First experience in intracranial aneurysm occlusion by balloon assisted coiling technique (original) (raw)
Related papers
Balloon-assisted coil embolization of intracranial aneurysms
Journal of Neurosurgery, 2006
Object. The aim of this study was to assess the incidence, indications, complications, and angiography results associated with balloon-assisted coil embolization (BACE) of intracranial aneurysms and to compare these factors with those for conventional coil embolization (CE).
AJNR. American journal of neuroradiology, 2001
The management of wide-necked aneurysms or aneurysms with a neck-to-body ratio close to 1 is a difficult challenge for the interventional radiologist because of the risk of coil migration or coil protrusion into the parent vessel. Our objective was to evaluate the efficacy and safety of balloon-assisted coiling as well as the follow-up results of occlusion for those difficult aneurysms in which conventional treatment with Guglielmi detachable coils (GDCs) had failed. A nondetachable balloon was used in 49 procedures performed in 44 patients (35 women and nine men) who underwent GDC coiling of aneurysms. Every aneurysm had either a wide neck or a sac diameter/neck size ratio (SNR) of 1.5 or less. In four (8%) of the procedures, balloon placement failed, leaving a total of 45 aneurysms treated with balloon-assisted coiling. Final results consisted of total occlusion in 30 cases (67%), subtotal occlusion in 11 cases (24%), and incomplete occlusion in four cases (9%). We found a correla...
Balloon Assistance in Coiling of Ruptured Aneurysms: A Necessary Evil
Indian journal of applied research, 2018
PURPOSE: Balloon assisted coiling is an established treatment for Ruptured intracranial aneurysms. The aim of this retrospective study was to evaluate the indications of balloon assistance and establish its comprehensive utilities. METHODS: A total of 68 patients with Ruptured intracranial aneurysms treated with endovascular coiling using balloon were retrospectively evaluated. Various indications of Balloon ination were evaluated such as to prevent coil prolapse, negotiating tortuous bends at ICA bifurcation and hemostasis in the event of intraprocedure rupture. Immediate and delayed complications associated with balloon use were also studied. RESULTS: Balloon ination was done in 45/68 patients. In 36 (52%) patients it was used for assistance in coiling, in 03 (4%) patients it was inated after rupture of the aneurysm, in 04 (5.8%) patients it was inated to help the wire and microcatheter to enter A1 segment of Anterior cerebral artery due to acute angulation at ICA bifurcation....
Utility of Balloon-Assisted Guglielmi Detachable Coiling in the Treatment of Cerebral Aneurysms
Interventional Neuroradiology, 2002
Balloon-assisted Guglielmi detachable coiling (BAGDC) is a new technical option developed to allow endovascular treatment of wide-necked aneurysms. Aim of the following work is to report a single center experience of BADGC of aneurysms with assessment of its efficacy and safety. BAGDC of wide-necked aneurysms (SNR close to 1) was retrospectively evaluated in 37 patients (28 females, nine males, mean age: 56.6 yrs, range: 27–81 yrs) who underwent the procedure between january 1999 and january 2002 for a total of 45 procedures on 41 aneurysms. Twenty-nine patients presented with SAH from an acutely ruptured aneurysm. In two patients BAGDC failed whereas 35 patients successfully underwent BADGC (39 aneurysms). Twenty-nine patients (31 aneurysms) were available for angiographic follow-up (mean: 10 mo, range: 3–24 mo). At the last angiographic follow-up 29/33 aneurysms (87%) resulted stable and occluded (22 aneurysms with dense and seven with loose packing of the sac and the neck), two a...
Journal of Korean Neurosurgical Society, 2010
To assess the feasibility, safety, and effectiveness of the balloon-assisted technique with HyperForm balloon in the endovascular treatment of wide-necked intracranial aneurysms. A total of 34 patients with 34 wide-necked intracranial aneurysms were treated with endovascular coil embolization using balloon-assisted technique with Hyperform balloon. Twenty-nine aneurysms (85.3%) were located in the anterior circulation. The group of patients was comprised of 16 men and 18 women, aged 33 to 72 years (mean : 60.6 years). The size of aneurysms was in the range of 2.0 to 22.0 mm (mean 5.5 mm) and one of neck was 2.0 to 11.9 mm (mean 3.8 mm). The dome to neck ratio was ranged from 0.83 to 1.43 (1.15). Sixteen patients were treated for unruptured aneurysms and the remaining 18 presented with a subarachnoid hemorrhage. In the 34 aneurysms treated by the remodeling technique with HyperForm balloon, immediate angiographic results consisted of total occlusion in 31 cases (91.2%) and partial oc...
Journal of Clinical Medicine, 2022
Background and purpose: Intracranial aneurysms are commonly treated with balloon-assisted endovascular coiling because the balloon allows for the control und modulation of wide-necked aneurysms and the coil basket. However, this approach might be associated with a higher complication rate. This retrospective study compared the multimodal results between balloon-assisted coiling of aneurysms (group 1) and coiling without balloon assistance (group 2). Materials and Methods: We included 67 patients with unruptured intracranial aneurysms in this retrospective analysis; acutely ruptured aneurysms were excluded from the analysis. We divided these patients into two groups and evaluated them for symptomatic thromboembolic complications in the course of intracranial aneurysm treatment. All patients had an intrainterventional neurophysiological monitoring (IINM) and a pre- and postinterventional NIH Stoke Scale (NIHSS) survey and MR imaging. Multiple logistic regression was used to assess whe...
Journal of neurointerventional surgery, 2013
The balloon-assisted coil embolization (BACE) technique represents an effective tool for the treatment of complex wide-necked intracranial aneurysms; however, its safety is a matter of debate. This study presents the authors' institutional experience regarding the safety of the BACE technique. 428 consecutive patients with 491 intracranial aneurysms (274 acutely ruptured and 217 unruptured) treated with conventional coil embolization (CCE) or with BACE were retrospectively reviewed. All procedure-related adverse events were reported, regardless of clinical outcome. Thromboembolic events, intraprocedural aneurysm ruptures, device-related complications, morbidity and mortality were compared between the CCE and BACE groups. The total rate of procedural and periprocedural adverse events was 9.6% (47/491 embolizations). Thromboembolic events, intraprocedural aneurysmal rupture and device-related complications occurred in 2.4%, 3.9% and 3.3% of procedures, respectively. The risk of th...
AJNR. American journal of neuroradiology, 1996
To present our preliminary experience with the recently developed interlocking detachable coils in the treatment of intracranial aneurysms. Two aneurysms of the basilar tip, two of the internal carotid artery, and one of the posterior inferior cerebellar artery were treated by an endovascular technique using interlocking detachable coils. Three of the patients had undergone unsuccessful surgical clipping. Three-month and 1-year control angiograms were obtained. In all patients but one, who had an aneurysm of the internal carotid artery, the aneurysmal sac was occluded with preservation of the parent artery and did not show recanalization on the follow-up control angiograms. In the other patient who had a wide-necked aneurysm of the internal carotid artery, the sac could not be totally obliterated and showed contrast filling in the neck remnant at 3-month angiography. None of the patients experienced neurologic deficit after treatment. Because they are soft and retrievable, interlock...
Endovascular Coiling of Cerebral Aneurysms
2007
What is an Aneurysm? An aneurysm can be thought of as a bubble arising from the wall of an artery, in an area of weakness or thinning of the wall, much like a bubble produced by an area of weakness in the old-style inner tubes for bicycle or automobile tires. Intracranial aneurysms constitute a significant public health problem in the United States. Rupture of cerebral aneurysms typically results in subarachnoid hemorrhage (bleeding within the fluid space surrounding the brain) and affects 1030/100,000 patients/year (about 30,000 patients in the United States per year). As many as 10% of these patients die before reaching the hospital. Of those who do reach the hospital, the greatest risk to life is aneurysm re-bleeding, although progressive narrowing of arteries which occurs in response to the presence of blood around the brain (“cerebral vasospasm”) has a significant contribution to overall morbidity (impairment) and mortality (death). Considering that as many as 50% of subarachno...