Double lumen remodelling balloon: A new technique for treatment of bifurcation aneurysms

Mustafa, Wessam; Kądziołka, Krzysztof; Leautaud, A.; Piérot, Laurent

doi:10.1016/j.neurad.2010.10.003

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…It was initially described as an alternative to the double catheter balloon remodelling technique, aiming to reduce thromboembolic events or possible injuries to the vessel by using one microcatheter instead of two. [1][2][3] It can also be used to deliver a self-expandable stent for stent-assisted coiling. The existing DLBCs are dimethyl sulphoxide compatible and their use has been reported for embolization of arteriovenous malformations and dural fistulas.…”

Section: Introductionmentioning

confidence: 99%

Treatment of an internal carotid artery aneurysm with a flow diverter through a double lumen balloon catheter

et al. 2017

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Background Double lumen balloon catheters (DLBCs) are currently used in the treatment of intracranial aneurysms, especially when involving balloon or stent-assisted coiling. The existing DLBCs allow the delivery of self-expandable stents but do not offer the possibility to deploy flow-diverters. Despite the increasing use and success of flow-diverters, there have been numerous reports of procedural complications such as early in-stent thrombosis or delayed distal embolization. It seems that these complications can be avoided by correct stent positioning and adequate wall apposition, achieved either by manoeuvres with the microguidewire and/or microcatheter or by performing balloon angioplasty following an exchange guidewire manoeuvre. Objective Report the use of a new DLBC able to deliver a flow-diverter. Methods A 41-year-old woman presented to our hospital with binocular horizontal diplopia for two weeks and reduced visual acuity. A left internal carotid artery aneurysm involving the cavernous and ophthalmic segments was found, with a maximum height of 19 mm and a broad 8 mm neck. It presented extra- and intra-dural components and the parent vessel was significantly narrowed. A decision was made to perform endovascular treatment of the aneurysm with placement of a flow diverter through a DLBC. Results Patency and adequate expansion of the flow diverter with evident intra-aneurysmal contrast stasis was observed in the final angiogram. No peri-procedural complications were observed. Conclusion This is a technical note demonstrating the feasibility of a new device to deploy a flow diverter, aiming to improve wall apposition and stent configuration without the need of additional devices or exchange manoeuvres.

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Section: Introductionmentioning

confidence: 99%