Clinical Neuroradiology

, Volume 26, Issue 3, pp 369–373 | Cite as

Balloon Guide Catheter in Complex Anterior Circulation Mechanical Thrombectomy: Beyond Proximal Occlusion and Flow Reversal

  • T. Demerath
  • M. Reinhard
  • S. Elsheikh
  • A. Keuler
  • H. Urbach
  • S. Meckel


Compliance with Ethical Standards

Conflict of Interest

T. Demerath: Congress travel support from Stryker

A. Keuler: Congress travel support from Acandis GmbH & Co. KG

SM: Congress travel support from Acandis GmbH & Co. KG, Covidien/Medtronic, Microvention, and Stryker. Honoraria from Acandis GmbH & Co. KG (scientific advisory board).

Supplementary material

62_2016_498_MOESM1_ESM.avi (104.9 mb)
(AVI 107420 kb)


  1. 1.
    Eesa M, Almekhlafi MA, Mitha AP, Wong JH, Goyal M. Manual aspiration thrombectomy through balloon-tipped guide catheter for rapid clot burden reduction in endovascular therapy for ICA L/T occlusion. Neuroradiology. 2012;54(11):1261–5.CrossRefPubMedGoogle Scholar
  2. 2.
    Nguyen TN, Malisch T, Castonguay AC, Gupta R, Sun CH, Martin CO, Holloway WE, Mueller-Kronast N, English JD, Linfante I, Dabus G, Marden FA, Bozorgchami H, Xavier A, Rai AT, Froehler MT, Badruddin A, Taqi M, Abraham MG, Janardhan V, Shaltoni H, Novakovic R, Yoo AJ, Abou-Chebl A, Chen PR, Britz GW, Kaushal R, Nanda A, Issa MA, Masoud H, Nogueira RG, Norbash AM, Zaidat OO. Balloon guide catheter improves revascularization and clinical outcomes with the solitaire device: analysis of the North American Solitaire Acute Stroke Registry. Stroke. 2014;45(1):141–5.CrossRefPubMedGoogle Scholar
  3. 3.
    Behme D, Mpotsaris A, Zeyen P, Psychogios MN, Kowoll A, Maurer CJ, Joachimski F, Liman J, Wasser K, Kabbasch C, Berlis A, Knauth M, Liebig T, Weber W.Emergency stenting of the extracranial internal carotid artery in combination with anterior circulation thrombectomy in acute ischemic stroke: a retrospective multicenter study. AJNR Am J Neuroradiol. 2015;36(12):2340–5.Google Scholar
  4. 4.
    Maurer CJ, Joachimski F, Berlis A. Two in one: endovascular treatment of acute tandem occlusions in the anterior circulation. Clin Neuroradiol. 2015;25(4):397–402.Google Scholar
  5. 5.
    Lockau H, Liebig T, Henning T, Neuschmelting V, Stetefeld H, Kabbasch C, Dorn F. Mechanical thrombectomy in tandem occlusion: procedural considerations and clinical results. Neuroradiology. 2015;57(6):589–98.CrossRefPubMedGoogle Scholar
  6. 6.
    Crowley RW, Abla AA, Ducruet AF, McDougall CG, Albuquerque FC. Novel application of a balloon-anchoring technique for the realignment of a prolapsed pipeline embolization device: a technical report. J Neurointerv Surg. 2014;6(6):439–44.CrossRefPubMedGoogle Scholar
  7. 7.
    Fargen KM, Velat GJ, Lawson MF, Hoh BL, Mocco J. The stent anchor technique for distal access through a large or giant aneurysm. J Neurointerv Surg. 2013;5(4):e24.CrossRefPubMedGoogle Scholar
  8. 8.
    Snyder KV, Natarajan SK, Hauck EF, Mocco J, Siddiqui AH, Hopkins LN, Levy EI. The balloon anchor technique: a novel technique for distal access through a giant aneurysm. J Neurointerv Surg. 2010;2(4):363–7.CrossRefPubMedGoogle Scholar
  9. 9.
    Peeling L, Fiorella D. Balloon-assisted guide catheter positioning to overcome extreme cervical carotid tortuosity: technique and case experience. J Neurointerv Surg. 2014;6(2):129–33.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • T. Demerath
    • 1
  • M. Reinhard
    • 2
  • S. Elsheikh
    • 1
  • A. Keuler
    • 3
  • H. Urbach
    • 1
  • S. Meckel
    • 1
  1. 1.Department of Neuroradiology, NeurocenterUniversity Hospital FreiburgFreiburgGermany
  2. 2.Department of Neurology, NeurocenterUniversity Hospital FreiburgFreiburgGermany
  3. 3.Department of RadiologyUniversity Hospital of CologneCologneGermany

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