Ohshima Tomotaka, Miyachi Shigeru, Matsuo Naoki, Kawaguchi Reo, Niwa Aichi, Maejima Ryuya, Isaji Taiki, Takayasu Masakazu
1 Neuroendovascular Therapy Center, Aichi Medical University, Nagakute, Japan.
2 Department of Neurosurgery, Aichi Medical University, Nagakute, Japan.
Interv Neuroradiol. 2018 Aug;24(4):375-378. doi: 10.1177/1591019918763614. Epub 2018 Mar 21.
Background and purpose In our previous study, we established the utility of 8-F balloon guide catheters for anterior circulation aneurysms. This study aims to assess the efficacy of the proximal flow control method using 8-F balloon guide catheters for coil deployment into the aneurysms as a novel adjunctive technique for aneurysmal coil embolisation along with local balloon neck remodeling, stent assist and double catheter techniques. Materials and methods We retrospectively analysed patients who underwent endovascular coiling of anterior circulation aneurysms between August 2013 and December 2017. Results Of 206 patients enrolled in this study, the balloon of the guiding catheter was inflated to assist coil deployment in 43 patients (20.9%). In addition, the proximal flow control method found utility in cases with small aneurysms and relatively narrow-necked internal carotid artery. We observed no intraprocedural complications in this study. Conclusion This technique enabled secure coil deployment without navigating another microcatheter or balloon catheter around the aneurysms.
背景与目的 在我们之前的研究中，我们确立了8F球囊引导导管在前循环动脉瘤治疗中的应用价值。本研究旨在评估使用8F球囊引导导管进行近端血流控制方法在将弹簧圈置入动脉瘤中的疗效，作为一种新型辅助技术用于动脉瘤弹簧圈栓塞术，同时结合局部球囊颈部重塑、支架辅助和双导管技术。材料与方法 我们回顾性分析了2013年8月至2017年12月期间接受前循环动脉瘤血管内弹簧圈栓塞治疗的患者。结果 在本研究纳入的206例患者中，引导导管的球囊充气以辅助弹簧圈置入的有43例患者（20.9%）。此外，近端血流控制方法在小型动脉瘤和相对窄颈颈内动脉的病例中显示出应用价值。在本研究中我们未观察到术中并发症。结论 该技术能够在不围绕动脉瘤操作另一根微导管或球囊导管的情况下安全地置入弹簧圈。
