TY - JOUR T1 - Effect of balloon guide catheter on clinical outcomes and reperfusion in Trevo thrombectomy JF - Journal of NeuroInterventional Surgery JO - J NeuroIntervent Surg SP - 861 LP - 865 DO - 10.1136/neurintsurg-2018-014452 VL - 11 IS - 9 AU - Thanh N Nguyen AU - Alicia C Castonguay AU - Raul G Nogueira AU - Diogo C Haussen AU - Joey D English AU - Sudhakar R Satti AU - Jennifer Chen AU - Hamed Farid AU - Candace Borders AU - Erol Veznedaroglu AU - Mandy J Binning AU - Ajit S Puri AU - Nirav A Vora AU - Ron F Budzik AU - Guilherme Dabus AU - Italo Linfante AU - Vallabh Janardhan AU - Amer Alshekhlee AU - Michael G Abraham AU - Randall C Edgell AU - M Asif Taqi AU - Ramy El Khoury AU - Maxim Mokin AU - Aniel Q Majjhoo AU - Mouhammed R Kabbani AU - Michael T Froehler AU - Ira Finch AU - Sameer A Ansari AU - Roberta Novakovic AU - Mohamad Abdalkader AU - Osama O Zaidat Y1 - 2019/09/01 UR - http://jnis.bmj.com/content/11/9/861.abstract N2 - Introduction The Solitaire stent retriever registry showed improved reperfusion, faster procedure times, and better outcome in acute stroke patients with large vessel occlusion treated with a balloon guide catheter (BGC) and Solitaire stent retriever compared with a conventional guide catheter. The goal of this study was to evaluate whether use of a BGC with the Trevo stent retriever improves outcomes compared with a conventional guide catheter.Methods The TRACK registry recruited 23 sites to submit demographic, clinical, and site adjudicated angiographic and outcome data on consecutive patients treated with the Trevo stent retriever. BGC use was at the discretion of the physician.Results 536 anterior circulation patients (of whom 279 (52.1%) had BGC placement) were included in this analysis. Baseline characteristics were notable for younger patients in the BGC group (65.4±15.3 vs 68.1±13.6, P=0.03) and lower rate of hypertension (72% vs 79%, P=0.06). Mean time from symptom onset to groin puncture was longer in the BGC group (357 vs 319 min, P=0.06).Thrombolysis in Cerebral Infarction 2b/3 scores were higher in the BGC cohort (84% vs 75.5%, P=0.01). There was no difference in reperfusion time, first pass effect, number of passes, or rescue therapy. Good clinical outcome at 3 months was superior in patients with BGC (57% vs 40%; P=0.0004) with a lower mortality rate (13% vs 23%, P=0.008). Multivariate analysis demonstrated that BGC use was an independent predictor of good clinical outcome (OR 2; 95% CI 1.3 to 3.1, P=0.001).Conclusions In acute stroke patients presenting with anterior circulation large vessel occlusion, use of a BGC with the Trevo stent retriever resulted in improved reperfusion, improved clinical outcome, and lower mortality. ER -