Efficacy of Asahi Fubuki as a Guiding Catheter for Mechanical Thrombectomy: An Institutional Case Series

American Journal of Neuroradiology

Table 1:

Patient characteristics

Characteristics
No. of Patients	154
Age (mean) (SD) (yr)	67.6 (15.1)
Range	21–94
Sex (No.) (%)
Female	74 (48.1)
Male	80 (51.9)
Site of large-vessel occlusion (No.) (%)
M1	65 (42.2)
SC-ICA	29 (18.8)
M2	28 (18.2)
Tandem cervical ICA and M1	19 (12.3)
Basilar artery	7 (4.5)
P1	4 (2.6)
Cervical ICA	2 (1.3)
Laterality (No.) (%)^{^a}
Right	63 (42.9)
Left	84 (57.1)
Arch configuration (No.) (%)^{^b}
I	84 (62.7)
II	35 (26.1)
III	15 (11.2)
Bovine anatomy (No.) (%)^{^b}
No	110 (82.1)
Yes	24 (17.9)

Table 2:

Treatment characteristics and outcomes

Characteristics
Access mode (No.) (%)
Primary insertion	148 (96.1)
Sheath	6 (3.9)
Fubuki delivered to ICA? (No.) (%)
Yes	151 (98.1)
No	3 (1.9)
Lesion crossed with Fubuki as guide? (No.) (%)
Yes	150 (97.4)
No	4 (2.6)
Herniation of Fubuki into aortic arch? (No.) (%)
Yes	1 (0.6)
No	153 (99.4)
Crossover to another guide catheter? (No.) (%)
Yes	1 (0.6)
No	153 (99.4)
Mechanism of embolectomy (No.) (%)
Aspiration	111 (72.1)
Stent retriever	4 (2.6)
Combined aspiration and stent retriever	34 (22.1)
Failure	5 (3.2)
≥TICI 2b revascularization? (No.) (%)
Yes	128 (83.1)
No	26 (16.9)
Time to lesion crossed (median) (min)	9
Range	4–102
Time to revascularization (median) (min)	17
Range	3–96
Major access site complications? (No.) (%)
Yes	3 (1.9)
No	151 (98.1)

Table 3:

Logistic regression identifying predictors of failure to deliver the Fubuki to the ICA

Variable	OR (95% CI)	P Value
Age (yr)	2.04 (0.66–6.36)^{^a}	.22
Male sex	0.46 (0.04–5.13)	.52
Left-sided occlusion	0.36 (0.03–4.15)	.42
Bovine anatomy	2.35 (0.20–27.00)	.49
Bovine and left-sided occlusion	4.54 (0.38–53.54)	.23
Type III aortic arch	18.15 (1.54–214.16)	.021^{^b}