Document Detail

Balloon-assisted extrasaccular coil embolization technique for the treatment of very small cerebral aneurysms.
MedLine Citation:
PMID:  19499982     Owner:  NLM     Status:  MEDLINE    
Treatment of very small ruptured cerebral aneurysms (< 2 mm) continues to present a challenge. These lesions are difficult to treat both with neurosurgical and endovascular techniques. A neurosurgical approach is still the treatment of choice for these lesions at many centers because of high rupture rates related to endovascular treatment; however, there are clinical circumstances in which the neurosurgical option cannot be offered. In their review of the literature, the authors did not find any series reporting endovascular treatment of these very small aneurysms. In the present study, the authors report their experience with the endovascular treatment of a series of 4 ruptured aneurysms smaller than 2 mm from neck to dome. They describe their technique of using a remodelling balloon to stabilize the tip of the microcatheter in the neck of the aneurysm without entering it at any time, and of inserting the coil from outside the sac to minimize the risk of intraoperative rupture, which is very high when conventional endovascular embolization is performed.
Alberto Gil; Pedro Vega; Eduardo Murias; Hugo Cuellar
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  112     ISSN:  1933-0693     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-02     Completed Date:  2010-04-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  585-8     Citation Subset:  AIM; IM    
Department of Neuroradiology, Hospital Universitario Central de Asturias, Oviedo, Spain.
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MeSH Terms
Aged, 80 and over
Aneurysm, Ruptured / pathology,  therapy
Balloon Occlusion / methods*
Carotid Artery, Internal / pathology
Cerebral Angiography
Intracranial Aneurysm / pathology,  therapy*
Subarachnoid Hemorrhage / pathology,  therapy
Treatment Outcome

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