Balaguruswamy Madan Mohan, Mohamed Ezaz, Vijayan Krishnan, Juluri Chaitanya S, Madeswaran Karuppannaswamy
Department of Neurointerventional Radiology, Royal Care Super Specialty Hospital, Coimbatore, India.
Department of Neurology, Royal Care Super Specialty Hospital, Coimbatore, India.
Neurointervention. 2021 Jul;16(2):165-170. doi: 10.5469/neuroint.2020.00367. Epub 2021 May 21.
Balloons are valuable tools in the armamentarium of a neurointerventionist. In this report, we describe 2 cases in which a balloon aided in the navigation of a second remodeling balloon through difficult vascular anatomy. The first case was a patient with a ruptured proximal posterior inferior cerebellar artery aneurysm and the second case was a patient with a ruptured anterior communicating artery aneurysm. In both cases, the coiling microcatheter and the remodeling balloon catheters were advanced through different vessels. The remodeling balloon reached the target location using a transcirculation approach, and the navigation of the remodeling balloon was aided by utilizing a second balloon. Challenging vascular anatomy is often encountered when performing neuroendovascular procedures. The strategy of using balloon assistance for the transcirculation access of a remodeling balloon can be used successfully in difficult situations to manage complex aneurysms.
球囊是神经介入医生的重要工具。在本报告中，我们描述了2例通过球囊辅助第二个重塑球囊穿越复杂血管解剖结构的病例。第一例是一名近端小脑后下动脉动脉瘤破裂患者，第二例是一名前交通动脉动脉瘤破裂患者。在这两例中，微导管和重塑球囊导管均通过不同血管推进。重塑球囊采用经循环路径到达目标位置，利用第二个球囊辅助其导航。在进行神经血管内介入手术时，常遇到具有挑战性的血管解剖结构。在困难情况下，使用球囊辅助重塑球囊经循环进入的策略可成功用于处理复杂动脉瘤。
