Balloon-Assistance for the Transcirculation Access of a Remodeling Balloon for Coiling of Wide-Necked Aneurysms: Report of Two Cases

Madan Mohan Balaguruswamy; Ezaz Mohamed; Krishnan Vijayan; Chaitanya S Juluri; Karuppannaswamy Madeswaran

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자료유형: 학술저널

저자정보: Madan Mohan Balaguruswamy (Royal Care Super Specialty Hospital) Ezaz Mohamed (Royal Care Super Specialty Hospital) Krishnan Vijayan (Royal Care Super Specialty Hospital) Chaitanya S Juluri (Royal Care Super Specialty Hospital) Karuppannaswamy Madeswaran (Royal Care Super Specialty Hospital)

저널정보: 대한신경중재치료의학회 Neurointervention Neurointervention Vol.16 No.2

발행연도: 2021.1

수록면: 165 - 170 (6page)

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Balloons are valuable tools in the armamentarium of a neurointerventionist. In this report, we describe 2 cases in which a balloon aided in the navigation of a second remodeling balloon through difficult vascular anatomy. The first case was a patient with a ruptured proximal posterior inferior cerebellar artery aneurysm and the second case was a patient with a ruptured anterior communicating artery aneurysm. In both cases, the coiling microcatheter and the remodeling balloon catheters were advanced through different vessels. The remodeling balloon reached the target location using a transcirculation approach, and the navigation of the remodeling balloon was aided by utilizing a second balloon. Challenging vascular anatomy is often encountered when performing neuroendovascular procedures. The strategy of using balloon assistance for the transcirculation access of a remodeling balloon can be used successfully in difficult situations to manage complex aneurysms.

#Intracranial aneurysm #Endovascular technique #Circle of willis #Therapeutic embolization

참고문헌 (20)

참고문헌 신청

Moret J / 1997 / The “remodelling technique” in the treatment of wide neck intracranial aneurysms. Angiographic results and clinical follow-up in 56 cases / Interv Neuroradiol 3:21~35

Alaraj A / 2014 / Balloons in endovascular neurosurgery : history and current applications / Neurosurgery 74(Suppl 1):S163~S190

Shi ZS / 2009 / Balloon-assisted transarterial embolization of intracranial dural arteriovenous fistulas / J Neurosurg 110:921~928

Rajah G / 2017 / Update on flow diverters for the endovascular management of cerebral aneurysms / Neurosurg Focus 42:E2

Zhao WY / 2012 / Balloon-assisted superselective microcatheterization for transarterial treatment of cranial dural arteriovenous fistulas: technique and results / Neurosurgery 71(2 Suppl Operative):ons269~ons273

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