Department of Neuroradiology, CHU Reims, Maison Blanche Hospital, France.
AJNR Am J Neuroradiol. 2012 Jan;33(1):12-5. doi: 10.3174/ajnr.A2403. Epub 2011 Feb 24.
The balloon remodeling technique was initially designed for the endovascular treatment of anatomically complex aneurysms, specifically wide-neck aneurysms. A nondetachable balloon is inflated in front of the aneurysm neck during coil deposition and removed at the end of the procedure. Some controversies regarding the safety of the technique were introduced by the recent publication of a series showing a much higher rate of complications with the remodeling technique compared with the standard coiling technique. However, recent data from the literature review and from the large ATENA and CLARITY series show that the safety of standard coiling and remodeling is quite similar. Anatomic results are also probably better after remodeling. Finally, due to equivalent safety and better anatomic results, the remodeling technique can be widely used in the management of both ruptured and unruptured aneurysms.
球囊重塑技术最初是为血管内治疗解剖结构复杂的动脉瘤而设计的，特别是宽颈动脉瘤。在放置线圈的过程中，将一个不可解脱的球囊膨胀在动脉瘤颈部的前面，并在手术结束时取出。最近发表的一系列研究显示，与标准线圈技术相比，重塑技术的并发症发生率要高得多，这引发了对该技术安全性的一些争议。然而，来自文献综述和大型 ATENA 和 CLARITY 系列的最新数据表明，标准线圈和重塑的安全性非常相似。解剖学结果在重塑后也可能更好。最后，由于安全性相当且解剖学结果更好，重塑技术可广泛应用于破裂和未破裂动脉瘤的治疗。
