Occlusion of M1 segment after superficial temporal artery-middle cerebral artery bypass in a giant M1 aneurysm with Onyx-34 injected via a double-lumen balloon under balloon inflation

被引:7
作者
Clarencon, Frederic [1 ]
Nouet, Aurelien [2 ]
Redondo, Aimee [3 ]
Di Maria, Federico [1 ]
Iosif, Christina [1 ]
Le Jean, Lise [4 ]
Chiras, Jacques [1 ]
Sourour, Nader [1 ]
机构
[1] Hop La Pitie Salpetriere, Dept Neuroradiol, Paris, France
[2] Hop La Pitie Salpetriere, Dept Neurosurg, Paris, France
[3] Beaujon Univ Hosp, Dept Neurosurg, Clichy, France
[4] Hop La Pitie Salpetriere, Dept Intens Care, Paris, France
关键词
Balloon; Aneurysm; EXTRACRANIAL-INTRACRANIAL BYPASS; COMPLICATIONS; DISEASE;
D O I
10.1136/neurintsurg-2013-010738.rep
中图分类号
R445 [影像诊断学];
学科分类号
100207 ;
摘要
A 29-year-old patient attended our institution for recurrent strokes related to a giant partially thrombosed M1 aneurysm. Superficial temporal artery-middle cerebral artery (STA-MCA) bypass and subsequent occlusion of both the aneurysm and the dysplastic M1 segment were planned. However, owing to the shortness of the non-dysplastic segment of M1 and the risk of occlusion of the lenticulostriate arteries, the use of a double-lumen balloon was considered for coiling and subsequent injection of Onyx. STA-MCA bypass was performed using a regular technique. Endovascular occlusion of both the aneurysm and the parent artery was subsequently performed by means of coils and Onyx-34 that was injected via the Ascent balloon under balloon inflation. No complications were recorded and no stroke was observed on control MRI. The injection of Onyx-34 through a double-lumen balloon under balloon inflation is a quick and safe technique for precise occlusion of a parent artery.
引用
收藏
页数:4
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