Volume : VIII, Issue : II, February - 2018

Balloon Assistance in Coiling of Ruptured Aneurysms: A Necessary Evil.

Kovilapu Uday Bhanu, Vikas Rastogi, M S Sridhar, Vivek Sharma, Krishnakant Inturi

Abstract :

 

PURPOSE: Balloon assisted coiling is an established treatment for Ruptured intracranial aneurysms. The aim of this retrospective study was to evaluate the indications of balloon assistance and establish its comprehensive utilities.

 

METHODS: A total of 68 patients with Ruptured intracranial aneurysms treated with endovascular coiling using balloon were retrospectively evaluated. Various indications of Balloon inflation were evaluated such as to prevent coil prolapse, negotiating tortuous bends at ICA bifurcation and hemostasis in the event of intraprocedure rupture. Immediate and delayed complications associated with balloon use were also studied.

 

RESULTS: Balloon inflation was done in 45/68 patients. In 36 (52%) patients it was used for assistance in coiling, in 03 (4%) patients it was inflated after rupture of the aneurysm, in 04 (5.8%) patients it was inflated to help the wire and microcatheter to enter A1 segment of Anterior cereal artery due to acute angulation at ICA bifurcation. In 03(4%) patients the balloon was inflated to visualize the lumen of the parent artery as the aneurysm was not able to be seen in profile. Immediate complications such as thrombus formation around the balloon was seen in 03 cases (4%), distal embolism in 02 cases (3%), arterial dissection in 01 case (1.4%) and prolapse of coil during deflation in 01 case (1.4%). On short term follow up of 06 months there was regrowth of the aneurysm neck seen in 03(4%) cases.

 

CONCLUSION: The Use of Balloon in endovascular coiling remains an essential tool to aid adequate and safe coiling of Ruptured aneurysm.

 

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Kovilapu Uday Bhanu, Vikas Rastogi, M S Sridhar, Vivek Sharma, Krishnakant Inturi, Balloon Assistance in Coiling of Ruptured Aneurysms: A Necessary Evil., INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-2 | February-2018


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