Bartolini Bruno, Blanc Raphaël, Pistocchi Silvia, Redjem Hocine, Ciccio Gabriele, Piotin Michel
Department of Interventional and Functional Neuroradiology, Rothschild Foundation Hospital, France
Department of Interventional and Functional Neuroradiology, Rothschild Foundation Hospital, France.
Interv Neuroradiol. 2015 Apr;21(2):155-60. doi: 10.1177/1591019915581971. Epub 2015 May 7.
The technique of balloon remodeling allows the endovascular treatment of wide-neck intracranial aneurysms. For many years the only available devices were the Hyperform and the Hyperglide balloon catheters. Recently, other companies have developed newer devices, single or dual-lumen. We present our initial experience with the TransForm occlusion balloon catheter for the treatment of intracranial aneurysms.
We retrospectively analysed from our prospectively gathered aneurysm database all aneurysms that were treated with balloon remodelling using TransForm occlusion balloon catheters from January 2013 to February 2014. We assessed patient demographics, morphological features of the aneurysms, procedure feasibility, technical and clinical complications.
Thirty-three patients harbouring 36 intracranial saccular aneurysms were treated during 33 procedures. Clinical finding were: 15 incidental discovery, 13 subarachnoid haemorrhage (SAH), five aneurysms with mass effect, one ruptured aneurysm with SAH and mass effect, one recanalisation and one intraparenchymal haematoma. Thirty-five aneurysms were in the anterior and one in the posterior circulation. Mean dome and neck size were, respectively, 5.8 mm and 3.6 mm. Twenty-three aneurysms were treated with TransForm C and 13 with TransForm SC. We had two procedural thromboembolic complications, without permanent clinical events. No early rebleeding occurred.
In our small series, the TransForm occlusion balloon catheter seems to be safe and effective for the treatment of intracranial aneurysms, in ruptured and unruptured cases.
球囊重塑技术可用于颅内宽颈动脉瘤的血管内治疗。多年来，唯一可用的设备是Hyperform和Hyperglide球囊导管。最近，其他公司开发了更新的设备，有单腔或双腔的。我们介绍了使用TransForm闭塞球囊导管治疗颅内动脉瘤的初步经验。
我们回顾性分析了2013年1月至2014年2月期间前瞻性收集的动脉瘤数据库中所有使用TransForm闭塞球囊导管进行球囊重塑治疗的动脉瘤。我们评估了患者的人口统计学特征、动脉瘤的形态特征、手术可行性、技术和临床并发症。
33例患者在33次手术中接受了36个颅内囊状动脉瘤的治疗。临床表现为：15例偶然发现，13例蛛网膜下腔出血（SAH），5例有占位效应的动脉瘤，1例破裂动脉瘤伴SAH和占位效应，1例再通和1例脑实质内血肿。35个动脉瘤位于前循环，1个位于后循环。平均瘤顶和瘤颈大小分别为5.8毫米和3.6毫米。23个动脉瘤使用TransForm C治疗，13个使用TransForm SC治疗。我们有2例手术血栓栓塞并发症，无永久性临床事件。未发生早期再出血。
在我们的小样本系列中，TransForm闭塞球囊导管在治疗破裂和未破裂的颅内动脉瘤方面似乎是安全有效的。
