Balloon-assisted coiling of intracranial aneurysms using the Eclipse 2L double lumen balloon

被引:17
作者
Pop, Raoul [1 ,2 ]
Harsan, Oana [1 ]
Martin, Ioan [1 ]
Mihoc, Dan [1 ]
Richter, Johann Sebastian [1 ]
Manisor, Monica [1 ]
Simu, Mihaela [3 ]
Chibbaro, Salvatore [4 ]
Cebula, Helene [4 ]
Proust, Francois [4 ]
Beaujeux, Remy [1 ,2 ]
机构
[1] Strasbourg Univ Hosp, Intervent Neuroradiol Dept, Strasbourg, France
[2] Inst Hosp Univ, Strasbourg, France
[3] Victor Babes Univ, Neurol Dept, Timisoara, Romania
[4] Strasbourg Univ Hosp, Neurosurg Dept, Strasbourg, France
关键词
Double lumen balloon; coil; embolization; ENDOVASCULAR TREATMENT; SAFETY;
D O I
10.1177/1591019919895676
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background Eclipse 2L is a new double lumen balloon microcatheter for neurovascular use, with several design features that separate it from previous generation devices. We aimed to report our initial experience of balloon-assisted coiling of intracranial aneurysms using the Eclipse 2L balloon. Materials and methods Retrospective single-center review of patients who underwent balloon-assisted coiling with the Eclipse 2L balloon, for ruptured or unruptured intracranial aneurysms between 1 June 2016 and 31 December 2018. Cases with adjunctive use of stents and recurrences of previously embolized aneurysms were excluded. Patient files were used to extract aneurysm characteristics, complications, immediate and long-term results. Results We identified 120 patients with 126 aneurysms, of which 83 (65.8%) unruptured. Average aneurysm size was 5.9 mm (standard deviation 3.2 mm), with a dome-to neck-ratio of 1.7 (SD 0.6). Most aneurysms (79.3%) were wide necked. Immediate angiographic exclusion (Raymond-Roy grade I-II) was obtained in 95.1% of cases (81.7% grade I and 13.4% grade II). Procedural morbidity was 3.2% with no procedural mortality. Follow-up imaging was available for 115 aneurysms (91.2%). After an average follow-up period of 8.9 months (SD 7.3 months), 96.5% of aneurysms presented class I-II occlusion. Two aneurysms (1.7%) were retreated during follow-up. Conclusion Balloon-assisted coiling using the Eclipse 2L double lumen balloon is feasible for aneurysms in a wide range of locations in the anterior and posterior circulation. The angiographic results and complication rates compare favorably with previously published studies.
引用
收藏
页码:291 / 299
页数:9
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