Evidence map›Paper›PMID 42404837›Full record

ArticleStroke (Hoboken, N.J.)2026

Impact of Balloon Guide Catheter on Thrombectomy Outcomes in Intracranial Carotid Artery Embolic Occlusion: A Retrospective Cohort Study.

Jinfeng Miao, Hanrong Dong, Yanmin Wu, Ding-Lai Lin, Xiao-Hui Lin, Zhinan Pan, Li-San Zeng, Wenhuo Chen, Tingyu Yi

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Stroke (Hoboken, N.J.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jinfeng MiaoDepartment of Cerebrovascular Disease, Fujian Medical University Union Hospital, China (J.M., H.D., W.C.).
Hanrong DongDepartment of Cerebrovascular Disease, Fujian Medical University Union Hospital, China (J.M., H.D., W.C.).ORCID https://orcid.org/0009-0004-8642-5823
Yanmin WuCerebrovascular and Neuro-Intervention Department, Zhangzhou Affiliated Hospital of Fujian Medical University, China (Y.W., D.-l.L., X.-h.L., Z.P., L.-s.Z., T.Y.).
Ding-Lai LinCerebrovascular and Neuro-Intervention Department, Zhangzhou Affiliated Hospital of Fujian Medical University, China (Y.W., D.-l.L., X.-h.L., Z.P., L.-s.Z., T.Y.).
Xiao-Hui LinCerebrovascular and Neuro-Intervention Department, Zhangzhou Affiliated Hospital of Fujian Medical University, China (Y.W., D.-l.L., X.-h.L., Z.P., L.-s.Z., T.Y.).ORCID https://orcid.org/0000-0001-6222-303X
Zhinan PanCerebrovascular and Neuro-Intervention Department, Zhangzhou Affiliated Hospital of Fujian Medical University, China (Y.W., D.-l.L., X.-h.L., Z.P., L.-s.Z., T.Y.).
Li-San ZengCerebrovascular and Neuro-Intervention Department, Zhangzhou Affiliated Hospital of Fujian Medical University, China (Y.W., D.-l.L., X.-h.L., Z.P., L.-s.Z., T.Y.).
Wenhuo ChenDepartment of Cerebrovascular Disease, Fujian Medical University Union Hospital, China (J.M., H.D., W.C.).ORCID https://orcid.org/0000-0002-7031-8917
Tingyu YiCerebrovascular and Neuro-Intervention Department, Zhangzhou Affiliated Hospital of Fujian Medical University, China (Y.W., D.-l.L., X.-h.L., Z.P., L.-s.Z., T.Y.).ORCID https://orcid.org/0000-0003-3110-5844

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe balloon guide catheter (BGC) is widely used in endovascular thrombectomy, but evidence of its effect in intracranial internal carotid artery embolic occlusion is limited, and recent randomized trials have reported contradictory outcomes. We aimed to explore the potential association between BGC use and outcomes of thrombectomy in intracranial internal carotid artery embolic occlusion.

methodsPatients with acute intracranial internal carotid artery occlusion from a prospectively maintained 2-center stroke registry were classified according to BGC use. Propensity score matching and overlap weighting were used to balance baseline differences. The primary outcome was functional independence at 90 days (modified Rankin Scale score, 0-2). Secondary outcomes included first-pass complete reperfusion (expanded Thrombolysis in Cerebral Infarction grade 3), distal emboli, and 90-day modified Rankin Scale score shift.

resultsAmong 397 patients (median age, 72 years; 45.1% men), 90 (22.7%) underwent BGC-assisted endovascular thrombectomy. After 1:2 propensity score matching (84 BGC versus 168 non-BGC), the groups were well balanced. BGC use was associated with higher odds of 90-day functional independence (propensity score matching odds ratio [OR], 2.24 [95% CI, 1.07-4.72]; overlap weighting OR, 1.97 [95% CI, 1.07-3.62]), higher rates of first-pass expanded Thrombolysis in Cerebral Infarction 3 reperfusion (propensity score matching OR, 1.98 [95% CI, 1.09-3.60]; overlap weighting OR, 1.74 [95% CI, 1.05-2.89]), and fewer distal emboli (overlap weighting OR, 0.49 [95% CI, 0.25-0.97]). The 90-day modified Rankin Scale score distribution favored BGC use, but was not statistically significant (

conclusionsIn acute intracranial internal carotid artery embolic occlusion, BGC use was associated with better functional outcomes, higher first-pass reperfusion rates, and fewer distal emboli. These findings suggest that BGC may be a beneficial adjunct in this population and warrant validation in prospective trials.

Indexed as

acute ischemic strokecathetersembolismreperfusionthrombectomy

Identifiers

PMID42404837
PMCPMC13331444

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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.