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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(03): 873-877
DOI: 10.4103/ajns.AJNS_134_17
Original Article

Double-balloon trapping for coil embolization of ruptured internal carotid artery aneurysm: A novel technique

Ahmed Ansari
Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya
,
Tomotaka Ohshima
1   Department of Neurosurgery and Stroke, Kariya Toyota General Hospital, Nagoya
,
Shunsaku Goto
1   Department of Neurosurgery and Stroke, Kariya Toyota General Hospital, Nagoya
,
Taiki Yamamoto
1   Department of Neurosurgery and Stroke, Kariya Toyota General Hospital, Nagoya
,
Kojiro Ishikawa
1   Department of Neurosurgery and Stroke, Kariya Toyota General Hospital, Nagoya
,
Yoko Kato
Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya
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Introduction: Endovascular treatment of complex ruptured aneurysms in the internal carotid (IC) artery is extremely challenging. Navigation of double-balloon catheters becomes all the more difficult in tortuous vessels. Patients and Methods: A 57-year-old female with more than three times previously ruptured left IC artery aneurysm with subarachnoid hemorrhage had a left IC small aneurysm with a neck of 3.2 mm. Proximal and distal balloons were inflated in left IC artery in respect to the aneurysm, to prevent further rupture during navigation of the microcatheter and first coil. Discussion: The technique uses two balloons placed proximal and distal to the ruptured aneurysm, to reduce further bleeding, just as the application of temporary clips, followed by inertion of coils rapidly to obliterate the aneurysm. Conclusion: It is a novel technique of double-balloon trapping of proximal and distal segment of IC artery with aneurysm coiling technique as an alternative to balloon-assisted coiling and stent-assisted coiling in patients with ruptured aneurysm.

Key-words:

Double-balloon - ruptured aneurysm - trapping

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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