Double-balloon remodeling of wide-necked aneurysms distal to the circle of Willis

AJNR Am J Neuroradiol. 2005 Aug;26(7):1768-71.

Abstract

We describe a remodeling technique in which two compliant balloon catheters were used to treat large, wide-necked bifurcation aneurysms distal to the circle of Willis in two patients with subarachnoid hemorrhage. Although vasospasm and interaction between the constrained catheters in the small distal arteries added to the complexity of the procedure, placement of a balloon catheter in each side branch prevented coil encroachment and enabled embolization of these aneurysms.

Publication types

  • Case Reports

MeSH terms

  • Carotid Arteries / diagnostic imaging
  • Catheterization*
  • Cerebral Angiography
  • Circle of Willis
  • Diagnosis, Computer-Assisted
  • Embolization, Therapeutic / instrumentation
  • Female
  • Humans
  • Imaging, Three-Dimensional
  • Intracranial Aneurysm / complications
  • Intracranial Aneurysm / diagnostic imaging
  • Intracranial Aneurysm / therapy*
  • Middle Aged
  • Subarachnoid Hemorrhage / etiology