Balloon-assisted coil placement in wide-necked aneurysms. Technical note.
Balloon-assisted coil placement in wide-necked aneurysms. Technical note.
复制标题
球囊辅助线圈放置在宽颈动脉瘤中。
DOI：
10.3171/jns.1997.86.4.0724
复制
发表时间：
1997
影响因子：
4.1
通讯作者：
A. Ku
中科院分区：
文献类型：
--
作者：
D. Levy;A. Ku
囊状颅内动脉瘤是一种常见且经常致命的病变。尽管手术治疗这些动脉瘤仍然是治疗的金标准，但在某些情况下，手术可能不是最好的选择。在某些情况下，电解可拆卸线圈已被证明提供的结果优于单独用于医疗管理的结果。作者提出了两例眼动脉动脉瘤，在最初的尝试中不能承受Guglielmi可拆卸线圈。一个动脉瘤为7毫米，一个为4毫米，两个动脉瘤的颈相对于动脉瘤囊都很宽。通过使用球囊辅助技术，用不可分离的球囊堵塞母动脉，当球囊放气时，线圈可以安全地放置在这些动脉瘤中而不会出现疝。手术后，两名患者均出现栓塞症状，其中一人有轻微但永久性的缺陷。虽然该技术需要操作第二根微导管和气囊，这增加了技术难度，并且比标准线圈置入风险更高，但它在不需要手术的患者中具有实用价值。
Saccular intracranial aneurysms are a common and often fatal lesion. Whereas surgical treatment of these aneurysms continues to be the gold standard of care, certain situations arise for which surgery may not be the best option. In some of these cases, electrolytically detachable coils have been proven to provide outcomes superior to those seen for medical management alone. The authors present two cases of ophthalmic artery aneurysms that would not hold the Guglielmi detachable coils on the initial attempt. One aneurysm was 7 mm and one 4 mm, both with wide necks relative to the aneurysm sac. By using a balloon-assisted technique and blocking the parent artery with a nondetachable balloon, the coils could be safely placed in these aneurysms without herniation when the balloon was deflated. Both patients exhibited embolic symptoms after the procedure, one with a mild but permanent deficit. Although this technique requires manipulation of a second microcatheter and balloon, which increases its technical difficulties and is a higher risk procedure than standard coil placement, it has utility in patients who are not candidates for surgery.
影响因子：
4.1
作者：
GUGLIELMI, G;VINUELA, F;SEPETKA, I
通讯作者：
SEPETKA, I