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DOI: 10.1055/s-0041-1730875
Coiling Using Dual Microcatheter Technique—A Novel Approach
Autoren
Funding None.
Abstract
Posterior circulation aneurysms are difficult to treat, and if an incorporated artery is arising from the neck of aneurysm, management becomes much more challenging. Here, we are describing a novel technique used to treat a patient with a large, wide-necked left vertebral artery (VA)-posterior inferior cerebellar artery (PICA) junctional aneurysm. PICA seems to be arising from the aneurysm neck, but the aneurysm neck was not very clearly defined. So, we placed a second microcatheter into PICA, which not only allowed the coils to be placed in the aneurysm, without disrupting the flow through PICA but also helpful in assessing the aneurysmal occlusion. This technique allowed coils to be placed successfully without compromising flow through PICA.
Publikationsverlauf
Artikel online veröffentlicht:
13. Januar 2022
© 2022. Neurological Surgeons’ Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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References
- 1 Mukonoweshuro W, Laitt RD, Hughes DG. Endovascular treatment of PICA aneurysms. Neuroradiology 2003; 45 (03) 188-192
- 2 Liew D, Ng PY, Ng I. Surgical management of ruptured and unruptured symptomatic posterior inferior cerebellar artery aneurysms. Br J Neurosurg 2004; 18 (06) 608-612
- 3 Sejkorová A, Cihlář F, Hejčl A, Lodin J, Vachata P, Sameš M. Microsurgery and endovascular treatment of posterior inferior cerebellar artery aneurysms. Neurosurg Rev 2016; 39 (01) 159-168 discussion 168
- 4 Naggara ON, White PM, Guilbert F, Roy D, Weill A, Raymond J. Endovascular treatment of intracranial unruptured aneurysms: systematic review and meta-analysis of the literature on safety and efficacy. Radiology 2010; 256 (03) 887-897
- 5 Gordhan A. Microcatheter neck bridging and incorporated branch vessel protection for coil embolization of a wide-neck ruptured aneurysm: technical case report. Neurosurgery 2011; 68 (Suppl. 01) 40-43 discussion 43–44
- 6 Islak C, Kizilkilic O, Kocak B, Saglam M, Yildiz B, Kocer N. Use of buddy wire to facilitate Y-configure stent placement in middle cerebral artery bifurcation aneurysms with daughter branches arising from the sac: a technical note. Oper Neurosurg (Hagerstown) 2014; 10: 167-171
- 7 Guglielmi G, Viñuela F, Duckwiler G. et al. Endovascular treatment of posterior circulation aneurysms by electrothrombosis using electrically detachable coils. J Neurosurg 1992; 77 (04) 515-524
- 8 Fernandez Zubillaga A, Guglielmi G, Viñuela F, Duckwiler GR. Endovascular occlusion of intracranial aneurysms with electrically detachable coils: correlation of aneurysm neck size and treatment results. AJNR Am J Neuroradiol 1994; 15 (05) 815-820
- 9 Baxter BW, Rosso D, Lownie SP. Double microcatheter technique for detachable coil treatment of large, wide-necked intracranial aneurysms. AJNR Am J Neuroradiol 1998; 19 (06) 1176-1178
- 10 Levy DI, Ku A. Balloon-assisted coil placement in wide-necked aneurysms. Technical note. J Neurosurg 1997; 86 (04) 724-727