Abstract 185: Advancing Acute Ischemic Stroke Treatment: Utilizing Flexible Balloon Guide Catheters via Radial Artery for Thrombectomy

Introduction Acute ischemic stroke is a critical condition requiring prompt and effective intervention. The radial artery approach for endovascular thrombectomy has emerged as a promising alternative to the traditional femoral access, offering several procedural benefits. This abstract summarizes our clinical experiences and observations using balloon guide catheters (BGCs) in treating ischemic stroke through the radial artery. Methods Our experience is based on a series of ischemic stroke patients treated with thrombectomy via the radial artery approach using BGCs. We documented procedural details, patient comfort, recanalization success, and any encountered complications. Our primary focus was on the practicality, efficacy, and safety of this method. Results In our series, we observed that the use of BGCs facilitated effective and rapid clot retrieval, with successful recanalization rates akin to those reported in larger studies (achieving Thrombolysis in Cerebral Infarction [TICI] scores of 2b/3 in the majority of cases). Procedural times were generally efficient, and patients exhibited a notable reduction in procedural discomfort and post‐operative complications compared to traditional femoral access. Observed complications were minimal and typically manageable, further underscoring the viability of this approach. Conclusion Based on our clinical experience, the use of balloon guide catheters in thrombectomy procedures via the radial artery presents a viable and effective alternative to femoral access. This approach not only maintains high success rates in vessel recanalization but also enhances patient comfort and reduces complications. These positive outcomes suggest that radial artery access with BGCs deserves further consideration and wider application in the treatment of acute ischemic stroke.