Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • AJNR Case Collection
    • Case of the Week Archive
    • Classic Case Archive
    • Case of the Month Archive
  • Special Collections
    • Spinal CSF Leak Articles (Jan 2020-June 2024)
    • 2024 AJNR Journal Awards
    • Most Impactful AJNR Articles
  • Multimedia
    • AJNR Podcast
    • AJNR Scantastics
    • Video Articles
  • For Authors
    • Submit a Manuscript
    • Author Policies
    • Fast publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Manuscript Submission Guidelines
    • Imaging Protocol Submission
    • Submit a Case for the Case Collection
  • About Us
    • About AJNR
    • Editorial Board
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Other Publications
    • ajnr

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • AJNR Case Collection
    • Case of the Week Archive
    • Classic Case Archive
    • Case of the Month Archive
  • Special Collections
    • Spinal CSF Leak Articles (Jan 2020-June 2024)
    • 2024 AJNR Journal Awards
    • Most Impactful AJNR Articles
  • Multimedia
    • AJNR Podcast
    • AJNR Scantastics
    • Video Articles
  • For Authors
    • Submit a Manuscript
    • Author Policies
    • Fast publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Manuscript Submission Guidelines
    • Imaging Protocol Submission
    • Submit a Case for the Case Collection
  • About Us
    • About AJNR
    • Editorial Board
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

Welcome to the new AJNR, Updated Hall of Fame, and more. Read the full announcements.


AJNR is seeking candidates for the position of Associate Section Editor, AJNR Case Collection. Read the full announcement.

 

Research ArticleInterventional

GUide sheath Advancement and aspiRation in the Distal petrocavernous internal carotid artery (GUARD) Technique during Thrombectomy Improves Reperfusion and Clinical Outcomes

S.A. Ansari, M. Darwish, R.N. Abdalla, D.R. Cantrell, A. Shaibani, M.C. Hurley, B.S. Jahromi and M.B. Potts
American Journal of Neuroradiology August 2019, 40 (8) 1356-1362; DOI: https://doi.org/10.3174/ajnr.A6132
S.A. Ansari
aFrom the Departments of Radiology (S.A.A., M.D., R.N.A., D.R.C., A.S., M.C.H., B.S.J., M.B.P.)
bNeurology (S.A.A.)
cNeurological Surgery (S.A.A., D.R.C., A.S., M.C.H., B.S.J., M.B.P.), Feinberg School of Medicine, Northwestern University, Chicago, Illinois
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for S.A. Ansari
M. Darwish
aFrom the Departments of Radiology (S.A.A., M.D., R.N.A., D.R.C., A.S., M.C.H., B.S.J., M.B.P.)
dDepartment of Neurology (M.D.), Assiut University, Assiut, Egypt
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for M. Darwish
R.N. Abdalla
aFrom the Departments of Radiology (S.A.A., M.D., R.N.A., D.R.C., A.S., M.C.H., B.S.J., M.B.P.)
eDepartment of Radiology (R.N.A.), Ain Shams University, Cairo, Egypt.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for R.N. Abdalla
D.R. Cantrell
aFrom the Departments of Radiology (S.A.A., M.D., R.N.A., D.R.C., A.S., M.C.H., B.S.J., M.B.P.)
cNeurological Surgery (S.A.A., D.R.C., A.S., M.C.H., B.S.J., M.B.P.), Feinberg School of Medicine, Northwestern University, Chicago, Illinois
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for D.R. Cantrell
A. Shaibani
aFrom the Departments of Radiology (S.A.A., M.D., R.N.A., D.R.C., A.S., M.C.H., B.S.J., M.B.P.)
cNeurological Surgery (S.A.A., D.R.C., A.S., M.C.H., B.S.J., M.B.P.), Feinberg School of Medicine, Northwestern University, Chicago, Illinois
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for A. Shaibani
M.C. Hurley
aFrom the Departments of Radiology (S.A.A., M.D., R.N.A., D.R.C., A.S., M.C.H., B.S.J., M.B.P.)
cNeurological Surgery (S.A.A., D.R.C., A.S., M.C.H., B.S.J., M.B.P.), Feinberg School of Medicine, Northwestern University, Chicago, Illinois
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for M.C. Hurley
B.S. Jahromi
aFrom the Departments of Radiology (S.A.A., M.D., R.N.A., D.R.C., A.S., M.C.H., B.S.J., M.B.P.)
cNeurological Surgery (S.A.A., D.R.C., A.S., M.C.H., B.S.J., M.B.P.), Feinberg School of Medicine, Northwestern University, Chicago, Illinois
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for B.S. Jahromi
M.B. Potts
aFrom the Departments of Radiology (S.A.A., M.D., R.N.A., D.R.C., A.S., M.C.H., B.S.J., M.B.P.)
cNeurological Surgery (S.A.A., D.R.C., A.S., M.C.H., B.S.J., M.B.P.), Feinberg School of Medicine, Northwestern University, Chicago, Illinois
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for M.B. Potts
  • Article
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

REFERENCES

  1. 1.↵
    1. Powers WJ,
    2. Rabinstein AA,
    3. Ackerson T, et al
    ; American Heart Association Stroke Council. 2018 Guidelines for the Early Management of Patients with Acute Ischemic Stroke: a Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association. Stroke 2018;49:e46–110 doi:10.1161/STR.0000000000000158 pmid:29367334
    Abstract/FREE Full Text
  2. 2.↵
    1. Goyal M,
    2. Menon BK,
    3. van Zwam WH, et al
    ; HERMES collaborators. Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials. Lancet 2016;387:1723–31 doi:10.1016/S0140-6736(16)00163-X pmid:26898852
    CrossRefPubMed
  3. 3.↵
    1. Turk AS,
    2. Frei D,
    3. Fiorella D, et al
    . ADAPT FAST study: a direct aspiration first pass technique for acute stroke thrombectomy. J Neurointerv Surg 2014;6:260–64 doi:10.1136/neurintsurg-2014-011125 pmid:24569575
    Abstract/FREE Full Text
  4. 4.↵
    1. Lee HC,
    2. Kang DH,
    3. Hwang YH, et al
    . Forced arterial suction thrombectomy using distal access catheter in acute ischemic stroke. Neurointervention 2017;12:45–49 doi:10.5469/neuroint.2017.12.1.45 pmid:28316869
    CrossRefPubMed
  5. 5.↵
    1. Humphries W,
    2. Hoit D,
    3. Doss VT, et al
    . Distal aspiration with retrievable stent assisted thrombectomy for the treatment of acute ischemic stroke. J Neurointerv Surg 2015;7:90–94 doi:10.1136/neurintsurg-2013-010986 pmid:24463439
    Abstract/FREE Full Text
  6. 6.↵
    1. McTaggart RA,
    2. Tung EL,
    3. Yaghi S, et al
    . Continuous aspiration prior to intracranial vascular embolectomy (CAPTIVE): a technique which improves outcomes. J Neurointerv Surg 2017;9:1154–59 doi:10.1136/neurintsurg-2016-012838 pmid:27986848
    Abstract/FREE Full Text
  7. 7.↵
    1. Maus V,
    2. Behme D,
    3. Kabbasch C, et al
    . Maximizing first-pass complete reperfusion with SAVE. Clin Neuroradiol 2018;28:327–33 doi:10.1007/s00062-017-0566-z pmid:28194477
    CrossRefPubMed
  8. 8.↵
    1. Lapergue B,
    2. Blanc R,
    3. Gory B, et al
    ; ASTER Trial Investigators. Effect of endovascular contact aspiration vs stent retriever on revascularization in patients with acute ischemic stroke and large vessel occlusion: the ASTER Randomized Clinical Trial. JAMA 2017;318:443–52 doi:10.1001/jama.2017.9644 pmid:28763550
    CrossRefPubMed
  9. 9.↵
    1. Turk AS 3rd.,
    2. Siddiqui A,
    3. Fifi JT, et al
    . Aspiration thrombectomy versus stent retriever thrombectomy as first-line approach for large vessel occlusion (COMPASS): a multicentre, randomised, open label, blinded outcome, non-inferiority trial. Lancet 2019;393:998–1008 doi:10.1016/S0140-6736(19)30297-1 pmid:30860055
    CrossRefPubMed
  10. 10.↵
    1. Brinjikji W,
    2. Starke RM,
    3. Murad MH, et al
    . Impact of balloon guide catheter on technical and clinical outcomes: a systematic review and meta-analysis. J Neurointerv Surg 2018;10:335–39 doi:10.1136/neurintsurg-2017-013179 pmid:28754806
    Abstract/FREE Full Text
  11. 11.↵
    1. Nguyen TN,
    2. Malisch T,
    3. Castonguay AC, et al
    . Balloon guide catheter improves revascularization and clinical outcomes with the Solitaire device: analysis of the North American Solitaire Acute Stroke Registry. Stroke 2014;45:141–45 doi:10.1161/STROKEAHA.113.002407 pmid:24302483
    Abstract/FREE Full Text
  12. 12.↵
    1. Massari F,
    2. Henninger N,
    3. Lozano JD, et al
    . ARTS (Aspiration-Retriever Technique for Stroke): initial clinical experience. Interv Neuroradiol 2016;22:325–32 doi:10.1177/1591019916632369 pmid:26908591
    CrossRefPubMed
  13. 13.↵
    1. Stampfl S,
    2. Pfaff J,
    3. Herweh C, et al
    . Combined proximal balloon occlusion and distal aspiration: a new approach to prevent distal embolization during neurothrombectomy. J Neurointerv Surg 2017;9:346–51 doi:10.1136/neurintsurg-2015-012208 pmid:27056920
    Abstract/FREE Full Text
  14. 14.↵
    1. Maegerlein C,
    2. Monch S,
    3. Boeckh-Behrens T, et al
    . PROTECT: PRoximal balloon Occlusion TogEther with direCt Thrombus aspiration during stent retriever thrombectomy: evaluation of a double embolic protection approach in endovascular stroke treatment. J Neurointerv Surg 2018;10:751–55 doi:10.1136/neurintsurg-2017-013558 pmid:29222393
    Abstract/FREE Full Text
  15. 15.↵
    1. Albers GW,
    2. Marks MP,
    3. Kemp S, et al
    ; DEFUSE 3 Investigators. Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging. N Engl J Med 2018;378:708–18 doi:10.1056/NEJMoa1713973 pmid:29364767
    CrossRefPubMed
  16. 16.↵
    1. Nogueira RG,
    2. Jadhav AP,
    3. Haussen DC, et al
    ; DAWN Trial Investigators. Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct. N Engl J Med 2018;378:11–21 doi:10.1056/NEJMoa1706442 pmid:29129157
    CrossRefPubMed
  17. 17.↵
    1. Hacke W,
    2. Kaste M,
    3. Bluhmki E, et al
    . Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. N Engl J Med 2008;359:1317–29 doi:10.1056/NEJMoa0804656 pmid:18815396
    CrossRefPubMedWeb of Science
  18. 18.↵
    1. Goyal M,
    2. Fargen KM,
    3. Turk AS, et al
    . 2C or not 2C: defining an improved revascularization grading scale and the need for standardization of angiography outcomes in stroke trials. J Neurointerv Surg 2014;6:83–86 doi:10.1136/neurintsurg-2013-010665 pmid:23390038
    FREE Full Text
  19. 19.↵
    1. Broderick JP,
    2. Palesch YY,
    3. Demchuk AM, et al
    ; Interventional Management of Stroke (IMS) III Investigators. Endovascular therapy after intravenous t-PA versus t-PA alone for stroke. N Engl J Med 2013;368:893–903 doi:10.1056/NEJMoa1214300 pmid:23390923
    CrossRefPubMedWeb of Science
  20. 20.↵
    1. Shah VA,
    2. Martin CO,
    3. Hawkins AM, et al
    . Groin complications in endovascular mechanical thrombectomy for acute ischemic stroke: a 10-year single center experience. J Neurointerv Surg 2016;8:568–70 doi:10.1136/neurintsurg-2015-011763 pmid:26002302
    Abstract/FREE Full Text
  21. 21.↵
    1. Frank JJ,
    2. Kamalakannan D,
    3. Kodenchery M, et al
    . Retroperitoneal hematoma in patients undergoing cardiac catheterization. J Interv Cardiol 2010;23:569–74 doi:10.1111/j.1540-8183.2010.00583.x pmid:20796167
    CrossRefPubMed
  22. 22.↵
    1. Trimarchi S,
    2. Smith DE,
    3. Share D, et al
    ; BMC2 Registry. Retroperitoneal hematoma after percutaneous coronary intervention: prevalence, risk factors, management, outcomes, and predictors of mortality—a report from the BMC2 (Blue Cross Blue Shield of Michigan Cardiovascular Consortium) registry. JACC Cardiovasc Interv 2010;3:845–50 doi:10.1016/j.jcin.2010.05.013 pmid:20723857
    Abstract/FREE Full Text
  23. 23.↵
    1. Yoo AJ,
    2. Andersson T
    . Thrombectomy in acute ischemic stroke: challenges to procedural success. J Stroke 2017;19:121–30 doi:10.5853/jos.2017.00752 pmid:28592779
    CrossRefPubMed
PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 40 (8)
American Journal of Neuroradiology
Vol. 40, Issue 8
1 Aug 2019
  • Table of Contents
  • Index by author
  • Complete Issue (PDF)
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
GUide sheath Advancement and aspiRation in the Distal petrocavernous internal carotid artery (GUARD) Technique during Thrombectomy Improves Reperfusion and Clinical Outcomes
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
S.A. Ansari, M. Darwish, R.N. Abdalla, D.R. Cantrell, A. Shaibani, M.C. Hurley, B.S. Jahromi, M.B. Potts
GUide sheath Advancement and aspiRation in the Distal petrocavernous internal carotid artery (GUARD) Technique during Thrombectomy Improves Reperfusion and Clinical Outcomes
American Journal of Neuroradiology Aug 2019, 40 (8) 1356-1362; DOI: 10.3174/ajnr.A6132

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
GUide sheath Advancement and aspiRation in the Distal petrocavernous internal carotid artery (GUARD) Technique during Thrombectomy Improves Reperfusion and Clinical Outcomes
S.A. Ansari, M. Darwish, R.N. Abdalla, D.R. Cantrell, A. Shaibani, M.C. Hurley, B.S. Jahromi, M.B. Potts
American Journal of Neuroradiology Aug 2019, 40 (8) 1356-1362; DOI: 10.3174/ajnr.A6132
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • ABBREVIATIONS:
    • Materials and Methods
    • Results
    • Discussion
    • Conclusions
    • REFERENCES
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Endovascular thrombectomy first-pass reperfusion and ancillary device placement
  • Comparative study of intracranial access in thrombectomy using next generation 0.088 inch guide catheter technology
  • Refractory Stroke Thrombectomy: Prevalence, Etiology, and Adjunctive Treatment in a North American Cohort
  • Republished: First clinical report of aspiration through a novel 0.088-inch catheter positioned in the M1 middle cerebral artery for ELVO thrombectomy
  • First clinical report of aspiration through a novel 0.088-inch catheter positioned in the M1 middle cerebral artery for ELVO thrombectomy
  • Crossref (11)
  • Google Scholar

This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.

  • A review of mechanical thrombectomy techniques for acute ischemic stroke
    Alfredo Munoz, Roland Jabre, Jose M Orenday-Barraza, Mohamed Shehab Eldin, Ching-Jen Chen, Fadi Al-Saiegh, Rawad Abbas, Kareem El Naamani, Michael Reid Gooch, Pascal M Jabbour, Stavropoula Tjoumakaris, Robert H Rosenwasser, Nabeel A Herial
    Interventional Neuroradiology 2023 29 4
  • Refractory Stroke Thrombectomy: Prevalence, Etiology, and Adjunctive Treatment in a North American Cohort
    R.N. Abdalla, D.R. Cantrell, A. Shaibani, M.C. Hurley, B.S. Jahromi, M.B. Potts, S.A. Ansari
    American Journal of Neuroradiology 2021 42 7
  • Comparative study of intracranial access in thrombectomy using next generation 0.088 inch guide catheter technology
    Devin V Bageac, Blake S Gershon, Jan Vargas, Maxim Mokin, Zeguang Ren, Deeksha Chada, Aquilla S Turk, M Imran Chaudry, Raymond D Turner, Johanna T Fifi, Tomoyoshi Shigematsu, Reade De Leacy
    Journal of NeuroInterventional Surgery 2022 14 4
  • First clinical report of aspiration through a novel 0.088-inch catheter positioned in the M1 middle cerebral artery for ELVO thrombectomy
    Blake S Gershon, Devin V Bageac, Tomoyoshi Shigematsu, Shahram Majidi, Reade De Leacy
    BMJ Case Reports 2020 13 10
  • Distal placement of balloon guide catheter facilitates stent-retriever mechanical thrombectomy for acute ischemic stroke in the anterior circulation
    In-Hyoung Lee, Sung-Kon Ha, Dong-Jun Lim, Jong-Il Choi
    Acta Neurochirurgica 2023 165 12
  • Republished: First clinical report of aspiration through a novel 0.088-inch catheter positioned in the M1 middle cerebral artery for ELVO thrombectomy
    Blake S Gershon, Devin V Bageac, Tomoyoshi Shigematsu, Shahram Majidi, Reade De Leacy
    Journal of NeuroInterventional Surgery 2021 13 4
  • Endovascular thrombectomy first-pass reperfusion and ancillary device placement
    Pedro Navia, Mariano Espinosa de Rueda, Amado Rodriguez-Benitez, Federico Ballenilla Marco, José Manuel Pumar, Jose Ignacio Gallego-Leon, Jose Luis Diaz-Valiño, Jose Carlos Mendez, Francisco Hernández Fernández, Carlos Manuel Rodriguez-Paz, David Hernandez, Franscisco Javier Maynar, Juan Vega-Villar, Juan Manuel García-Benassi, Mario Martínez-Galdámez, Jose-Angel Larrea, Andres Fernandez-Prieto
    Journal of NeuroInterventional Surgery 2024 16 9
  • Feasibility of super-bore 0.088″ mechanical thrombectomy in M1 vessels smaller than 8 French: Experience in 20 consecutive cases
    Jessica K Campos, Benjamen M Meyer, Muhammad Waqas Khan, Fahad J Laghari, David A Zarrin, Jonathan Collard de Beaufort, Gizal Amin, Kiarash Golshani, Matthew T Bender, Geoffrey P Colby, Li-Mei Lin, Alexander L Coon
    Interventional Neuroradiology 2024
  • 12 Strokes
    Madhav Sukumaran, Ramez N. Abdalla, Donald R. Cantrell, Matthew B. Potts, Sameer A. Ansari
    2021
  • Current Approaches and Methods to Understand Acute Ischemic Stroke Treatment Using Aspiration Thrombectomy
    Priyanka Patki, Scott Simon, Francesco Costanzo, Keefe B. Manning
    Cardiovascular Engineering and Technology 2024 15 4

More in this TOC Section

  • SAVE vs. Solumbra Techniques for Thrombectomy
  • CT Perfusion&Reperfusion in Acute Ischemic Stroke
  • Delayed Reperfusion Post-Thrombectomy&Thrombolysis
Show more Interventional

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editors Choice
  • Fellow Journal Club
  • Letters to the Editor

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

Special Collections

  • Special Collections

Resources

  • News and Updates
  • Turn around Times
  • Submit a Manuscript
  • Author Policies
  • Manuscript Submission Guidelines
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Submit a Case
  • Become a Reviewer/Academy of Reviewers
  • Get Peer Review Credit from Publons

Multimedia

  • AJNR Podcast
  • AJNR SCANtastic
  • Video Articles

About Us

  • About AJNR
  • Editorial Board
  • Not an AJNR Subscriber? Join Now
  • Alerts
  • Feedback
  • Advertise with us
  • Librarian Resources
  • Permissions
  • Terms and Conditions

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire