{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T05:12:26Z","timestamp":1784956346634,"version":"3.55.0"},"reference-count":8,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J NeuroIntervent Surg"],"accepted":{"date-parts":[[2022,12,8]]},"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The transradial approach (TRA) for mechanical thrombectomy (MT) for acute ischemic stroke has been limited by the size of catheters usable in the radial artery, with the smaller access site precluding balloon-guide catheter (BGC) use. However, promising results have been reported for a TRA with a sheathless BGC (sTRA). We sought to perform a comparative study of MT with a BGC via the sTRA versus the transfemoral approach (TFA).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A retrospective review of our MT database was conducted. Baseline, procedure-related, and outcome data were compared for patients aged \u226518 years with anterior circulation large vessel occlusion, Alberta Stroke Program Early CT Score \u22656, and prestroke modified Rankin Scale score \u22642 treated with either approach.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Ninety-three consecutive patients (34 sTRA and 59 TFA) were included. Both groups had similar demographics, comorbidities, stroke severity, intravenous alteplase use, and occlusion location. Mean time from puncture to final recanalization was faster in the sTRA group (29 vs 36 min, p=0.059) despite a higher access site crossover rate in the sTRA group (11.8% vs 0%, p=0.016). There were no differences between groups regarding last modified Thombolysis in Cerebral Infarction score; first-pass or modified first-pass effect; time from last known well to puncture; use of stent-retriever, aspiration, or combination first approach; number of passes; symptomatic intracranial hemorrhage; hospital stay; 90-day functional independence; and mortality. National Institutes of Health Scale score and modified first-pass effect were the only independent predictors of poor outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Comparable patients treated with MT via the sTRA or TFA had similar angiographic and clinical outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jnis-2022-019607","type":"journal-article","created":{"date-parts":[[2022,12,29]],"date-time":"2022-12-29T13:25:34Z","timestamp":1672320334000},"page":"187-191","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":18,"title":["Mechanical thrombectomy with a balloon-guide catheter: sheathless transradial versus transfemoral approach"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4500-7954","authenticated-orcid":false,"given":"Muhammad","family":"Waqas","sequence":"first","affiliation":[{"name":"Neurosurgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA"},{"name":"Neurosurgery, Gates Vascular Institute, Buffalo, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Neurosurgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA"},{"name":"Neurosurgery, Gates Vascular Institute, Buffalo, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin M","family":"Cappuzzo","sequence":"additional","affiliation":[{"name":"Neurosurgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA"},{"name":"Neurosurgery, Gates Vascular Institute, Buffalo, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marissa D","family":"Kruk","sequence":"additional","affiliation":[{"name":"University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal","family":"Almayman","sequence":"additional","affiliation":[{"name":"Neurosurgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA"},{"name":"Neurosurgery, Gates Vascular Institute, Buffalo, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5973-2992","authenticated-orcid":false,"given":"Steven B","family":"Housley","sequence":"additional","affiliation":[{"name":"Neurosurgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA"},{"name":"Neurosurgery, Gates Vascular Institute, Buffalo, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaims","family":"Lim","sequence":"additional","affiliation":[{"name":"Neurosurgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA"},{"name":"Neurosurgery, Gates Vascular Institute, Buffalo, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rimal H","family":"Dossani","sequence":"additional","affiliation":[{"name":"Neurosurgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA"},{"name":"Neurosurgery, Gates Vascular Institute, Buffalo, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth V","family":"Snyder","sequence":"additional","affiliation":[{"name":"Neurosurgery, Gates Vascular Institute, Buffalo, New York, USA"},{"name":"Neurosurgery and Canon Stroke and Vascular Research Center, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9519-0059","authenticated-orcid":false,"given":"Adnan H","family":"Siddiqui","sequence":"additional","affiliation":[{"name":"Neurosurgery, Gates Vascular Institute, Buffalo, New York, USA"},{"name":"Neurosurgery and Radiology and Canon Stroke and Vascular Research Center, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5225-3072","authenticated-orcid":false,"given":"Jason M","family":"Davies","sequence":"additional","affiliation":[{"name":"Neurosurgery, Gates Vascular Institute, Buffalo, New York, USA"},{"name":"Neurosurgery and Bioinformatics and Canon Stroke and Vascular Research Center, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6208-3724","authenticated-orcid":false,"given":"Elad I","family":"Levy","sequence":"additional","affiliation":[{"name":"Neurosurgery, Gates Vascular Institute, Buffalo, New York, USA"},{"name":"Neurosurgery and Radiology and Canon Stroke and Vascular Research Center, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,12,29]]},"reference":[{"key":"2025092913263287000_16.2.187.1","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2020-017225"},{"key":"2025092913263287000_16.2.187.2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2017-013179"},{"key":"2025092913263287000_16.2.187.3","article-title":"Use of Walrus balloon-guide catheter through sheathless radial approach for mechanical thrombectomy of right middle cerebral artery occlusion","volume":"14","author":"Dossani","year":"2022","journal-title":"J Neurointerv Surg"},{"key":"2025092913263287000_16.2.187.4","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.115.010049"},{"key":"2025092913263287000_16.2.187.5","article-title":"Use of a sheathless 8-French balloon guide catheter (Walrus) through the radial artery for mechanical thrombectomy: technique and case series","volume":"14","author":"Dossani","year":"2022","journal-title":"J Neurointerv Surg"},{"key":"2025092913263287000_16.2.187.6","doi-asserted-by":"crossref","DOI":"10.1016\/j.clineuro.2020.106235","article-title":"Transradial access for thrombectomy in acute stroke: a systematic review and meta-analysis","volume":"198","author":"Peterson","year":"2020","journal-title":"Clin Neurol Neurosurg"},{"key":"2025092913263287000_16.2.187.7","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2013-011007"},{"key":"2025092913263287000_16.2.187.8","first-page":"159101992210748","article-title":"Rist guide catheter for endovascular procedures: initial case series from a single center","author":"Waqas","year":"2022","journal-title":"Interv Neuroradiol"}],"container-title":["Journal of NeuroInterventional Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jnis-2022-019607","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T20:26:37Z","timestamp":1759177597000},"score":1,"resource":{"primary":{"URL":"https:\/\/jnis.bmj.com\/lookup\/doi\/10.1136\/jnis-2022-019607"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,29]]},"references-count":8,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,1,12]]},"published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1136\/jnis-2022-019607"],"URL":"https:\/\/doi.org\/10.1136\/jnis-2022-019607","relation":{},"ISSN":["1759-8478","1759-8486"],"issn-type":[{"value":"1759-8478","type":"print"},{"value":"1759-8486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,29]]}}}