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Combined balloon guide catheter, aspiration catheter, and stent retriever technique versus balloon guide catheter and stent retriever alone technique: a systematic review and meta-analysis

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Combined balloon guide catheter, aspiration catheter, and stent retriever technique versus balloon guide catheter and stent retriever alone technique: a systematic review and meta-analysis. / Teo, Yao Neng; Sia, Ching-Hui; Tan, Benjamin Y Q; Mingxue, Jing; Chan, Bernard; Sharma, Vijay Kumar; Makmur, Andrew; Gopinathan, Anil; Yang, Cunli; Loh, Stanley; Ng, Sheldon; Ong, Shao Jin; Teoh, Hock-Luen; Rathakrishnan, Rahul; Andersson, Tommy; Arnberg, Fabian; Gontu, Vamsi Krishna; Lee, Tsong-Hai; Maus, Volker; Meyer, Lukas; Bhogal, Pervinder; Spooner, Oliver; Li, Tony Yw; Soh, Rodney Yh; Yeo, Leonard Ll.

In: J NEUROINTERV SURG, Vol. 15, No. 2, 02.2023, p. 127-132.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Teo, YN, Sia, C-H, Tan, BYQ, Mingxue, J, Chan, B, Sharma, VK, Makmur, A, Gopinathan, A, Yang, C, Loh, S, Ng, S, Ong, SJ, Teoh, H-L, Rathakrishnan, R, Andersson, T, Arnberg, F, Gontu, VK, Lee, T-H, Maus, V, Meyer, L, Bhogal, P, Spooner, O, Li, TY, Soh, RY & Yeo, LL 2023, 'Combined balloon guide catheter, aspiration catheter, and stent retriever technique versus balloon guide catheter and stent retriever alone technique: a systematic review and meta-analysis', J NEUROINTERV SURG, vol. 15, no. 2, pp. 127-132. https://doi.org/10.1136/neurintsurg-2021-018406

APA

Teo, Y. N., Sia, C-H., Tan, B. Y. Q., Mingxue, J., Chan, B., Sharma, V. K., Makmur, A., Gopinathan, A., Yang, C., Loh, S., Ng, S., Ong, S. J., Teoh, H-L., Rathakrishnan, R., Andersson, T., Arnberg, F., Gontu, V. K., Lee, T-H., Maus, V., ... Yeo, L. L. (2023). Combined balloon guide catheter, aspiration catheter, and stent retriever technique versus balloon guide catheter and stent retriever alone technique: a systematic review and meta-analysis. J NEUROINTERV SURG, 15(2), 127-132. https://doi.org/10.1136/neurintsurg-2021-018406

Vancouver

Teo YN, Sia C-H, Tan BYQ, Mingxue J, Chan B, Sharma VK et al. Combined balloon guide catheter, aspiration catheter, and stent retriever technique versus balloon guide catheter and stent retriever alone technique: a systematic review and meta-analysis. J NEUROINTERV SURG. 2023 Feb;15(2):127-132. https://doi.org/10.1136/neurintsurg-2021-018406

Bibtex

@article{fab33640bd724c1183b0e8113a8a2636,
title = "Combined balloon guide catheter, aspiration catheter, and stent retriever technique versus balloon guide catheter and stent retriever alone technique: a systematic review and meta-analysis",
abstract = "BACKGROUND: The use of a combination of balloon guide catheter (BGC), aspiration catheter, and stent retriever in acute ischemic stroke thrombectomy has not been shown to be better than a stent retriever and BGC alone, but this may be due to a lack of power in these studies. We therefore performed a meta-analysis on this subject.METHODS: A systematic literature search was performed on PubMed, Scopus, Embase/Ovid, and the Cochrane Library from inception to October 20, 2021. Our primary outcomes were the rate of successful final reperfusion (Treatment in Cerebral Ischemia (TICI) 2c-3) and first pass effect (FPE, defined as TICI 2c-3 in a single pass). Secondary outcomes were 3 month functional independence (modified Rankin Scale score of 0-2), mortality, procedural complications, embolic complications, and symptomatic intracranial hemorrhage (SICH). A meta-analysis was performed using RevMan 5,4, and heterogeneity was assessed using the I2 test.RESULTS: Of 1629 studies identified, five articles with 2091 patients were included. For the primary outcomes, FPE (44.9% vs 45.4%, OR 1.04 (95% CI 0.90 to 1.22), I2=57%) or final successful reperfusion (64.5% vs 68.6%, OR 0.98 (95% CI 0.81% to 1.20%), I2=85%) was similar between the combination technique and stent retriever only groups. However, the combination technique had significantly less rescue treatment (18.8% vs 26.9%; OR 0.70 (95% CI 0.54 to 0.91), I2=0%). This did not translate into significant differences in secondary outcomes in functional outcomes, mortality, emboli, complications, or SICH.CONCLUSION: There was no significant difference in successful reperfusion and FPE between the combined techniques and the stent retriever and BGC alone groups. Neither was there any difference in functional outcomes, complications, or mortality.",
author = "Teo, {Yao Neng} and Ching-Hui Sia and Tan, {Benjamin Y Q} and Jing Mingxue and Bernard Chan and Sharma, {Vijay Kumar} and Andrew Makmur and Anil Gopinathan and Cunli Yang and Stanley Loh and Sheldon Ng and Ong, {Shao Jin} and Hock-Luen Teoh and Rahul Rathakrishnan and Tommy Andersson and Fabian Arnberg and Gontu, {Vamsi Krishna} and Tsong-Hai Lee and Volker Maus and Lukas Meyer and Pervinder Bhogal and Oliver Spooner and Li, {Tony Yw} and Soh, {Rodney Yh} and Yeo, {Leonard Ll}",
note = "{\textcopyright} Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.",
year = "2023",
month = feb,
doi = "10.1136/neurintsurg-2021-018406",
language = "English",
volume = "15",
pages = "127--132",
journal = "J NEUROINTERV SURG",
issn = "1759-8478",
publisher = "BMJ PUBLISHING GROUP",
number = "2",

}

RIS

TY - JOUR

T1 - Combined balloon guide catheter, aspiration catheter, and stent retriever technique versus balloon guide catheter and stent retriever alone technique: a systematic review and meta-analysis

AU - Teo, Yao Neng

AU - Sia, Ching-Hui

AU - Tan, Benjamin Y Q

AU - Mingxue, Jing

AU - Chan, Bernard

AU - Sharma, Vijay Kumar

AU - Makmur, Andrew

AU - Gopinathan, Anil

AU - Yang, Cunli

AU - Loh, Stanley

AU - Ng, Sheldon

AU - Ong, Shao Jin

AU - Teoh, Hock-Luen

AU - Rathakrishnan, Rahul

AU - Andersson, Tommy

AU - Arnberg, Fabian

AU - Gontu, Vamsi Krishna

AU - Lee, Tsong-Hai

AU - Maus, Volker

AU - Meyer, Lukas

AU - Bhogal, Pervinder

AU - Spooner, Oliver

AU - Li, Tony Yw

AU - Soh, Rodney Yh

AU - Yeo, Leonard Ll

N1 - © Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2023/2

Y1 - 2023/2

N2 - BACKGROUND: The use of a combination of balloon guide catheter (BGC), aspiration catheter, and stent retriever in acute ischemic stroke thrombectomy has not been shown to be better than a stent retriever and BGC alone, but this may be due to a lack of power in these studies. We therefore performed a meta-analysis on this subject.METHODS: A systematic literature search was performed on PubMed, Scopus, Embase/Ovid, and the Cochrane Library from inception to October 20, 2021. Our primary outcomes were the rate of successful final reperfusion (Treatment in Cerebral Ischemia (TICI) 2c-3) and first pass effect (FPE, defined as TICI 2c-3 in a single pass). Secondary outcomes were 3 month functional independence (modified Rankin Scale score of 0-2), mortality, procedural complications, embolic complications, and symptomatic intracranial hemorrhage (SICH). A meta-analysis was performed using RevMan 5,4, and heterogeneity was assessed using the I2 test.RESULTS: Of 1629 studies identified, five articles with 2091 patients were included. For the primary outcomes, FPE (44.9% vs 45.4%, OR 1.04 (95% CI 0.90 to 1.22), I2=57%) or final successful reperfusion (64.5% vs 68.6%, OR 0.98 (95% CI 0.81% to 1.20%), I2=85%) was similar between the combination technique and stent retriever only groups. However, the combination technique had significantly less rescue treatment (18.8% vs 26.9%; OR 0.70 (95% CI 0.54 to 0.91), I2=0%). This did not translate into significant differences in secondary outcomes in functional outcomes, mortality, emboli, complications, or SICH.CONCLUSION: There was no significant difference in successful reperfusion and FPE between the combined techniques and the stent retriever and BGC alone groups. Neither was there any difference in functional outcomes, complications, or mortality.

AB - BACKGROUND: The use of a combination of balloon guide catheter (BGC), aspiration catheter, and stent retriever in acute ischemic stroke thrombectomy has not been shown to be better than a stent retriever and BGC alone, but this may be due to a lack of power in these studies. We therefore performed a meta-analysis on this subject.METHODS: A systematic literature search was performed on PubMed, Scopus, Embase/Ovid, and the Cochrane Library from inception to October 20, 2021. Our primary outcomes were the rate of successful final reperfusion (Treatment in Cerebral Ischemia (TICI) 2c-3) and first pass effect (FPE, defined as TICI 2c-3 in a single pass). Secondary outcomes were 3 month functional independence (modified Rankin Scale score of 0-2), mortality, procedural complications, embolic complications, and symptomatic intracranial hemorrhage (SICH). A meta-analysis was performed using RevMan 5,4, and heterogeneity was assessed using the I2 test.RESULTS: Of 1629 studies identified, five articles with 2091 patients were included. For the primary outcomes, FPE (44.9% vs 45.4%, OR 1.04 (95% CI 0.90 to 1.22), I2=57%) or final successful reperfusion (64.5% vs 68.6%, OR 0.98 (95% CI 0.81% to 1.20%), I2=85%) was similar between the combination technique and stent retriever only groups. However, the combination technique had significantly less rescue treatment (18.8% vs 26.9%; OR 0.70 (95% CI 0.54 to 0.91), I2=0%). This did not translate into significant differences in secondary outcomes in functional outcomes, mortality, emboli, complications, or SICH.CONCLUSION: There was no significant difference in successful reperfusion and FPE between the combined techniques and the stent retriever and BGC alone groups. Neither was there any difference in functional outcomes, complications, or mortality.

U2 - 10.1136/neurintsurg-2021-018406

DO - 10.1136/neurintsurg-2021-018406

M3 - SCORING: Journal article

C2 - 35101960

VL - 15

SP - 127

EP - 132

JO - J NEUROINTERV SURG

JF - J NEUROINTERV SURG

SN - 1759-8478

IS - 2

ER -