2019
Optimizing fast first pass complete reperfusion in acute ischemic stroke - the BADDASS approach (BAlloon guiDe with large bore Distal Access catheter with dual aspiration with Stent-retriever as Standard approach)
OSPEL, J. M., Ondřej VOLNÝ, M. JAYARAMAN, R. MCTAGGART, M. GOYAL et. al.Základní údaje
Originální název
Optimizing fast first pass complete reperfusion in acute ischemic stroke - the BADDASS approach (BAlloon guiDe with large bore Distal Access catheter with dual aspiration with Stent-retriever as Standard approach)
Autoři
OSPEL, J. M. (756 Švýcarsko), Ondřej VOLNÝ (203 Česká republika, domácí), M. JAYARAMAN (840 Spojené státy), R. MCTAGGART (840 Spojené státy) a M. GOYAL (124 Kanada, garant)
Vydání
EXPERT REVIEW OF MEDICAL DEVICES, ABINGDON, TAYLOR & FRANCIS LTD, 2019, 1743-4440
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30103 Neurosciences
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 2.200
Kód RIV
RIV/00216224:14110/19:00111585
Organizační jednotka
Lékařská fakulta
UT WoS
000493533300001
Klíčová slova anglicky
Aspiration; balloon guide catheter; endovascular therapy; ischemic stroke; reperfusion; thrombectomy
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 4. 12. 2019 09:35, Mgr. Tereza Miškechová
Anotace
V originále
Introduction: Endovascular therapy is the standard of care for acute ischemic stroke due to large vessel occlusions. The ultimate goal is to achieve fast first pass complete reperfusion, since delayed and/or incomplete reperfusion increases complication rates and costs and deteriorates patient outcome. Achieving optimal results can sometimes be challenging, particularly in patients with tortuous vessels. Several techniques have been described lately to optimize recanalization, including first line aspiration and various stent-retriever assisted techniques. In our experience, mechanical thrombectomy with a BAlloon guide catheter, large bore Distal access catheter, Dual Aspiration and Stent-retriever as Standard approach (BADDASS) is the most efficient technique to succeed, since it combines the advantages of stent-retrievers and distal aspiration. Areas covered: The purpose of this review is to enable neurointerventionalists to achieve fast first pass complete reperfusion by outlining the BADDASS approach step-by-step and sharing additional tips for navigating through challenging internal carotid artery segments. Expert opinion: In our experience, the BADDASS approach is the safest and most effective way to achieve fast first pass complete reperfusion.