Endovascular treatment of intracranial aneurysms with a new silicone microballoon device: technical considerations and indications for therapy.

Abstract:

:Treatment of complex intracranial aneurysms by means of interventional neurovascular techniques is now being performed with a newly developed silicone detachable-microballoon device. The balloon is composed of unique silicone elastomers that are extremely soft and malleable. It therefore conforms to the blood vessel lumen or aneurysm wall and reduces the risk of rupture. It is affixed onto a 2.0-F catheter and can be either directed by flow or guided with the catheter. For aneurysms with a well-defined neck, the balloon is placed directly into the aneurysm, inflated with 2-hydroxyethyl methacrylate for permanent solidification, and detached. The aneurysm is thus excluded from the circulation, and the parent vessel is preserved. For aneurysms without a well-defined neck, test occlusion can be performed, followed by permanent balloon occlusion of the parent vessel. This balloon technique has been successfully used to treat aneurysms in both the anterior and posterior circulations, where standard neurosurgical techniques have failed, and in surgically inaccessible anatomic locations.

journal_name

Radiology

journal_title

Radiology

authors

Higashida RT,Halback VV,Dormandy B,Bell JD,Hieshima GB

doi

10.1148/radiology.174.3.2305050

subject

Has Abstract

pub_date

1990-03-01 00:00:00

pages

687-91

issue

3 Pt 1

eissn

0033-8419

issn

1527-1315

journal_volume

174

pub_type

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