Clinical and Procedural Outcomes with or without Balloon Guide Catheters during Endovascular Thrombectomy in Acute Ischemic Stroke: A Systematic Review and Meta-analysis with First-line Technique Subgroup Analysis

References

1. 1.↵
   2. Goyal M,
   3. Menon BK,
   4. van Zwam WH, et al

   . Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials. Lancet 2016;387:1723–31 doi:10.1016/S0140-6736(16)00163-X pmid:26898852

   CrossRefPubMed
2. 2.↵
   2. Powers WJ,
   3. Rabinstein AA,
   4. Ackerson T, et al

   . Guidelines for the Early Management of Patients with Acute Ischemic Stroke: 2019 update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke—a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2019;50:E344–418 doi:10.1161/STR.0000000000000211 pmid:31662037

   CrossRefPubMed
3. 3.↵
   2. Turc G,
   3. Bhogal P,
   4. Fischer U, et al

   . European Stroke Organisation (ESO) – European Society for Minimally Invasive Neurological Therapy (ESMINT) Guidelines on Mechanical Thrombectomy in Acute Ischaemic Stroke Endorsed by Stroke Alliance for Europe (SAFE). Eur Stroke J 2019;4:6–12 doi:10.1177/2396987319832140 pmid:31165090

   CrossRefPubMed
4. 4.↵
   2. Deb-Chatterji M,
   3. Pinnschmidt H,
   4. Flottmann F, et al

   . Stroke patients treated by thrombectomy in real life differ from cohorts of the clinical trials: a prospective observational study. BMC Neurol 2020;20:81 doi:10.1186/s12883-020-01653-z pmid:32138684

   CrossRefPubMed
5. 5.↵
   2. Ozdemir O,
   3. Giray S,
   4. Arlier Z, et al

   . Predictors of a good outcome after endovascular stroke treatment with stent retrievers. Scientific World Journal 2015;2015:403726 doi:10.1155/2015/403726] pmid:26137591

   CrossRefPubMed
6. 6.↵
   2. Yoon W,
   3. Kim SK,
   4. Park MS, et al

   . Predictive factors for good outcome and mortality after stent-retriever thrombectomy in patients with acute anterior circulation stroke. J Stroke 2017;19:97–103 doi:10.5853/jos.2016.00675 pmid:28178407

   CrossRefPubMed
7. 7.↵
   2. Munich SA,
   3. Vakharia K,
   4. Levy EI

   . Overview of mechanical thrombectomy techniques. Clin Neurosurg 2019;85:S60–67 doi:10.1093/neuros/nyz071 pmid:31197338

   CrossRefPubMed
8. 8.↵
   2. Phan K,
   3. Maingard J,
   4. Kok HK, et al

   . Contact aspiration versus stent-retriever thrombectomy for distal middle cerebral artery occlusions in acute ischemic stroke: meta-analysis. Neurointervention 2018;13:100–09 doi:10.5469/neuroint.2018.00997 pmid:30196680

   CrossRefPubMed
9. 9.↵
   2. Primiani CT,
   3. Vicente AC,
   4. Brannick MT, et al

   . Direct aspiration versus stent retriever thrombectomy for acute stroke: a systematic review and meta-analysis in 9127 patients. J Stroke Cerebrovasc Dis 2019;28:1329–37 doi:10.1016/j.jstrokecerebrovasdis.2019.01.034 pmid:30772159

   CrossRefPubMed
10. 10.↵
    2. Qin C,
    3. Shang K,
    4. Xu S-B, et al

    . Efficacy and safety of direct aspiration versus stent-retriever for recanalization in acute cerebral infarction. Medicine (Baltimore) 2018;97:e12770 doi:10.1097/MD.0000000000012770 pmid:30313091

    CrossRefPubMed
11. 11.↵
    2. Ye G,
    3. Lu J,
    4. Qi P, et al

    . Firstline a direct aspiration first pass technique versus first-line stent retriever for acute basilar artery occlusion: a systematic review and meta-analysis. J Neurointerv Surg 2019;11:740–46 doi:10.1136/neurintsurg-2018-014573 pmid:30692214

    Abstract/FREE Full Text
12. 12.↵
    2. Zafar M,
    3. Mussa M,
    4. Memon RS, et al

    . Aspiration thrombectomy versus stent retriever thrombectomy alone for acute ischemic stroke: a systematic review and meta-analysis. Cureus 2020;12:1–15 doi:10.7759/cureus.8380 pmid:32626624

    CrossRefPubMed
13. 13.↵
    2. Maus V,
    3. Behme D,
    4. Kabbasch C, et al

    . Maximizing first-pass complete reperfusion with SAVE. Clin Neuroradiol 2018;28:327–38 doi:10.1007/s00062-017-0566-z pmid:28194477

    CrossRefPubMed
14. 14.↵
    2. McTaggart RA,
    3. Tung EL,
    4. Yaghi S, et al

    . Continuous aspiration prior to intracranial vascular embolectomy (CAPTIVE): a technique which improves outcomes. J Neurointerv Surg 2017;9:1154–59 doi:10.1136/neurintsurg-2016-012838 pmid:27986848

    Abstract/FREE Full Text
15. 15.↵
    2. Nguyen TN,
    3. Malisch T,
    4. Castonguay AC, et al

    . Balloon guide catheter improves revascularization and clinical outcomes with the Solitaire device: analysis of the North American Solitaire Acute Stroke Registry. Stroke 2014;45:141–45 doi:10.1161/STROKEAHA.113.002407 pmid:24302483

    Abstract/FREE Full Text
16. 16.↵
    2. Velasco A,
    3. Buerke B,
    4. Stracke CP, et al

    . Comparison of a balloon guide catheter and a non-balloon guide catheter for mechanical thrombectomy. Radiology 2016;280:169–76 doi:10.1148/radiol.2015150575 pmid:26789499

    CrossRefPubMed
17. 17.↵
    2. Chueh JY,
    3. Kang DH,
    4. Kim BM, et al

    . Role of balloon guide catheter in modern endovascular thrombectomy. J Korean Neurosurg Soc 2020;63:14–25 doi:10.3340/jkns.2019.0114 pmid:31591997

    CrossRefPubMed
18. 18.↵
    2. Baek JH,
    3. Kim BM,
    4. Kang DH, et al

    . Balloon guide catheter is beneficial in endovascular treatment regardless of mechanical recanalization modality. Stroke 2019;50:1490–96 doi:10.1161/STROKEAHA.118.024723 pmid:31043149

    CrossRefPubMed
19. 19.↵
    2. Brinjikji W,
    3. Murad H,
    4. Fiorella D, et al

    . Impact of balloon guide catheter on technical and clinical outcomes: a systematic review and meta-analysis. J Neuronterv Surg 2018;10:335–39 doi:10.1136/neurintsurg-2017-013179 pmid:28754806

    Abstract/FREE Full Text
20. 20.↵
    2. Ahn JH,
    3. Cho SS,
    4. Kim SE, et al

    . The effects of balloon-guide catheters on outcomes after mechanical thrombectomy in acute ischemic strokes: a meta-analysis. J Korean Neurosurg Soc 2019;62:389–97 doi:10.3340/jkns.2018.0165 pmid:31064042

    CrossRefPubMed
21. 21.↵
    2. Hutton B,
    3. Salanti G,
    4. Caldwell DM, et al

    . The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: checklist and explanations. Ann Intern Med 2015;162:777 doi:10.7326/M14-2385 pmid:26030634

    CrossRefPubMed
22. 22.↵
    2. Liebeskind DS,
    3. Bracard S,
    4. Guillemin F, et al

    . ETICI reperfusion: defining success in endovascular stroke therapy. J Neurointerv Surg 2019;11:433–38 doi:10.1136/neurintsurg-2018-014127 pmid:30194109

    Abstract/FREE Full Text
23. 23.↵
    2. Kang DH,
    3. Kim BM,
    4. Heo JH, et al

    . Effect of balloon guide catheter utilization on contact aspiration thrombectomy. J Neurosurg 2019;131:1494–500 doi:10.3171/2018.6.JNS181045 pmid:30497154

    CrossRefPubMed
24. 24.↵
    2. Maegerlein C,
    3. Mönch S,
    4. Boeckh-Behrens T, et al

    . PROTECT: PRoximal balloon Occlusion TogEther with direCt Thrombus aspiration during stent retriever thrombectomy–evaluation of a double embolic protection approach in endovascular stroke treatment. J Neurointerv Surg 2018;10:751–55 doi:10.1136/neurintsurg-2017-013558 pmid:29222393

    Abstract/FREE Full Text
25. 25.↵
    2. Zaidat OO,
    3. Mueller-Kronast NH,
    4. Hassan AE, et al

    . Impact of balloon guide catheter use on clinical and angiographic outcomes in the STRATIS stroke thrombectomy registry. Stroke 2019;50:697–704 doi:10.1161/STROKEAHA.118.021126 pmid:30776994

    CrossRefPubMed
26. 26.↵
    2. Bourcier R,
    3. Marnat G,
    4. Labreuche J, et al

    . Balloon guide catheter is not superior to conventional guide catheter when stent retriever and contact aspiration are combined for stroke treatment. Neurosurgery 2020;88:E88–90 doi:10.1093/neuros/nyaa315 pmid:32717034

    CrossRefPubMed
27. 27.↵
    2. Schönfeld MH,
    3. Kabiri R,
    4. Kniep HC, et al

    . Effect of balloon guide catheter utilization on the incidence of sub-angiographic peripheral emboli on high-resolution DWI after thrombectomy: a prospective observational study. Front Neurol 2020;11:1–8 doi:10.3389/fneur.2020.00001 pmid:32116995

    CrossRefPubMed
28. 28.↵
    2. Hafeez MU,
    3. Kan P,
    4. Srivatsan A, et al

    . Comparison of first-pass efficacy among four mechanical thrombectomy techniques: a single-center experience. World Neurosurg 2020;144:e533–40 doi:10.1016/j.wneu.2020.08.209 pmid:32891839

    CrossRefPubMed
29. 29.↵
    2. Johnson CO,
    3. Nguyen M,
    4. Roth GA, et al

    . Global, regional, and national burden of stroke, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol 2019;18:439–58 doi:10.1016/S1474-4422(19)30034-1 pmid:30871944

    CrossRefPubMed
30. 30.↵
    2. Pereira V,
    3. Siddiqui A,
    4. Jovin T, et al

    . Role of balloon guiding catheter in Mechanical Thrombectomy Using Stent Retrievers subgroup analysis of SWIFT-PRIME. J Neuronterv Surg 2015;7:A30 doi:10.1136/neurintsurg-2015-011917.55

    CrossRef
31. 31.↵
    2. Higgins JP,
    3. Thompson SG,
    4. Deeks JJ, et al

    . Measuring inconsistency in meta-analyses Testing for heterogeneity. BMJ 2003;327:557–60 doi:10.1136/bmj.327.7414.557 pmid:12958120

    FREE Full Text
32. 32.↵
    2. Higgins JPT,
    3. Thompson SG

    . Quantifying heterogeneity in a meta-analysis. Stat Med 2002;21:1539–58 [Database] doi:10.1002/sim.1186 pmid:12111919

    CrossRefPubMedWeb of Science
33. 33.↵
    2. Sterne JA,
    3. Hernán MA,
    4. Reeves BC, et al

    . ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ 2016;355:4919 doi:10.1136/bmj.i4919 pmid:27733354

    CrossRefPubMed
34. 34.↵
    2. McGuinness LA,
    3. Higgins JP

    . Risk-of-bias VISualization (ROBVIS): an R package and Shiny web app for visualizing risk-of-bias assessments. Res Synth Methods 2021;12:55–61 doi:10.1002/jrsm.1411 pmid:32336025

    CrossRefPubMed
35. 35.↵
    Cochrane. Revman. https://training.cochrane.org/online-learning/core-software-cochrane-reviews/revman. Accessed December 15, 2020
36. 36.↵
    2. Berndt MT,
    3. Goyal M,
    4. Psychogios M, et al

    . Endovascular stroke treatment using balloon guide catheters may reduce penumbral tissue damage and improve long-term outcome. Eur Radiol 2021;31:2191–98 doi:10.1007/s00330-020-07260-3 pmid:33037911

    CrossRefPubMed
37. 37.↵
    2. Goldhoorn RJ,
    3. Duijsters N,
    4. Majoie CB, et al

    . MR CLEAN Registry Investigators. Balloon guide catheter in endovascular treatment for acute ischemic stroke: results from the MR CLEAN Registry. J Vasc Interv Radiol 2019;30:1759–64 doi:10.1016/j.jvir.2019.05.032 pmid:31542275

    CrossRefPubMed
38. 38.↵
    2. Lee DH,
    3. Sung JH,
    4. Kim SU, et al

    . Effective use of balloon guide catheters in reducing incidence of mechanical thrombectomy related distal embolization. Acta Neurochir (Wien) 2017;159:1671–77 doi:10.1007/s00701-017-3256-3 pmid:28691137

    CrossRefPubMed
39. 39.↵
    2. Nguyen TN,
    3. Castonguay AC,
    4. Nogueira RG, et al

    . Effect of balloon guide catheter on clinical outcomes and reperfusion in Trevo thrombectomy. J Neurointerv Surg 2019;11:861–65 doi:10.1136/neurintsurg-2018-014452 pmid:30712011

    Abstract/FREE Full Text
40. 40.↵
    2. Oh JS,
    3. Yoon SM,
    4. Shim JJ, et al

    . Efficacy of balloon-guiding catheter for mechanical thrombectomy in patients with anterior circulation ischemic stroke. J Korean Neurosurg Soc 2017;60:155–56 doi:10.3340/jkns.2016.0809.003 pmid:28264235

    CrossRefPubMed
41. 41.↵
    2. Kim YS,
    3. Kang DH,
    4. Hwang YH, et al

    . Efficacy of proximal aspiration thrombectomy for using balloon-tipped guide catheter in acute intracranial internal carotid artery occlusion. J Korean Neurosurg Soc 2016;59:379–84 doi:10.3340/jkns.2016.59.4.379 pmid:27446520

    CrossRefPubMed
42. 42.↵
    2. Di Maria F,
    3. Kyheng M,
    4. Consoli A, et al

    . ETIS Investigators. Identifying the predictors of first-pass effect and its influence on clinical outcome in the setting of endovascular thrombectomy for acute ischemic stroke: results from a multicentric prospective registry. Int J Stroke 2021;16:20–28 doi:10.1177/1747493020923051 pmid:30784645

    CrossRefPubMed
43. 43.↵
    2. Zaidat OO,
    3. Castonguay AC,
    4. Linfante I, et al

    . First pass effect: a new measure for stroke thrombectomy devices. Stroke 2018;49:660–66 doi:10.1161/STROKEAHA.117.020315 pmid:29459390

    Abstract/FREE Full Text
44. 44.↵
    2. Brinjikji W,
    3. Starke RM,
    4. Murad MH, et al

    . Impact of balloon guide catheter on technical and clinical outcomes: a systematic review and meta-analysis. J Neurointerv Surg 2018;10:335–39 doi:10.1136/neurintsurg-2017-013179 pmid:28754806

    Abstract/FREE Full Text
45. 45.↵
    2. Alawieh A,
    3. Vargas J,
    4. Fargen KM, et al

    . Impact of procedure time on outcomes of thrombectomy for stroke. J Am Coll Cardiol 2019;73:879–90 doi:10.1016/j.jacc.2018.11.052 pmid:30819354

    FREE Full Text
46. 46.↵
    2. Goyal M,
    3. Jadhav AP,
    4. Bonafe A, et al

    . SWIFT PRIME investigators. Analysis of workflow and time to treatment and the effects on outcome in endovascular treatment of acute ischemic stroke: results from the SWIFT PRIME randomized controlled trial. Radiology 2016;279:888–97 doi:10.1148/radiol.2016160204 pmid:27092472

    CrossRefPubMed
47. 47.↵
    2. Nogueira RG,
    3. Haussen DC,
    4. Castonguay A, et al

    . Site experience and outcomes in the Trevo Acute Ischemic Stroke (TRACK) multicenter registry: higher volumes translate in better outcomes. Stroke 2019;50:2455–60 doi:10.1161/STROKEAHA.118.024639 pmid:31318624

    CrossRefPubMed
48. 48.↵
    2. Blanc R,
    3. Escalard S,
    4. Baharvadhat H, et al

    . Recent advances in devices for mechanical thrombectomy. Expert Rev Med Devices 2020;17:697–706 doi:10.1080/17434440.2020.1784004 pmid:32552093

    CrossRefPubMed
49. 49.↵
    2. Chueh JY,
    3. Kühn AL,
    4. Puri AS, et al

    . Reduction in distal emboli with proximal flow control during mechanical thrombectomy: a quantitative in vitro study. Stroke 2013;44:1396–401 doi:10.1161/STROKEAHA.111.670463 pmid:23493730

    Abstract/FREE Full Text
50. 50.↵
    2. Lapergue B,
    3. Blanc R,
    4. Labreuche J

    . Combined use of contact aspiration and stent retriever technique versus stent retriever alone for recanalisation in acute cerebral infarction: ASTER 2 combined. J Neurointerv Surg 2020;12:471–76 doi:10.1136/neurintsurg-2019-014735 pmid:31915208

    Abstract/FREE Full Text
51. 51.↵
    2. Lapergue B,
    3. Fischer UR

    . Looking at the ASTER 2 Trial Results at ESOC 2019. YouTube. 2019. https://www.youtube.com/watch?v=h5B9nZ_wePw. Accessed January 03, 2021
52. 52.↵
    FDA. BOBBY Balloon Guide Catheter. Premarket Notification Results. 2020. https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm?ID=K193607. Accessed January 03, 2021
53. 53.↵
    2. Fiorella

    . Walrus 087 Balloon Guide Catheter System; Premarket Notification Results. 2019. https://www.youtube.com/watch?v=fZOtqwVGsEw. Accessed January 03, 2021
54. 54.↵
    2. Shah VA,
    3. Martin CO,
    4. Hawkins AM, et al

    . Groin complications in endovascular mechanical thrombectomy for acute ischemic stroke: a 10-year single center experience. J Neurointerv Surg 2016;8:568–70 doi:10.1136/neurintsurg-2015-011763 pmid:26002302

    Abstract/FREE Full Text
55. 55.↵
    2. Jeong DE,
    3. Kim JW,
    4. Kim BM, et al

    . Impact of balloon-guiding catheter location on recanalization in patients with acute stroke treated by mechanical thrombectomy. AJNR Am J Neuroradiol 2019;40:840–44 doi:10.3174/ajnr.A6031 pmid:30948374

    Abstract/FREE Full Text
56. 56.↵
    2. Zaidat OO,
    3. Haussen DC,
    4. Hassan AE, et al

    . Impact of stent retriever size on clinical and angiographic outcomes in the STRATIS stroke thrombectomy registry. Stroke 2019;50:441–47 doi:10.1161/STROKEAHA.118.022987 pmid:30626287

    CrossRefPubMed
57. 57.↵
    Efficacy and Safety of Balloon Guide Catheter in Mechanical Thrombectomy Patients. ESCAPE. https://clinicaltrials.gov/ct2/show/NCT03754738. Accessed January 03, 2021