J 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.

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30103 Neurosciences

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 2.200

RIV identification code

RIV/00216224:14110/19:00111585

Organization unit

Faculty of Medicine

UT WoS

000493533300001

Keywords in English

Aspiration; balloon guide catheter; endovascular therapy; ischemic stroke; reperfusion; thrombectomy

Tags

Tags

International impact, Reviewed
Změněno: 4/12/2019 09:35, Mgr. Tereza Miškechová

Abstract

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.