OSPEL, J. M., Ondřej VOLNÝ, M. JAYARAMAN, R. MCTAGGART and M. GOYAL. 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). EXPERT REVIEW OF MEDICAL DEVICES. ABINGDON: TAYLOR & FRANCIS LTD, 2019, vol. 16, No 11, p. 955-963. ISSN 1743-4440. Available from: https://dx.doi.org/10.1080/17434440.2019.1684263.
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Basic information
Original name 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)
Authors OSPEL, J. M. (756 Switzerland), Ondřej VOLNÝ (203 Czech Republic, belonging to the institution), M. JAYARAMAN (840 United States of America), R. MCTAGGART (840 United States of America) and M. GOYAL (124 Canada, guarantor).
Edition EXPERT REVIEW OF MEDICAL DEVICES, ABINGDON, TAYLOR & FRANCIS LTD, 2019, 1743-4440.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30103 Neurosciences
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 2.200
RIV identification code RIV/00216224:14110/19:00111585
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1080/17434440.2019.1684263
UT WoS 000493533300001
Keywords in English Aspiration; balloon guide catheter; endovascular therapy; ischemic stroke; reperfusion; thrombectomy
Tags 14110127, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 4/12/2019 09:35.
Abstract
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.
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