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. 2018 Feb;7(1-2):48-52.
doi: 10.1159/000481542. Epub 2017 Nov 15.

Balloon-Assisted Cannulation for Difficult Anterior Cerebral Artery Access

Varun Naragum  1 , Mohamad AbdalKader  2 , Thanh N Nguyen  1   3 , Alexander Norbash  4
Affiliations

Balloon-Assisted Cannulation for Difficult Anterior Cerebral Artery Access

Varun Naragum et al. Interv Neurol. 2018 Feb.

Abstract

The anterior communicating artery is a common location for intracranial aneurysms. Compared to surgical clipping, endovascular coiling has been shown to improve outcomes for patients with ruptured aneurysms and we have seen a paradigm shift favoring this technique for treating aneurysms. Access to the anterior cerebral artery can be challenging, especially in patients with tortuous anatomy or subarachnoid hemorrhage or in patients presenting with vasospasm. We present a technique for cannulating the anterior cerebral artery using a balloon inflated in the proximal middle cerebral artery as a rebound surface.

Keywords: Aneurysm coiling; Anterior cerebral artery complex; Balloon inflation; Cerebral aneurysm.

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Figures

Fig. 1
Fig. 1
Embolization microcatheter herniating within the ipsilateral middle cerebral artery (black arrow). Microwire in the anterior cerebral artery (white arrow). The image on the left represents our case. The image on the right is an illustration.
Fig. 2
Fig. 2
Balloon inflated in the proximal middle cerebral artery (black arrow) and embolization microcatheter successfully advanced into the anterior cerebral artery (white arrow). The image on the left is our case. The image on the right is an illustration.
See this image and copyright information in PMC

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