Microwire navigation and microcatheter positioning by balloon manipulation for the treatment of intracranial aneurysms: A pilot study.
| Autor: | Binboga AB; Department of Radiology, Dr. Ersin Arslan Training and Research Hospital, Eyüpoğlu Mahallesi, Hürriyet Cd. No: 40, Şahinbey/Gaziantep, Turkey., Onay M; Department of Radiology, Dr. Ersin Arslan Training and Research Hospital, Eyüpoğlu Mahallesi, Hürriyet Cd. No: 40, Şahinbey/Gaziantep, Turkey., Altay CM; Department of Radiology, Dr. Ersin Arslan Training and Research Hospital, Eyüpoğlu Mahallesi, Hürriyet Cd. No: 40, Şahinbey/Gaziantep, Turkey. |
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| Jazyk: | angličtina |
| Zdroj: | The Indian journal of radiology & imaging [Indian J Radiol Imaging] 2020 Oct-Dec; Vol. 30 (4), pp. 453-458. Date of Electronic Publication: 2021 Jan 13. |
| DOI: | 10.4103/ijri.IJRI_482_19 |
| Abstrakt: | Background and Objective: An intracranial aneurysm (IA) is a life-threatening condition and endovascular treatment (EVT) is a demanding procedure, especially in IAs with an unfavorable anatomy. The aim of this study was to investigate the safety and efficacy of balloon-assisted microwire navigation and microcatheter positioning in the EVT of IAs with challenging anatomies. Materials and Methods: This retrospective study included patients that underwent balloon-assisted microwire navigation and microcatheter positioning in the EVT of IAs between September 2016 and January 2019. All EVT procedures and data collection were performed by the same two neurointerventional radiologists. Technical success and complication rates, safety, and efficiency of the balloon manipulation method were evaluated. Statistical software was used to analyze the basic descriptive data of the patients and aneurysms. Results: This study included 14 patients. The microwire navigation of the target artery with balloon manipulation was used in 4 aneurysms of 4 patients. Microcatheter positioning with balloon manipulation was used in 10 aneurysms of 10 patients. There was no complication caused by the balloon manipulation technique. The technical success rate was 100%. Conclusion: In the EVT of IAs with challenging anatomies, the presented technique is a safe and effective option without additional complications, especially in the target artery with an acute angle and in small aneurysms. Competing Interests: There are no conflicts of interest. (Copyright: © 2021 Indian Journal of Radiology and Imaging.) |
| Databáze: | MEDLINE |
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