;

Serena, J. ;

Abilleira, S. ;

Ribo, M. ;

Millan, M. ;

Urra, X. ;

Cardona, P. ;

Lopez-Cancio, E. ;

Tomasello, A. ;

Castano, C. ;

Blasco, J. ;

Aja, L. ;

Dorado, L. ;

Quesada, H. ;

Rubiera, M. ;

Hernandez-Perez, M. ;

Goyal, M. ;

Demchuk, A. M. ;

von Kummer, R. ;

Gallofre, M. ;

Davalos, A. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (24) :2296-2306

[10] 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 [J].

Lapergue, Bertrand ;

Blanc, Raphael ;

Gory, Benjamin ;

Labreuche, Julien ;

Duhamel, Alain ;

Marnat, Gautier ;

Saleme, Suzana ;

Costalat, Vincent ;

Bracard, Serge ;

Desal, Hubert ;

Mazighi, Mikael ;

Consoli, Arturo ;

Piotin, Michel .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2017, 318 (05) :443-452

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