ArticleAJNR. American journal of neuroradiology2018
Balloon-Guide Catheters Are Needed for Effective Flow Reversal during Mechanical Thrombectomy.
Article in AJNR. American journal of neuroradiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 36 citations in OpenAlex.
- Trial
- A case of superior mesenteric artery embolism successfully treated by combined thrombus retrieval therapy using the CAPTIVE technique.BJR case reports · 2026Article
- Article
- Predictors of distal embolization during thrombectomy for anterior circulation large vessel bifurcation occlusion stroke.Journal of neurointerventional surgery · 2025Article
- Balloon inflation predicts recanalization of intracranial aneurysms treated with coiling alone.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Article
- Higher intracranial positioning of an 8 Fr guide catheter improves efficacy of aspiration thrombectomy in large vessel occlusion stroke.Journal of neurointerventional surgery · 2025Article
- Placing the balloon-guide catheter in the high cervical segment of the internal carotid artery is associated with improved recanalization.Journal of neurointerventional surgery · 2025Article
- Investigation of Cerebral Hemodynamics During Endovascular Aspiration: Development of an Experimental and Numerical Setup.Cardiovascular engineering and technology · 2023Article
- Effect of proximal blood flow arrest during endovascular thrombectomy (ProFATE): Study protocol for a multicentre randomised controlled trial.European stroke journal · 2023Article
- A Review of the Advancements in theFrontiers in medical technology · 2022Review
- Mechanical Thrombectomy in Acute Ischemic Stroke Using a Manually Expandable Stent Retriever (Tigertriever) : Preliminary Single Center Experience.Clinical neuroradiology · 2021Article
- Initial Clinical Experience of Repeat Thrombectomy with a Retrieval Stent (RTRS) with Continuous Proximal Flow Arrest by Balloon Guide Catheter for Acute Intracranial Carotid Occlusion.Behavioural neurology · 2021Article
- Evidence-Based Updates to Thrombectomy: Targets, New Techniques, and Devices.Frontiers in neurology · 2021Review
- Evolution of Stroke Thrombectomy Techniques to Optimize First-Pass Complete Reperfusion.Seminars in interventional radiology · 2020Review
- Sub-angiographic peripheral emboli in high resolution DWI after endovascular recanalization.Journal of neurology · 2020Article
- Effect of Balloon Guide Catheter Utilization on the Incidence of Sub-angiographic Peripheral Emboli on High-Resolution DWI After Thrombectomy: A Prospective Observational Study.Frontiers in neurology · 2020Article
- Computer Modeling of Clot Retrieval-Circle of Willis.Frontiers in neurology · 2020Article
- Role of Balloon Guide Catheter in Modern Endovascular Thrombectomy.Journal of Korean Neurosurgical Society · 2020Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeBlood flow management in the carotid artery during mechanical thrombectomy is crucial for safety and effectiveness. There is an ongoing discussion about whether balloon-guide catheters or large-bore sheaths are needed for effective flow management. We compared general flow characteristics of proximal aspiration through a large-bore sheath and a balloon-guide catheter in a porcine in vivo model. MATERIALS AND
methodsWe investigated blood flow in a porcine common carotid artery with and without aspiration (VacLok syringe and Penumbra pump, Pump MAX) through an 8F-long sheath and an 8F balloon-guide catheter. Blood hemodynamics were assessed via continuous duplex sonography.
resultsAverage vessel diameter and baseline blood flow were 4.4 ± 0.2 mm and 244 ± 20 mL/min, respectively. For the 8F sheath, pump aspiration resulted in a significant flow reduction (225 ± 25 mL/min,
conclusionsOnly balloon-guide catheters allow reliable blood flow arrest and flow reversal in combination with aspiration via syringes or high-flow pump systems. Aspiration through an 8F sheath results in either collapse of the vessel or oscillatory flow, which can result in a net antegrade or retrograde stream.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.