Optimizing fast first pass complete reperfusion in acute ischemic stroke - the BADDASS approach (BAlloon guiDe with large bore Distal Access catheter with dual aspiration with Stent-retriever as Standard approach)
Language English Country Great Britain, England Media print-electronic
Document type Journal Article, Review
- Keywords
- Aspiration, balloon guide catheter, endovascular therapy, ischemic stroke, reperfusion, thrombectomy,
- MeSH
- Stroke complications therapy MeSH
- Brain Ischemia complications therapy MeSH
- Humans MeSH
- Suction MeSH
- Reperfusion * MeSH
- Cardiac Catheterization * MeSH
- Stents * adverse effects MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
Introduction: Endovascular therapy is the standard of care for acute ischemic stroke due to large vessel occlusions. The ultimate goal is to achieve fast first pass complete reperfusion, since delayed and/or incomplete reperfusion increases complication rates and costs and deteriorates patient outcome. Achieving optimal results can sometimes be challenging, particularly in patients with tortuous vessels. Several techniques have been described lately to optimize recanalization, including first line aspiration and various stent-retriever assisted techniques. In our experience, mechanical thrombectomy with a BAlloon guide catheter, large bore Distal access catheter, Dual Aspiration and Stent-retriever as Standard approach (BADDASS) is the most efficient technique to succeed, since it combines the advantages of stent-retrievers and distal aspiration.Areas covered: The purpose of this review is to enable neurointerventionalists to achieve fast first pass complete reperfusion by outlining the BADDASS approach step-by-step and sharing additional tips for navigating through challenging internal carotid artery segments.Expert opinion: In our experience, the BADDASS approach is the safest and most effective way to achieve fast first pass complete reperfusion.
Department of Clinical Neurosciences University of Calgary Calgary Canada
Department of Neurology Warren Alpert School of Medicine at Brown University Providence RI USA
Department of Neurosurgery Warren Alpert School of Medicine at Brown University Providence RI USA
Department of Radiology University Hospital Basel University of Basel Basel Switzerland
Department of Radiology University of Calgary Calgary Canada
The Norman Prince Neuroscience Institute Rhode Island Hospital Providence RI USA
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