Journal of Neuroendovascular Therapy
Online ISSN : 2186-2494
Print ISSN : 1882-4072
Original Articles
Effects of Difference in the Guiding System on the Results of Thrombectomy
Akikazu NakamuraKeigo ShigetaTakanori HayakawaHiroshi YatsushigeKyoko SumiyoshiToshiya MomoseMasaya EnomotoShin SatoJiro AoyamaHiroyuki MasaokaYoshio Takasato
著者情報
ジャーナル オープンアクセス

2017 年 11 巻 12 号 p. 597-600

詳細
抄録

Objective: The effects of difference in the guiding system on the results of stent thrombectomy were investigated.

Methods: Of the patients who underwent intracranial thrombectomy using a stent retriever in 2015 and 2016, those with lesions in the internal carotid artery (ICA) or the horizontal (M1) segment of the middle cerebral artery were divided into a group treated with a balloon guide catheter (BGC) alone and a group treated with a combination of BGC + distal access (aspiration) catheter (DAC), and 1) the time from puncture to recanalization, 2) number of passes, 3) frequency of occurrence of embolization to new/distal territory (ENT/EDT), and 4) percentage of complete recanalization were compared.

Results: The subjects were 17 patients consisting of 6 in the BGC group and 11 in the BGC + DAC group. The results concerning the above items were 1) 80.0 vs. 46.7 min (p = 0.03), 2) 2.8 vs. 1.5 times (p = 0.03), 3) 50% vs. 0% (p = 0.03), and 4) 66.7% vs. 90.9% (p = 0.52), respectively.

Conclusion: In the BGC + DAC group, the time until recanalization was shorter, the number of passes was fewer, and the frequency of ENT/EDT was lower, suggesting that more favorable results may be obtained by BGC + DAC.

著者関連情報
次の記事
feedback
Top