| Temporary endovascular balloon occlusion of the internal carotid artery with a nondetachable silicone balloon catheter: analysis of technique and cost. | |
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MedLine Citation:
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PMID: 10319959 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND PURPOSE: Temporary balloon occlusion has become a routine and medically accepted technique for the management of patients with aneurysms or intracranial or head/neck tumors. We describe our experience using a nondetachable silicone balloon (NDSB) catheter in 103 endovascular temporary balloon occlusions of the internal carotid artery, with attention focused on technique, complications, and cost. METHODS: Between 1993 and 1998, 103 patients underwent preoperative temporary balloon occlusion testing with a 1.5-mm NDSB catheter. Clinical testing during endovascular blockade was combined with qualitative cerebral blood flow analysis using technetium-99m HMPAO SPECT. Cost-effective analysis was performed, emphasizing cost and complication rates in comparison with those in previously reported series in which multiple types of temporary balloon occlusion catheters were used, predominantly not of the NDSB type. RESULTS: No carotid artery injury or complication, including cerebral infarction due to NDSB use, was encountered. Despite the increased cost of the NDSB catheter system, cost-effective analysis showed up to 40% reduction in cost per quality adjusted life years. CONCLUSION: Temporary balloon occlusion using the NDSB catheter is safe and cost-effective, owing to the low rate of complications. |
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Authors:
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P M Meyers; G A Thakur; T A Tomsick |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: AJNR. American journal of neuroradiology Volume: 20 ISSN: 0195-6108 ISO Abbreviation: AJNR Am J Neuroradiol Publication Date: 1999 Apr |
Date Detail:
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Created Date: 1999-06-18 Completed Date: 1999-06-18 Revised Date: 2008-02-14 |
Medline Journal Info:
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Nlm Unique ID: 8003708 Medline TA: AJNR Am J Neuroradiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 559-64 Citation Subset: IM |
Affiliation:
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Department of Radiology, University of California, San Francisco, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Balloon Dilatation / economics, instrumentation*, methods Carotid Artery, Internal / physiopathology* Cerebrovascular Circulation / physiology Cost-Benefit Analysis Embolization, Therapeutic / economics, instrumentation*, methods Health Care Costs Humans Intraoperative Care Middle Aged Neurologic Examination Preoperative Care Quality-Adjusted Life Years Radiopharmaceuticals / diagnostic use Regional Blood Flow / physiology Risk Factors Safety Silicones* Technetium Tc 99m Exametazime / diagnostic use Tomography, Emission-Computed, Single-Photon |
| Chemical | |
Reg. No./Substance:
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0/Radiopharmaceuticals; 0/Silicones; 100504-35-6/Technetium Tc 99m Exametazime |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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