Endovascular treatment of intracranial aneurysms with intrasaccular balloon remodeling technique

  • D.V Scheglov SO «Scientific-practical Centre of Endovascular Neuroradiology NAMS of Ukraine»
  • V.N. Zagorodniy SO «Scientific-practical Centre of Endovascular Neuroradiology NAMS of Ukraine»
  • S.V. Konotopchyk SO «Scientific-practical Centre of Endovascular Neuroradiology NAMS of Ukraine»
  • O.P. Kovalenko SO «Scientific-practical Centre of Endovascular Neuroradiology NAMS of Ukraine»
Keywords: arterial aneurysms, balloon remodeling technique, intrasaccular equipment.

Abstract

Objective – to study the effectiveness of using intrasaccular balloon remodeling technique (BRT) when you turn off the endovascular cerebral arterial aneurysms (AA) complex shape of the brain vessels.

Materials and methods. We analyze the results of endovascular off AA using intrasaccular BRT in 11 patients with 11 aneurysms. Men were 6 (54.5 %), women – 5 (45.5 %). In 3 (27.3 %) cases aneurysm had size of 4-5 mm, in 6 (54.5 %) – 6-10 mm, in 2 (18.2 %) – 11-15 mm. In 3 (27.3 %) patients we used Scepter cylinder, in 8 (72,7 %) – HyperForm™. In two cases by using Scepter balloon occlusion of the aneurysm coils carried by the balloon lumen.

Results. Through the use of intrasaccular BRT we were able to achieve the following results: 1 type of off scale Raymond-Roy – 3 (27.3 %) case, type 2 – 4 (36.4 %), type 3a – 4 (36.4 %). At follow-up examination type 1 is established in 7 (63.6 %) patients, type 2 – in 2 (18.2 %), type 3 – in 2 (18.2 %). Ischemic complications were observed in 1 (9.1 %) case. At the time of patient discharge was observed complete regression of neurological deficit. Deaths were not in this observation.

Conclusions. Using intrasaccular balloon remodeling technique expands the indications for endovascular shut down AA cerebrovascular complex form. The risk of ischemic events is comparable to that of using unassisted coiling.

Downloads

Download data is not yet available.

References

Mustafa W, Kadziolka K, Leautaud A et al. Double lumen remodeling balloon: a new technique for treatment of bifurcation aneurysms. J. Neuroradiol. 2011;38:183-6. doi:10.m16/j.neurad.20m.m.003.

Moret J, Cognard C, Weill A et al. Reconstruction technique in the treatment of wide-neck intracranial aneurysms: long-term angiographic and clinical results: a propos of 56 cases. J. Neuroradiol.1997;24:30-44. doi:10.1177/159101999700300103.

Pierot L, Cognard C, Spelle L et al. Safety and efficacy of balloon remodeling technique Am. J. Neuroradiol. 2012;33:12-5. doi:10.3174/ajnr.a2403.

Pierot L, Rajpal G, Kadziolka K et al. The place for remodeling technique and stenting in the endovascular management of intracranial aneurysms: a single-center analysis from 2008 to 2010. Neuroradiol. 2012; Sep;54(9):973-9. doi:10.1007/s00234-011-0975-7.

Pukenas B, Albuquerque FC, Weigele JB, et al. Use of anew double-lumen balloon catheter for single-catheter balloon assisted coil embolization of intracranial aneurysms: technical note. Neurosurg. 2011;69:8-12. doi:10.1227/neu.0b013e3182181e3a.

Cleranc F, Perot G, Biondi A et al. Use of the Ascent balloon for a 2-in-1 remodelling technique: feasibility and initial experience. Case report. Neurosurg. 2012;70:170-3.

Published
2017-03-01
How to Cite
Scheglov, D., Zagorodniy, V., Konotopchyk, S., & Kovalenko, O. (2017). Endovascular treatment of intracranial aneurysms with intrasaccular balloon remodeling technique. Ukrainian Interventional Neuroradiology and Surgery, 19(1), 31-37. Retrieved from https://enj.org.ua/index.php/journal/article/view/42