Binboga Ali Burak, Onay Mehmet, Altay Cetin Murat
Department of Radiology, Dr. Ersin Arslan Training and Research Hospital, Eyüpoğlu Mahallesi, Hürriyet Cd. No: 40, Şahinbey/Gaziantep, Turkey.
Indian J Radiol Imaging. 2020 Oct-Dec;30(4):453-458. doi: 10.4103/ijri.IJRI_482_19. Epub 2021 Jan 13.
An intracranial aneurysm (IA) is a life-threatening condition and endovascular treatment (EVT) is a demanding procedure, especially in IAs with an unfavorable anatomy. The aim of this study was to investigate the safety and efficacy of balloon-assisted microwire navigation and microcatheter positioning in the EVT of IAs with challenging anatomies.
This retrospective study included patients that underwent balloon-assisted microwire navigation and microcatheter positioning in the EVT of IAs between September 2016 and January 2019. All EVT procedures and data collection were performed by the same two neurointerventional radiologists. Technical success and complication rates, safety, and efficiency of the balloon manipulation method were evaluated. Statistical software was used to analyze the basic descriptive data of the patients and aneurysms.
This study included 14 patients. The microwire navigation of the target artery with balloon manipulation was used in 4 aneurysms of 4 patients. Microcatheter positioning with balloon manipulation was used in 10 aneurysms of 10 patients. There was no complication caused by the balloon manipulation technique. The technical success rate was 100%.
In the EVT of IAs with challenging anatomies, the presented technique is a safe and effective option without additional complications, especially in the target artery with an acute angle and in small aneurysms.
颅内动脉瘤（IA）是一种危及生命的疾病，血管内治疗（EVT）是一项要求较高的操作，尤其是对于解剖结构不利的IA。本研究的目的是探讨球囊辅助微导丝导航和微导管定位在解剖结构复杂的IA的EVT中的安全性和有效性。
本回顾性研究纳入了2016年9月至2019年1月期间接受球囊辅助微导丝导航和微导管定位进行IA的EVT的患者。所有的EVT操作和数据收集均由同两位神经介入放射科医生完成。评估了技术成功率、并发症发生率、球囊操作方法的安全性和效率。使用统计软件分析患者和动脉瘤的基本描述性数据。
本研究纳入了14例患者。4例患者的4个动脉瘤采用了球囊操作辅助下的目标动脉微导丝导航。10例患者的10个动脉瘤采用了球囊操作辅助下的微导管定位。球囊操作技术未引起并发症。技术成功率为100%。
在解剖结构复杂的IA的EVT中，所提出的技术是一种安全有效的选择，不会引发额外并发症，尤其是在具有锐角的目标动脉和小型动脉瘤中。
