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

Autor: Madan Mohan Balaguruswamy, Ezaz Mohamed, Krishnan Vijayan, Chaitanya S Juluri, Karuppannaswamy Madeswaran
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Neurointervention, Vol 16, Iss 2, Pp 165-170 (2021)
Druh dokumentu: article
ISSN: 2093-9043
2233-6273
DOI: 10.5469/neuroint.2020.00367
Popis: 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.
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