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PT  - JOURNAL ARTICLE
AU  - Terceño, Mikel
AU  - Bashir, Saima
AU  - Puig, Josep
AU  - I-Estadella, Josep Daunis-
AU  - Murias, Eduardo
AU  - Jiménez, Jose María
AU  - Díaz, Eva González
AU  - Monso, Jon Fondevila
AU  - Bravo-Rey, Isabel
AU  - Romero, Veredas
AU  - Werner, Mariano
AU  - López-Rueda, Antonio
AU  - Román, Luis San
AU  - Anadaluz, Jordi Blasco
AU  - Doncel-Moriano, Antonio
AU  - Rosati, Santiago
AU  - Pérez-García, Carlos
AU  - Remollo, Sebastian
AU  - Caamaño, Isabel Rodríguez
AU  - Aixut, Sonia
AU  - Chaparro, Oscar Sabino Chirife
AU  - Garcia, Juan Manuel Sanchis
AU  - Porto-Álvarez, Jacobo
AU  - Mendez-Cendón, Jose Carlos
AU  - Rayon-Aledo, Jose Carlos
AU  - Aguilar, Yeray
AU  - Parrilla, Guillermo
AU  - Castaño, Miguel
AU  - Serena, Joaquín
AU  - Silva, Yolanda
TI  - Impact of Balloon Guide Catheters in Elderly Patients Treated with Mechanical Thrombectomy: Insights from the ROSSETTI Registry
AID  - 10.3174/ajnr.A8003
DP  - 2023 Nov 01
TA  - American Journal of Neuroradiology
PG  - 1275--1281
VI  - 44
IP  - 11
4099  - http://www.ajnr.org/content/44/11/1275.short
4100  - http://www.ajnr.org/content/44/11/1275.full
SO  - Am. J. Neuroradiol.2023 Nov 01; 44
AB  - BACKGROUND AND PURPOSE: Several nonrandomized studies have demonstrated the effectiveness of balloon guide catheters in treating patients with anterior circulation large-vessel occlusion. However, their impact on the elderly populations has been underreported. We aimed to analyze the effect of balloon guide catheters in a cohort of elderly patients (80 years of age or older) with anterior circulation large-vessel occlusion.MATERIALS AND METHODS: Consecutive patients from June 2019 to June 2022 were collected from the ROSSETTI Registry. Demographic and clinical data, angiographic endovascular technique, and clinical outcome were compared between balloon guide catheter and non-balloon guide catheter groups. We studied the association between balloon guide catheters and the rate of complete recanalization after a single first-pass effect modified TICI 2c–3, as well as their association with functional independence at 3 months.RESULTS: A total of 808 patients were included during this period, 465 (57.5%) of whom were treated with balloon guide catheters. Patients treated with balloon guide catheters were older, had more neurologic severity at admission and lower baseline ASPECTS, and were less likely to receive IV fibrinolytics. No differences were observed in terms of the modified first-pass effect between groups (45.8 versus 39.9%, P = .096). In the multivariable regression analysis, balloon guide catheter use was not independently associated with a modified first-pass effect or the final modified TICI 2c–3, or with functional independence at 3 months.CONCLUSIONS: In our study, balloon guide catheter use during endovascular treatment of anterior circulation large-vessel occlusion in elderly patients did not predict the first-pass effect, near-complete final recanalization, or functional independence at 3 months. Further studies, including randomized clinical trials, are needed to confirm these results.BGCballoon guide catheterETendovascular thrombectomyEVTendovascular treatmentGPTFRgroin puncture to first runGTRgroin puncture to revascularization timeLVOlarge-vessel occlusionmFPEmodified first-pass effectmTICImodified TICIsICHsymptomatic intracranial hemorrhage