{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T17:35:35Z","timestamp":1790357735220,"version":"4.1.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Purpose\u2014<\/jats:title>\n                    <jats:p>Based on its mechanism, the use of balloon guide catheters (BGCs) may be beneficial during endovascular treatment, regardless of the type of mechanical recanalization modality used\u2014stent retriever thrombectomy or thrombaspiration. We evaluated whether the use of BGCs can be beneficial regardless of the first-line mechanical endovascular modality used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods\u2014<\/jats:title>\n                    <jats:p>We retrospectively reviewed consecutive acute stroke patients who underwent stent retriever thrombectomy or thrombaspiration from the prospectively maintained registries of 17 stroke centers nationwide. Patients were assigned to the BGC or non-BGC group based on the use of BGCs during procedures. Endovascular and clinical outcomes were compared between the BGC and non-BGC groups. To adjust the influence of the type of first-line endovascular modality on successful recanalization and favorable outcome, multivariable analyses were also performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results\u2014<\/jats:title>\n                    <jats:p>\n                      This study included a total of 955 patients. Stent retriever thrombectomy was used as the first-line modality in 526 patients (55.1%) and thrombaspiration in 429 (44.9%). BGC was used in 516 patients (54.0%; 61.2% of stent retriever thrombectomy patients; 45.2% of thrombaspiration patients). The successful recanalization rate was significantly higher in the BGC group compared with the non-BGC group (86.8% versus 74.7%, respectively;\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001). Furthermore, the first-pass recanalization rate was more frequent (37.0% versus 14.1%;\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001), and the number of device passes was fewer in the BGC group (2.5\u00b11.9 versus 3.3\u00b12.1;\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001). The procedural time was also shorter in the BGC group (54.3\u00b127.4 versus 67.6\u00b138.2;\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001). The use of BGC was an independent factor for successful recanalization (odds ratio, 2.18; 95% CI, 1.54\u20133.10;\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001) irrespective of the type of first-line endovascular modality used. The use of BGC was also an independent factor for a favorable outcome (odds ratio, 1.40; 95% CI, 1.02\u20131.92;\n                      <jats:italic>P<\/jats:italic>\n                      =0.038) irrespective of the type of first-line endovascular modality used.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions\u2014<\/jats:title>\n                    <jats:p>Regardless of the first-line mechanical endovascular modality used, the use of BGC in endovascular treatment was beneficial in terms of both recanalization success and functional outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/strokeaha.118.024723","type":"journal-article","created":{"date-parts":[[2019,5,2]],"date-time":"2019-05-02T05:00:28Z","timestamp":1556773228000},"page":"1490-1496","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":83,"title":["Balloon Guide Catheter Is Beneficial in Endovascular Treatment Regardless of Mechanical Recanalization Modality"],"prefix":"10.1161","volume":"50","author":[{"given":"Jang-Hyun","family":"Baek","sequence":"first","affiliation":[{"name":"From the Department of Neurology, Kangbuk Samsung Hospital (J.-H.B.), Sungkyunkwan University School of Medicine, Seoul, Korea"},{"name":"Departments of Neurology (J.-H.B., J.H.H., H.S.N., Y.D.K.), Yonsei University College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byung Moon","family":"Kim","sequence":"additional","affiliation":[{"name":"Radiology (B.M.K., D.J.K.), Yonsei University College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong-Hun","family":"Kang","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery (D.-H.K.), Kyungpook National University Hospital, Daegu, Korea"},{"name":"Radiology (D.-H.K., Y.-S.K.), Kyungpook National University Hospital, Daegu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji Hoe","family":"Heo","sequence":"additional","affiliation":[{"name":"Departments of Neurology (J.-H.B., J.H.H., H.S.N., Y.D.K.), Yonsei University College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyo Suk","family":"Nam","sequence":"additional","affiliation":[{"name":"Departments of Neurology (J.-H.B., J.H.H., H.S.N., Y.D.K.), Yonsei University College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Dae","family":"Kim","sequence":"additional","affiliation":[{"name":"Departments of Neurology (J.-H.B., J.H.H., H.S.N., Y.D.K.), Yonsei University College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang-Ha","family":"Hwang","sequence":"additional","affiliation":[{"name":"Neurology (Y.-H.H., Y.-W.K.), Kyungpook National University Hospital, Daegu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong-Won","family":"Kim","sequence":"additional","affiliation":[{"name":"Neurology (Y.-H.H., Y.-W.K.), Kyungpook National University Hospital, Daegu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong-Sun","family":"Kim","sequence":"additional","affiliation":[{"name":"Radiology (D.-H.K., Y.-S.K.), Kyungpook National University Hospital, Daegu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Joon","family":"Kim","sequence":"additional","affiliation":[{"name":"Radiology (B.M.K., D.J.K.), Yonsei University College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyo Sung","family":"Kwak","sequence":"additional","affiliation":[{"name":"Department of Radiology, Chonbuk National University Medical School and Hospital, Jeonju, Korea (H.S.K.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong Gee","family":"Roh","sequence":"additional","affiliation":[{"name":"Department of Radiology, Konkuk University Hospital, Seoul, Korea (H.G.R.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young-Jun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Radiology, Hanyang University Hospital, Seoul, Korea (Y.-J.L.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Heum","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Radiology, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea (S.H.K.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung Kug","family":"Baik","sequence":"additional","affiliation":[{"name":"Department of Radiology, Pusan National University Yangsan Hospital, Korea (S.K.B.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pyoung","family":"Jeon","sequence":"additional","affiliation":[{"name":"Department of Radiology, Samsung Medical Center (P.J.), Sungkyunkwan University School of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joonsang","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Neurology, Keimyung University Dongsan Medical Center, Daegu, Republic of Korea (J.Y.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Hyun","family":"Suh","sequence":"additional","affiliation":[{"name":"Severance Hospital Stroke Center, and Department of Radiology, Gangnam Severance Hospital (S.H.S.), Yonsei University College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byungjun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Radiology, Korea University Anam Hospital, Seoul (B.K.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin Woo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Radiology, Inje University Ilsan Paik Hospital, Goyang, Korea (J.W.K.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sangil","family":"Suh","sequence":"additional","affiliation":[{"name":"Department of Radiology, Korea University Guro Hospital, Seoul (S.S.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong-Jun","family":"Jeon","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea 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