Abstract
Endovascular obliteration of wide-necked aneurysms may be precluded by the inability to navigate across the aneurysm neck. The authors present a technique in which a Hyperform balloon is inflated within the aneurysm and used as a contact surface to "bounce" the remodeling balloon across the aneurysm neck. They have successfully used this technique in 3 patients to efficiently overcome vessel tortuosity, aneurysmal dead space, and balloon prolapse, allowing for obliteration of large, wide-necked aneurysms.
MeSH terms
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Aged
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Aneurysm, Ruptured / diagnostic imaging
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Aneurysm, Ruptured / therapy*
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Catheterization / instrumentation
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Catheterization / methods*
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Cerebral Angiography
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Dimethyl Sulfoxide / administration & dosage
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Embolization, Therapeutic / instrumentation
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Embolization, Therapeutic / methods*
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Equipment Design
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Female
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Humans
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Image Processing, Computer-Assisted
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Imaging, Three-Dimensional
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Intracranial Aneurysm / diagnostic imaging
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Intracranial Aneurysm / therapy*
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Male
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Polyvinyls / administration & dosage
Substances
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Onyx copolymer
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Polyvinyls
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Dimethyl Sulfoxide