Published in:
01-09-2016 | Correspondence
Balloon Guide Catheter in Complex Anterior Circulation Mechanical Thrombectomy: Beyond Proximal Occlusion and Flow Reversal
Authors:
T. Demerath, M. Reinhard, S. Elsheikh, A. Keuler, H. Urbach, S. Meckel
Published in:
Clinical Neuroradiology
|
Issue 3/2016
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Excerpt
In mechanical thrombectomy (MT), balloon guide catheters (BGC) are often used in the anterior circulation to effectively achieve flow arrest and reversal during stent-retriever (SR) retraction in order to avoid distal clot embolization [
1,
2]. The complexity of standard MT procedures may be increased due to upstream high-grade proximal internal carotid artery (ICA) stenosis requiring stenting and/or extremely tortuous vessel anatomy. Under these circumstances, stable access and passage of distal access catheters (DAC) and microcatheters seem to be crucial determinants of procedural success. …