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Ding D, Starke RM, Evans AJ, et al. Balloon anchor technique for pipeline embolization device deployment across the neck of a giant intracranial aneurysm. J Cerebrovasc Endovasc Neurosurg. 2014;16(2):125-30doi: 10.7461/jcen.2014.16.2.125.
Ding, D., Starke, R. M., Evans, A. J., Jensen, M. E., & Liu, K. C. (2014). Balloon anchor technique for pipeline embolization device deployment across the neck of a giant intracranial aneurysm. Journal of cerebrovascular and endovascular neurosurgery, 16(2), 125-30. https://doi.org/10.7461/jcen.2014.16.2.125
Ding, Dale, et al. "Balloon anchor technique for pipeline embolization device deployment across the neck of a giant intracranial aneurysm." Journal of cerebrovascular and endovascular neurosurgery vol. 16,2 (2014): 125-30. doi: https://doi.org/10.7461/jcen.2014.16.2.125
Ding D, Starke RM, Evans AJ, Jensen ME, Liu KC. Balloon anchor technique for pipeline embolization device deployment across the neck of a giant intracranial aneurysm. J Cerebrovasc Endovasc Neurosurg. 2014 Jun;16(2):125-30. doi: 10.7461/jcen.2014.16.2.125. Epub 2014 Jun 30. PMID: 25045653; PMCID: PMC4102752.
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J Cerebrovasc Endovasc Neurosurg. 2014 Jun;16(2):125-30. doi: 10.7461/jcen.2014.16.2.125. Epub 2014 Jun 30.

Balloon anchor technique for pipeline embolization device deployment across the neck of a giant intracranial aneurysm.

Journal of cerebrovascular and endovascular neurosurgery

Dale Ding, Robert M Starke, Avery J Evans, Mary E Jensen, Kenneth C Liu

Affiliations

  1. University of Virginia, Department of Neurological Surgery, Charlottesville, VA, United States.
  2. University of Virginia, Department of Radiology, Charlottesville, VA, United States.

PMID: 25045653 PMCID: PMC4102752 DOI: 10.7461/jcen.2014.16.2.125

Abstract

Treatment of giant intracranial aneurysms, via either surgical or endovascular approaches, is associated with a high level of technical difficulty as well as a high rate of treatment-related morbidity and mortality. Flow-diverting stents, such as the Pipeline embolization device (PED), have drastically altered the therapeutic strategies for the treatment of giant aneurysms. Gaining endovascular access using a microcatheter to the portion of the parent artery distal to the aneurysm neck is requisite for safe and effective stent deployment. Giant aneurysms are often associated with vascular tortuosity, which necessitates significant catheter support systems to enable maneuvering of PEDs across the aneurysm neck. This is also required in order to reduce the probability of stent herniation within giant aneurysms. We report on a case of a giant supraclinoid internal carotid artery (ICA) aneurysm which was treated successfully with a PED utilizing a balloon anchor technique to facilitate direct microcatheter access across the aneurysm neck.

Keywords: Endovascular procedures; Endovascular techniques; Intracranial aneurysm; Stent; Stroke; Subarachnoid hemorrhage

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