Embolization of a wide-necked basilar bifurcation aneurysm by double-balloon remodeling using HyperForm compliant balloon catheters

Shima, Hiroshi; Nomura, Motohiro; Muramatsu, Naoki; Sugihara, Takahiro; Fukui, Issei; Kitamura, Yoshihisa; Hamada, Jun-ichiro

doi:10.1016/j.jocn.2008.05.031

Cited by 12 publications

(4 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several devices have been designed to assist coiling of wide-necked intracranial aneurysms. Despite significant advancements in coil and balloon remolding [1], [2], the risk of coil protrusion into the parent vessel is inevitable, while SAC can prevent coil herniation[3]. In addition, intracranial stents might also prevent aneurysm regrowth and reduce the aneurysm recanalization rate.…”

Section: Introductionmentioning

confidence: 99%

Progressive Occlusion of Enterprise Stent-Assisted Coiling of Ruptured Wide-Necked Intracranial Aneurysms and Related Factors on Angiographic Follow-Up: A Single-Center Experience with 468 Patients

et al. 2014

View full text Add to dashboard Cite

This study was designed to assess the effect of the Enterprise stent on progressive occlusion of wide-necked aneurysms and to evaluate the association between dubious factors and progressive occlusion, which is a consecutive, retrospective, single-center study. Data from 468 patients with 495 wide-necked aneurysms, who had undergone Enterprise stent-assisted coiling (SAC) were reviewed, and the clinical outcomes and the angiographic results were analyzed. A 14-month clinical follow-up was achieved in 421 of the 468 patients (90.0%), showing modified Rankin Scale (mRS) 0–1 in 364 (86.4%), mRS 2 in 17 (4.1%), mRS 3 in 17 (4.1%), mRS 4–5 in 9 (2.1%), and mRS 6 in 14 (3.3%) patients. Overall, the morbidity and mortality were 10.2% and 3.3%, respectively. Initial angiographic results showed Raymond scale (RS)1 in 273 (55.2%), RS2 in 194 (39.2%), and RS3 in 28 (5.6%) patients. Eight-month angiographic follow-up was available in 394 of 495 patients (79.6%), and RS1 was seen in 315 (79.9%), RS2 in 65 (16.5%) and RS3 in 14 (3.6%) cases. At the end of the follow-up, 115 of the 165 (69.7%) patients with initial RS2 and RS3 showed progressive occlusion. Statistical analysis showed no significant difference between progressive occlusion and age (p = 0.654), sex (p = 0.016), aneurysm diameter (p = 0.010), neck size (p = 0.124), dome-to neck ratio (DNR) (p = 0.018) and location (p = 0.001) at the time of follow-up. SAC using Enterprise stent is not only feasible for wide-necked aneurysms, but can achieve a high rate of progressive occlusion with good clinical outcomes at medium-term follow-up. Patient age and aneurysm neck size showed no associated with progressive occlusion at follow-up, while sex, aneurysm diameter, DNR and location were significantly associated with progressive occlusion.

show abstract

Section: Introductionmentioning

confidence: 99%

Progressive Occlusion of Enterprise Stent-Assisted Coiling of Ruptured Wide-Necked Intracranial Aneurysms and Related Factors on Angiographic Follow-Up: A Single-Center Experience with 468 Patients

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Endovascular coiling is commonly pursued [ 8 ], however limitations include low occlusion rate [ 14 ], recurrence and/or retreatment [ 1 , 14 ]. To address these downfalls, balloon remodeling [ 15 ], Y-stent-assisted coil embolization [ 2 ], and Waffle-cone stenting [ 10 ] have been implemented. Flow diversion is another option, however the proximity of small perforators and risk of occlusion limit their use [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Woven Endobridge (WEB) augmented by Y-stent in a shallow basilar tip aneurysm

Nordmann

Weber

Dayoub

2022

J Cerebrovasc Endovasc Neurosurg

View full text Add to dashboard Cite

show abstract

“…Many modifications such as "double-balloon" [11][12][13] and double-microcatheter technique [18,19] have been described for treating complex wide-necked aneurysms. Simultaneously, navigating two balloon catheters, however, may be difficult in tortuous vascular anatomy.…”

Section: Discussionmentioning

confidence: 99%

“…Many modifications to BAC [11][12][13][14] have been described to address concerns regarding coil prolapse, prolonged ischemic times during temporary occlusion, and lack of durability of coiling. In balloon-assisted rapid intermittent sequential coiling technique, predetermined number of coils (usually between three and five coils per balloon inflation cycle) was deployed in the wide-necked aneurysm within a maximum balloon inflation time of 5 min.…”

Section: Introductionmentioning

confidence: 99%

Double-balloon trapping for coil embolization of ruptured internal carotid artery aneurysm: A novel technique

et al. 2019

View full text Add to dashboard Cite

Introduction: Endovascular treatment of complex ruptured aneurysms in the internal carotid (IC) artery is extremely challenging. Navigation of double-balloon catheters becomes all the more difficult in tortuous vessels. Patients and Methods: A 57-year-old female with more than three times previously ruptured left IC artery aneurysm with subarachnoid hemorrhage had a left IC small aneurysm with a neck of 3.2 mm. Proximal and distal balloons were inflated in left IC artery in respect to the aneurysm, to prevent further rupture during navigation of the microcatheter and first coil. Discussion: The technique uses two balloons placed proximal and distal to the ruptured aneurysm, to reduce further bleeding, just as the application of temporary clips, followed by inertion of coils rapidly to obliterate the aneurysm. Conclusion: It is a novel technique of double-balloon trapping of proximal and distal segment of IC artery with aneurysm coiling technique as an alternative to balloon-assisted coiling and stent-assisted coiling in patients with ruptured aneurysm.

show abstract

Embolization of a wide-necked basilar bifurcation aneurysm by double-balloon remodeling using HyperForm compliant balloon catheters

Cited by 12 publications

References 2 publications

Progressive Occlusion of Enterprise Stent-Assisted Coiling of Ruptured Wide-Necked Intracranial Aneurysms and Related Factors on Angiographic Follow-Up: A Single-Center Experience with 468 Patients

Progressive Occlusion of Enterprise Stent-Assisted Coiling of Ruptured Wide-Necked Intracranial Aneurysms and Related Factors on Angiographic Follow-Up: A Single-Center Experience with 468 Patients

Woven Endobridge (WEB) augmented by Y-stent in a shallow basilar tip aneurysm

Double-balloon trapping for coil embolization of ruptured internal carotid artery aneurysm: A novel technique

Contact Info

Product

Resources

About