Inflatable and released balloon technique experimentation in dog ? Application in man

Debrun, Gérard; Lacour, P.; Caron, J; Hurth, M; Comoy, J; Kéravel, Y.

doi:10.1007/bf00333741

Cited by 90 publications

(17 citation statements)

References 2 publications

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“…This remained the most frequently applied nonsurgical technique for aneurysm obliteration for nearly 20 years (Figures 4 and 5). He never published the manufacture of balloons, their filling with occluding substances and their detachment, so other inventors like Debrun [17], Laitinen [18] or Hieshima [19] developed their own systems.…”

Section: Balloon Occlusionmentioning

confidence: 99%

Aneurysm Treatment – a Neuroradiologic Success Story

Schumacher

Weber

2008

Clin Neuroradiol

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This short review portrays the treatment of cerebral aneurysms from the very early surgical beginning to current endovascular multimodal therapy. The evolution to today's mainly nonoperative treatment of aneurysms illustrates the enormous progress of interventional neuroradiology, which has attained its outstanding success through the concurrence of deeper understanding and knowledge of diseases, technical development, and endovascular manual skills. ZusammenfassungDie Behandlung zerebraler Aneurysmen wird in einer kurzen Übersicht von den chirurgischen Anfängen bis zur endovaskulären multimodalen Therapie dargestellt. Die Entwicklung zur inzwischen überwiegend nichtoperativen Therapie von Aneurysmen steht stellvertretend für die enormen Fortschritte der interventionellen Neuroradiologie, die ihre Erfolge aus dem Zusammenwirken von Krankheitsverständnis, technischer Entwicklung und endovaskulären manuellen Fähigkeiten bezieht.

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Section: Balloon Occlusionmentioning

confidence: 99%

Aneurysm Treatment – a Neuroradiologic Success Story

Schumacher

Weber

2008

Clin Neuroradiol

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“…Es handelte sich um den endovaskulä-ren Verschluss der Trägerarterie ("parent vessel occlusion") oder um die Ausschaltung des aneurysmatragenden Gefäßsegments ("trapping"). Nach Einführung der ablösbaren Ballons durch Serbinenko [26] und Debrun et al [6] hat man in erster Linie die großen, raumfordernden intrakavernösen Karotisaneurysmen nach Prüfung der hämodynamischen Reserven mit dieser Methode behandelt. Es wurde entweder ein Ballon proximal des Aneurysmas platziert, um den Druck vom Aneurysma zu nehmen und die Karotis distal davon zur sekundären Thrombosierung zu bringen.…”

Section: Verschluss Des Trägergefäßesunclassified

Stent, Ballon oder Clip?

Solymosi

Chapot

Bendszus

2005

Klinische Neuroradiologie

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ZusammenfassungDie Behandlung intrakranieller Aneurysmen ist in den letzten Jahren zunehmend durch die endovaskuläre Therapie übernommen worden. Eine technische Limitation stellen jedoch breitbasige Aneurysmen da, bei denen Coils aus dem Aneurysma in das Trägergefäß prolabieren können und dieses potentiell okkludieren. Heutzutage stehen allerdings Techniken zur Verfügung, um auch diese früher interventionell nicht therapierbaren Aneurysmen endovaskulär effektiv behandeln zu können. Es wurden verschiedene Techniken und Materialien entwickelt, um den breiten Hals eines Aneurysmas vorübergehend oder permanent bzw. komplett oder partiell zu verschließen und somit die Embolisation zu unterstützen oder überhaupt zu ermöglichen. Die "Remodeling-Technik" verhindert durch temporären und kompletten Verschluss des Aneurysmahalses das Prolabieren der Coils in das Trägergefäß. Diese Technik wirkt aber auch modellierend auf das Coil-Paket, um die Coils in die meist unregelmäßige Form des Aneurysmas zu komprimieren und zu formen. Im Prinzip die identische Wirkungsweise, jedoch mit einem flüssigen Embolisat, hat die Behandlung mit Onyx. Eine permanente Kontrolle über den Aneurysmaeingang bieten ablösbare Systeme, wie TriSpan und vor allem Stents. Diese Übersichtsarbeit zeigt den heutigen Stand der Techniken und Systeme in der Behandlung von breitbasigen Aneurysmen, welche zunehmend einer endovaskulären Therapie zugänglich sind. Es besteht ein großes Potential für zukünftige Entwicklungen, um die interventionelle Behandlung weiter zu optimieren. Schlüsselwörter: Aneurysmen · Remodeling · Onyx · TriSpan · Intrakranieller Stent AbstractThe treatment of intracranial aneurysms has increasingly been taken over by the endovascular approach. However, wide-necked aneurysms represent a technical limitation since coils may prolapse into the parent vessel, potentially causing vessel occlusion. Meanwhile, new techniques are available to treat these aneurysms which were not amenable to the interventional treatment some years ago. Several techniques and materials have been developed to occlude the wide neck of an aneurysm transiently or permanently and accordingly allow or support embolization of the aneurysm. The remodeling technique prevents coil protrusion by transient and complete occlusion of the parent artery. Moreover, this technique also molds the coils inside the aneurysm allowing for a filling also in irregularly shaped aneurysms. In principle, aneurysm treatment with Onyx resembles closely this treatment approach except that a liquid Übersichtsarbeit Neuroradiologie Klinische IN KOOPERATION MIT DER BAYERISCHEN LANDESÄRZTEKAMMER Fragen zur zertifi zierten Fortbildung fi nden Sie auf Seite 161.Z er t i f i z i e r te Fo r t b i l d ung 4 P unk t e Klinische Neuroradiologie Herausgeber M. Forsting, EssenEinleitung Die endovaskuläre Therapie hat in einer erheblichen Anzahl von Fällen die Behandlung der intrakraniellen Aneurysmen übernommen. Die ISAT-Studie hat beim Outcome von Aneurysmapatienten mit einer akuten Subarachnoidalblutung (S...

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“…Balloons Silicone rubber and natural rubber are used as materials for the balloon.s, 6,11,13,18,[21][22][23] Silicone balloons are widely used in the U.S.A. with the approval of the Food and Drug Administration. Silicone is inferior to natural rubber in tensile strength and elasticity.…”

Section: Introductionmentioning

confidence: 99%

“…can be controlled by flow-guided naviga t1o11. 5,6,11,13,14,18,[20][21][22][23][24][25] Since a balloon catheter for superselective catheterization should be flexible, it is advisable that the hardness of the catheter be Shore S 70-85. Polyethylene, polyurethane, polyvinyl chloride and also silicone are suitable for superselective catheterization when they are made to this hardness.…”

Section: Introductionmentioning

confidence: 99%

Detachable Balloon Catheter Systems for Embolization of Cerebrovascular Lesions

Taki

Handa

Yonekawa

et al. 1981

Neurol. Med. Chir.(Tokyo)

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SummaryTo develop a new balloon catheter technique, three types of detachable balloon catheters, a catheter delivery system and a radiopaque solidifying liquid were prepared. In the first type of detachable balloon catheter, the balloon was detached from the catheter by rotation at the specially designed joint connecting the balloon and catheter. The joint was made of ethylene-vinylalcohol copolymer. In the second type of detachable balloon catheter, the balloon was detached from the catheter by dissolution of a specially designed joint. The joint was made from a polyvinylalcohol tube and had two electrodes. When high frequency electrical current was applied, the resulting heat dissolved the joint within one second. The third detachable balloon catheter was a modification of the second type of catheter. A pinhole was made at the tip of the balloon. Through this pinhole, solidifying liquid such as isobutyl 2-cyanoacrylate can be introduced into the artery. At present, twenty-three superselective catheterizations including nine embolizations have been per formed. Eight embolizations were performed in patients with intradural cerebral aneu rysms and arteriovenous malformations. Two complications occurred. In arteriovenous malformations, embolization using a detachable balloon catheter seemed to be an effective adjunctive treatment prior to operative removal. In aneurysms, permanent embolization of the neck of the aneurysm appeared to be most important. Posttraumatic carotid cavernous sinus fistulas and some spontaneous carotid-cavernous sinus fistulas could be completely embolized using a detachable balloon catheter while preserving the carotid blood flow.

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Inflatable and released balloon technique experimentation in dog ? Application in man

Cited by 90 publications

References 2 publications

Aneurysm Treatment – a Neuroradiologic Success Story

Aneurysm Treatment – a Neuroradiologic Success Story

Stent, Ballon oder Clip?

Detachable Balloon Catheter Systems for Embolization of Cerebrovascular Lesions

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