title: Embolization of a wide-necked basilar bifurcation aneurysm by double-balloon remodeling using HyperForm compliant balloon catheters.
abstract: We report a patient with a wide-necked basilar bifurcation aneurysm that was difficult to address by standard coil embolization because the left and right posterior cerebral artery (PCA) branched from the base of the aneurysm. To preserve both PCAs, the aneurysm was endovascularly embolized using a double-balloon remodeling technique and HyperForm compliant balloon catheters (MicroTherapeutics, Irvine, CA, USA). The aneurysmal neck was not tightly embolized to avoid coil protrusion into the parent arteries. The present technique is an important adjunct to the embolization of wide-necked basilar bifurcation aneurysms.
authors.affiliation: Department of Neurosurgery, Yokohama Sakae Kyosai Hospital, 132 Katsura-cho, Sakae-ku, Yokohama, 247-8581 Japan. insula@ns.m.kanazawa-u.ac.jp
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Shima
authors.forename: Motohiro
authors.initials: M
authors.lastname: Nomura
authors.forename: Naoki
authors.initials: N
authors.lastname: Muramatsu
authors.forename: Takahiro
authors.initials: T
authors.lastname: Sugihara
authors.forename: Issei
authors.initials: I
authors.lastname: Fukui
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Kitamura
authors.forename: Jun-ichiro
authors.initials: J
authors.lastname: Hamada
mesh_terms: D000368:Aged; D001488:Basilar Artery; D002404:Catheterization / Q000295:instrumentation* / Q000379:methods; D002533:Cerebral Angiography / Q000379:methods; D004621:Embolization, Therapeutic / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D002532:Intracranial Aneurysm / Q000473:pathology* / Q000628:therapy*; D014057:Tomography, X-Ray Computed / Q000379:methods