Document Detail


Usefulness of non-detachable balloons in endovascular treatment for cerebral aneurysms.
MedLine Citation:
PMID:  7523966     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An endovascular non-detachable balloon technique was used to treat 14 patients with cerebral aneurysms. Eight patients presented with subarachnoid hemorrhage, and six others presented with headache or mass effect. Six aneurysms were located in the anterior circulation and eight in the posterior circulation. Seven aneurysms were giant, three were large, and four were small. All target aneurysms or vessels were occluded successfully. Parent vessel was successfully spared in seven cases. There were no procedural complications related to the non-detachable nature of the balloon used. Follow-up angiography detected refilling of aneurysms in three of 11 patients, two with small ruptured aneurysms that bled again following partial deflation or balloon movement. The other aneurysms tested remained occluded, as demonstrated on follow-up angiograms, for up to 15 months. Outcomes were good to excellent in 10 patients, poor in one, and three died. Non-detachable balloons might be preferred for treatment of certain types of cerebral aneurysms including those where intraaneurysmal maneuvers might be considered dangerous, for example, with recent bleeding or intraluminal fresh clots; where precise placement of the balloon is required, for example, in the vicinity of perforators or collaterals emerging near the neck; and where detachment could be dangerous or difficult in broad neck and fusiform aneurysms or in tortuous parent vessels.
Authors:
I Nakahara; J Pile-Spellman; L Hacein-Bey; R M Crowell; D Gress
Related Documents :
11597636 - The influence of surgical experience on the rate of intraoperative aneurysm rupture and...
10389896 - Computer-generated microsurgical anatomy of the basilar artery bifurcation. technical n...
10825516 - A combination of wrapping and clipping using a collagen-impregnated dacron fabric (hema...
15909716 - Natural history of cerebral saccular aneurysms.
963846 - Echocardiographic features of congenital left ventricular inflow obstruction.
11907756 - Recurrence of dialysis shunt pseudoaneurysm following percutaneous thrombin embolization.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  34     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  1994 Jun 
Date Detail:
Created Date:  1994-11-02     Completed Date:  1994-11-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  353-9     Citation Subset:  IM    
Affiliation:
Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Balloon Dilatation*
Brain / physiopathology,  surgery*
Cerebral Angiography
Female
Humans
Intracranial Aneurysm / physiopathology,  surgery*
Male
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Relationship of cerebral blood flow, cerebral metabolism, and electroencephalography to outcome in a...
Next Document:  "Kissing aneurysms" of the internal carotid artery.