Thrombectomy angiography balloon occlusion. Medical search. Frequent questions

Balloon thrombectomy using a Fogarty catheter may also be used. (wikipedia.org)
We performed mechanical thrombectomy (MT) using a combined technique with a balloon guide catheter (BGC), aspiration catheter, and stent retriever and achieved complete recanalization without ENT. (surgicalneurologyint.com)
7 - 9 ] We report a case of internal carotid artery (ICA) occlusion with PPTA who was successfully treated with a combined MT technique using a balloon guide catheter (BGC), an aspiration catheter, and a stent retriever. (surgicalneurologyint.com)
During mechanical thrombectomy, distal base catheter placement makes more sense because you have to [achieve] shorter distances from the base catheter to the intracranial space where the clot is located," she continues. (neuronewsinternational.com)
Inoa also highlights "very good" experiences using two Cerenovus products in mechanical thrombectomy procedures: the CEREBASE TM Long Guide Sheath and the EMBOGUARD TM Balloon Guide Catheter. (neuronewsinternational.com)
they can generally be divided into three major categories: a direct aspiration first-pass technique (ADAPT), the primary use of a stent-retriever with Balloon-Guiding Catheter (BGC) and the primary combined approach with simultaneous intracranial use of an aspiration-catheter and a stent-retriever [ 6 ] with or without additional use of a BGC. (biomedcentral.com)
Microstructural ischemic damage can be reduced by using proximal flow arrest during endovascular treatment with balloon guide catheter. (omicsdi.org)
Complete reperfusion in a setting of balloon guide catheter minimizes penumbral damage and improves long-term outcome. (omicsdi.org)
Catheter cerebral angiography was then performed which demonstrated the 99% stenosis with distal vascular collapse and extension of the plaque superiorly into the mid third of the cervical right ICA (Figure 4). (nspc.com)
Methods Patients with ischemic stroke meeting the following inclusion criteria were eligible: occlusion in the anterior circulation, neurothrombectomy using a balloon catheter for proximal flow arrest, and an intermediate catheter for distal aspiration. (bmj.com)
Conclusions A combination of proximal internal carotid artery occlusion using a balloon catheter and distal aspiration through an intermediate catheter represents a safe and efficient adjunct to mechanical thrombectomy with stent retrievers. (bmj.com)

Five days after the procedure, subacute ST occurred, requiring aspiration thrombectomy and balloon angioplasty. (biomedcentral.com)
A-5: Digital subtraction angiogram obtained during balloon angioplasty of a stenotic artery. (medscape.com)
Drug-coated balloons worked better than plain balloon angioplasty in femoropopliteal in-stent restenosis , although durability beyond the 1-year outcomes examined remains an open question, according to a meta-analysis in Circulation: Cardiovascular Interventions . (medpagetoday.com)
Serial primary angioplasty with 2 x 20 mm and a 2.5 x 20 mm balloon was gently performed to 10-12 ATM, creating an improved channel within the stenosis. (nspc.com)
Subsequently, a 4 x 40 mm PTA balloon was then utilized to perform angioplasty with embolic protection, followed by placement of a 40 mm stent tapering from 6 to 8 mm from distal to proximal within the right ICA and CCA. (nspc.com)
111 (94.9%) required stent retriever, 21 (24.4%) angioplasty and 19 (16.2%) aspiration thrombectomy. (biomedcentral.com)

His baseline electrocardiogram (ECG) and echocardiography were normal, but coronary angiography (CAG) revealed intermediate stenosis in the left ascending artery (LAD) and left circumflex artery (LCx). (biomedcentral.com)
The VBA geometric features, comprising the geometric configurations (Tuning fork, Walking, Lambda, and No confluence), vascular bends (multi-bending and oligo-bending), and VBA stenosis degrees, were defined based on computed tomography angiography (CTA) images. (bvsalud.org)
Examples of information that can be drawn from duplex ultrasonography includes (but is not limited to) luminal narrowing/stenosis/occlusion, presence of plaque and foreign bodies, device morphology, flow volume analysis, thrombus location and analysis, etc. (massgeneral.org)
However, these thrombectomy devises are primarily designed for recanalization of the occluded artery by removing an embolus [ 9 - 11 ], and recanalization may not be sufficiently achieved if a significant stenosis, related to intracranial atherosclerosis (ICAS), is present at the occlusion site [ 12 ]. (j-stroke.org)

We report the successful recanalization of internal carotid artery (ICA) without embolization to new vascular territory (ENT) using a combined technique in a case of ICA occlusion with PPTA. (surgicalneurologyint.com)
Management of acute symptomatic internal carotid artery (ICA) occlusion remains controversial. (ajnr.org)
Compared with studies regarding the effect of middle cerebral artery (MCA) occlusion, 1 there have only been a few studies regarding the efficacy of revascularization in patients with symptomatic acute internal carotid artery (ICA) occlusion. (ajnr.org)
Patients who develop severe stroke symptoms due to acute internal carotid artery occlusion eventually in combination with a thromboembolic obstruction of the middle cerebral artery incur a major risk of developing extensive MCA infarction with a poor outcome. (ajnr.org)
1 However, there is a subgroup of patients who develop severe stroke symptoms due to acute internal carotid artery occlusion eventually in combination with a thromboembolic obstruction of the central arteries, such as the terminal carotid segment or the middle cerebral artery, and subsequently incur a major risk of developing extensive MCA infarction with a poor outcome. (ajnr.org)
Internal carotid artery occlusion can lead to contralateral side: hemianopia, hemiplegia, partial sensory disturbance and aphasia in dominant hemisphere. (journalmc.org)

A wireless microcatheter for endovascular stroke thrombectomy was associated with lower odds of successful clot passage than a microwire, but patients ended up with fewer subarachnoid hemorrhages and vessel perforations. (medpagetoday.com)
A balloon and thrombectomy device (designed to suck clot out of the blood vessel) is passed over the wire and down the vessel. (monitortech.org)
In this study, we investigated whether such an effect exists in patients undergoing mechanical thrombectomy for acute ischemic stroke with large vessel occlusion (currently the standard treatment for this condition) at a single center in Japan. (the-jcen.org)
We surveyed 151 patients who underwent mechanical thrombectomy for acute ischemic stroke with large vessel occlusion (75 and 76 patients were treated during daytime and nighttime, respectively) from January 2019 to June 2021. (the-jcen.org)
This study did not reveal differences in treatment outcome between daytime and nighttime in patients undergoing mechanical thrombectomy for acute ischemic stroke with large vessel occlusion. (the-jcen.org)
Numerous studies have demonstrated that mechanical thrombectomy (MT) is a very effective treatment and the current standard therapy for acute ischemic stroke (AIS) caused by large vessel occlusion (LVO) [ 5 , 6 , 8 , 9 , 11 , 19 ]. (the-jcen.org)
Embolectomy is the standard of care in acute ischemic stroke (AIS) caused by large vessel occlusion (LVO). (biomedcentral.com)
The main reasons for the success of RCTs have been 1) the development of effective and safe thrombectomy devices, 2) the appropriate selection of patients based on brain and vessel imaging, including the ischemic core/penumbra, and the status of collateral circulation, and 3) the shortened door-to-procedure time [ 7 ]. (j-stroke.org)
During mechanical recanalization of large vessel occlusions (LVO), the use of proximal flow arrest with balloon guide catheters (BGC) was shown to be associated with better angiographic and even clinical outcome. (omicsdi.org)
We analyzed baseline computed tomography angiogram and computed tomography perfusion within 24 hours of stroke onset along with follow-up imaging and assessed time from stroke onset to baseline imaging, ASPECTS (Alberta Stroke Program Early CT Score), vessel occlusion, collaterals, ischemic core, and penumbra. (omicsdi.org)
No large vessel intracranial occlusion requiring emergent thrombectomy was observed, and the mild initial symptomatic presentation favored further imaging and medical optimization prior to revascularization attempts. (nspc.com)
2-6 The success of these recent trials is attributable to using advanced imaging to select patients with large vessel occlusions (LVO), focusing on rapid progression from triage to endovascular therapy and using modern thrombectomy devices and techniques. (bmj.com)
Risk factors of unexplained early neurological deterioration after treatment for ischemic stroke due to large vessel occlusion: a post hoc analysis of the HERMES study. (ucla.edu)

If ENT occurs in a patient with a PPTA, the patient may suffer from basilar artery (BA) occlusion with poor outcome. (surgicalneurologyint.com)
He was diagnosed with effort angina by coronary angiography and underwent DES implantation in the mid-left ascending artery (LAD) after the administration of dual anti-platelet therapy. (biomedcentral.com)
it revealed severe stent-edge spasm in the left main trunk to the LAD, except for the stented lesion, and total occlusion of the left circumflex artery. (biomedcentral.com)
16 In addition, the management of patients with acute symptomatic carotid artery occlusion remains controversial, though the angiographic finding of ICA occlusion reveals a spectrum of ICA occlusions, as well as a tandem lesion in the intracranial artery in addition to the level (below or above the ophthalmic artery) and type (atherosclerotic or embolic) of lesion. (ajnr.org)
This may be counterintuitive, in a way, but the reason why I have done it is that I have been using the anchor technique more and more for steep arches-you can actually inflate your balloon at the origin of the common carotid artery, and then use that support to drag your [intermediate] and diagnostic catheters to the distal vasculature. (neuronewsinternational.com)
Magnetic resonance angiogram of the recipient celiac axis depicts complete occlusion of the hepatic artery. (medscape.com)
Coronary CT angiography was a good gatekeeper to invasive coronary angiography (ICA) in non-emergent cases of suspected coronary artery disease, according to a randomized trial in JACC: Cardiovascular Imaging . (medpagetoday.com)
Occlusion of the carotid artery is clinically silent or accompanied by only mild symptoms if there is adequate collateral flow. (ajnr.org)
However, little is known regarding the effect of the evolvement of endovascular revascularization therapy (ERT) in acute basilar artery occlusion (BAO). (j-stroke.org)
Acute basilar artery occlusion (BAO) is a rare cause of stroke with a high mortality rate and an often poor clinical outcome among survivors [ 1 , 2 ]. (j-stroke.org)
These devices can be threaded into the blocked artery for removal of the clot or thrombus in a procedure called mechanical thrombectomy. (adam.com)
a Korean study reported that around 15% of ICAS-related occlusions (ICAS-O) are found in patients with intracranial artery occlusion in anterior circulation [ 14 ]. (j-stroke.org)
Another Korean study demonstrated that ICAS-O was encountered in approximately 35% patients with vertebrobasilar artery occlusion [ 6 ]. (j-stroke.org)
In another study, which included middle cerebral artery (MCA) M1 occlusions, ICAS-O were more frequent in male patients, although the statistical significance was marginal (67.5% vs. 51.2%, P =0.072) [ 15 ]. (j-stroke.org)
Headache was usually moderate and oppressive, ipsilateral to the artery occlusion and usually lasted less than 48 hours. (biomedcentral.com)
Headache related to thrombectomy usually coincides with the distribution of the affected artery, although it is bilateral in 45% of the cases, mostly oppressive, of an average duration between 1 and 2 days and of a moderate intensity. (biomedcentral.com)
A Bilateral Internal Carotid Angiography-Based Neck Remodelling Technique for Anterior Communicating Artery Aneurysms: Technical Notes. (the-jcen.org)

Magnetic resonance angiography showed occlusion of the left ICA distal to a PPTA. (surgicalneurologyint.com)
Successful recanalization (at or more than grade 2 distal residual occlusion) was obtained in 14 (42%) of 33 and good recovery (mRS ≤2) after 1 year in 11 (33%) of 33. (ajnr.org)
The purpose of this study was to evaluate the outcome for patients with tandem occlusions in the MCA and/or distal ICA, retrospectively, who had undergone stent implantation in the proximal segment of the ICA in addition to intra-arterial thrombolysis. (ajnr.org)
Thirty-five patients with tandem occlusions of the MCA and/or distal ICA and acute occlusion of the proximal ICA underwent stent implantation for the proximal ICA occlusion and IAT for the tandem occlusion. (ajnr.org)
The hope that the distal protection may improve results of primary PCI for STEMI is based on the fact that the PercuSurge GuardWire system provides protection from distal embolisation during each balloon inflation while thrombectomy is performed only before stent implantation. (ecrjournal.com)
Consequently, intracoronary thrombectomy does not prevent distal embolisation from the material shed during stent implantation or following postdilatations. (ecrjournal.com)
Another case of "distal" balloon mounted stent placement - this is 2023 btw. (neuroangio.org)
This study was performed to evaluate the safety and feasibility of a novel approach combining proximal balloon occlusion and distal aspiration to prevent distal thrombembolic complications. (bmj.com)

Going distally with guide catheters is more routine nowadays," says Violiza Inoa (Memphis, USA), discussing what she sees as a relatively recent shift in the way many physicians choose to prepare for a mechanical thrombectomy procedure to treat stroke patients. (neuronewsinternational.com)
When mechanical thrombectomy became the standard of care [in acute ischaemic stroke], and the number of thrombectomies increased, neurointerventionists started to feel more skilled to perform the procedure," she states. (neuronewsinternational.com)
Previous devices were stiff, less trackable and harder to navigate-now, from the wires to the guide catheters, to the intermediate and aspiration catheters, everything has [evolved] to the point where the technical aspects of mechanical thrombectomy are much less challenging. (neuronewsinternational.com)
We compared the outcome of endovascular mechanical thrombectomy (EMT) versus intra-arterial fibrinolysis (IAF)-based ERT in patients with acute BAO. (j-stroke.org)
We postulated and investigated that the endovascular mechanical thrombectomy (EMT)-based endovascular revascularization therapy (ERT) may improve the clinical outcome as well as procedural outcome in patients with acute BAO, compared with the traditional IAF-based ERT. (j-stroke.org)
Like most treatments, mechanical thrombectomy also has side effects. (biomedcentral.com)
Our aim was to prospectively study de novo headaches in a minimum of 100 patients (with headache in a minimum of 30) in whom a mechanical thrombectomy due to ischemic stroke was performed. (biomedcentral.com)
In this period, all patients who underwent mechanical thrombectomy in our hospital were collected. (biomedcentral.com)

He then underwent emergent CAG, which revealed thrombotic total occlusion of the proximal LAD (Fig. 3a and 3b ). (biomedcentral.com)

In the legs, below the inguinal ligament, percutaneous aspiration thrombectomy is a rapid and effective way of removing thromboembolic occlusions. (wikipedia.org)

Robotic Diagnostic Cerebral Angiography: A Multicenter Experience of 113 Patients. (ucla.edu)

Thus, resting the affected limb should delay onset of infarction substantially after arterial occlusion. (wikipedia.org)
Subsequent angiography confirmed occlusion at the hepatic arterial anastomosis. (medscape.com)
Recent advances in intra-arterial techniques and thrombectomy devices lead to high rate of recanalization. (j-stroke.org)
Many access-related complications can occur, and some are life and limb threatening, such as retroperitoneal hemorrhage or arterial occlusion. (thoracickey.com)
We did not include those patients under 18 years of age, those whose anamnesis was not possible due to severe language impairment or decreased level of consciousness, those with arterial dissection or arterial rupture and those with headache on arrival to our hospital prior to thrombectomy. (biomedcentral.com)

ICA occlusion of intravenous thrombolysis trials in patients with acute stroke have been based on the CT exclusion of hemorrhage 9 and on CT parenchymal evaluation 10 , 11 but have not pursued the exact cause or the level of occlusion. (ajnr.org)
The fourth patient had an intraoperative ICA stroke requiring suction thrombectomy, thrombolysis, stent placement and evacuation of an epidural hematoma. (bmj.com)
Radiological and angiographic imaging was reviewed to document the location of the vascular occlusion, Thrombolysis in Cerebral Infarction (TICI) ﬂow postprocedure, and procedural complications. (bmj.com)
1 Recently, multiple randomized clinical trials were completed demonstrating improved outcomes in patients with ischemic stroke who undergo endovascular thrombectomy compared with intravenous thrombolysis alone. (bmj.com)

Our aim was to study the frequency and characteristics of headache specifically related to thrombectomy in patients with ischemic stroke. (biomedcentral.com)
Almost one-third of patients with ischemic stroke who undergo endovascular thrombectomy experience headache in the first 24 hours, occurring more frequently in patients who had a previous history of headaches regardless of the procedure complexity. (biomedcentral.com)

Digital subtraction angiography revealed four aneurysms and anastomoses between the left AMA and inferolateral trunk (ILT). (nagoya-u.ac.jp)
MR Angiography in Assessment of Collaterals in Patients with Acute Ischemic Stroke: A Comparative Analysis with Digital Subtraction Angiography. (ucla.edu)

One patient developed delayed bleeding 6 h after covered stent placement and underwent successful endovascular occlusion of the ICA but died 6 days after the injury. (bmj.com)

Tandem occlusions in the anterior circulation had better outcomes with additional stenting of the extracranial lesion in a registry study of thrombectomy with the Solitaire device. (medpagetoday.com)
Stent Retriever Thrombectomy for Anterior vs. Posterior Circulation Ischemic Stroke: Analysis of the STRATIS Registry. (ucla.edu)

We evaluated outcome predictors of a good recovery in patients with acute symptomatic ICA occlusion. (ajnr.org)
2 , 17 We evaluated outcome of the acute symptomatic ICA occlusion and estimated how the clinical outcome differs according to the 14 prognostic factors associated with the clinical outcomes. (ajnr.org)
Without intervention, death is the likely outcome of this type of occlusion. (monitortech.org)
Endovascular stroke treatment using balloon guide catheters may reduce penumbral tissue damage and improve long-term outcome. (omicsdi.org)

The most important and controversial meta-analysis was most likely a 2018 study that reported increased long-term mortality in patients treated with paclitaxel-based drug delivery devices (coated balloons and eluting stents) ( 6 ). (samplefellow.com)

Surgical thrombectomy for aortoiliac thrombosis was performed and the mesenteric thrombosis was treated by percutaneous endovascular intervention. (vsijournal.org)

Time-of-flight magnetic resonance angiography revealed vertebrobasilar dolichoectasia. (bvsalud.org)
A 52-year-old woman with nonspecific symptoms was diagnosed with multiple cerebral aneurysms and abnormal blood vessels observed on magnetic resonance angiography. (nagoya-u.ac.jp)
Notably, LVO was diagnosed through computed tomography angiography (CTA) or magnetic resonance imaging (MRI) and angiography and was treated without perfusion imaging. (the-jcen.org)

After conventional primary PCI with stent implantation and IIb/IIIa blockade, the normal myocardial perfusion expressed on angiography by the tissue myocardial perfusion grade three (tMPG-3) is seen in one-third of patients. (ecrjournal.com)

MT using a combined technique with BGC would be useful to prevent embolization to the posterior circulation through the PPTA in cases of ICA occlusion with PPTA. (surgicalneurologyint.com)

During thrombectomy with a stent retriever, the thrombus is mobilized and thrombus fragments can migrate into a new, initially not affected vascular territory as a procedure-related adverse event. (bmj.com)

The VasCore Intravascular ultrasound and angiography core lab offers imaging analysis services to supplement clinical, pharmaceutical and device trials. (massgeneral.org)
It is noteworthy that the newer thrombectomy devices, such as a stent retriever or direct aspiration system, have enabled us to achieve an improved reperfusion rate, which is strongly associated with better clinical outcomes [ 8 ]. (j-stroke.org)
however, many operators expect beneficial clinical impact of easy-to- use manual thrombectomy devices in selected STEMI patients. (ecrjournal.com)
8 , 9 The direct aspiration first pass technique (ADAPT) was recently introduced as an efficient and cost effective thrombectomy method for achieving excellent angiographic and clinical outcomes using large bore aspiration catheters. (bmj.com)
Prospective evaluation of clinical features of headache after thrombectomy using an ad hoc questionnaire. (biomedcentral.com)

If the patient does not tolerate a balloon test occlusion, then a surgical bypass or reconstructive endovascular procedure should be performed. (bmj.com)
Coronary angiography is a diagnostic procedure that takes x-ray images (angiograms) of the coronary arteries. (immanuel.de)
However, because baseline angiographic findings are similar between ICAS-O and embolism-related occlusion (EMB-O), it is difficult to differentiate the etiologies before the ERT procedure. (j-stroke.org)
About one third of the patients who undergo a thrombectomy for acute stroke experience headache directly related to the procedure. (biomedcentral.com)

Endovascular therapies include embolotherapy (see images below), the goal of which is occlusion of abnormal blood vessels (eg, vascular malformations, aneurysms, vascular tumors), and cerebral revascularization , performed with the goal of reopening occluded or narrowed normal vessels. (medscape.com)

She reports choosing to deploy the latter "a lot more" recently, owing to the growing evidence base that balloon guide catheters (BGCs) can increase the likelihood of achieving first-pass revascularisation-and becoming "very comfortable" with the device as a result. (neuronewsinternational.com)
Balloon guide catheters: use, reject, or randomize? (dissem.in)

mean age, 66 years) with: 1) acute symptomatic ICA occlusion within 6 hours of symptom onset or with mismatch of symptoms and an early infarct area, 2) National Institutes of Health Stroke Scale (NIHSS) score of 6 or more, and 3) attempted endovascular revascularization of the occluded ICA. (ajnr.org)
mean age, 66 years) who experienced the following: 1) acute symptomatic ICA occlusion within 6 hours of symptom onset or with mismatch of symptoms and early infarct area, 2) initial National Institutes of Health Stroke Scale (NIHSS) ≥6, and 3) attempted intraarterial revascularization, were enrolled in this study. (ajnr.org)
In stroke patients with MCA M1 occlusions, the baseline NIHSS score was significantly lower in ICAS-O patients than in EMB-O patients (median, 14.5 vs. 16.0, P =0.006) [ 15 ]. (j-stroke.org)

Active revascularization of acute symptomatic ICA occlusion resulted in good recovery in one third of patients after 1 year. (ajnr.org)
Optimal management of an ICA occlusion with a concomitant MCA occlusion has not been clearly established, though MCA occlusion can only be a target of revascularization. (ajnr.org)
Intracranial atherosclerosis-related occlusion (ICAS-O) is frequently encountered at the time of endovascular revascularization treatment (ERT), especially in Asian countries. (j-stroke.org)

Randomised studies on suction and thrombectomy devices in a whole spectrum of STEMI patients provide conflicting results. (ecrjournal.com)

2 - 5 Acute ICA occlusions are more resistant than MCA occlusions to administration of intravenous tissue plasminogen activator (tPA). (ajnr.org)

Anatomy25

Organisms2

Diseases55

Chemicals and Drugs12

Analytical, Diagnostic and Therapeutic Techniques and Equipment77

Phenomena and Processes12

Technology, Industry, Agriculture1

Information Science3

Health Care14

Catheter11

Angioplasty6

Stenosis4

Internal caroti6

Vessel13

Artery17

Distal8

Mechanical8

Total occlusion1

Aspiration thrombectomy1

Cerebral angiography1

Arterial5

Thrombolysis4

Patients with ischemic stroke2

Digital Subtraction2

Underwent1

Anterior2

Outcome4

Stents1

Thrombosis1

Magnetic3

Implantation1

Circulation1

Thrombus1

Clinical5

Procedure4

Abnormal blood vessels1

Guide catheters2

NIHSS3

Revascularization3

Suction1

Tissue1