title: The balloon anchor technique: a novel technique for distal access through a giant aneurysm.
abstract: A novel technique is reported that helps the operator in achieving reliable access to the distal parent vessel with a microcatheter for stent assisted aneurysm coiling. Distal parent vessel access was obtained by allowing the microwire to follow the local hemodynamics into a giant internal carotid artery aneurysm and around its dome. Various traditional methods were tried before attempting the balloon anchor. In this technique, an over-the-wire balloon was inflated in the distal vessel followed by gentle retraction of the balloon catheter and microwire allowed only a wire bridge across the aneurysm neck, thereby allowing the stent catheter to be brought up in a standard fashion. This technique may facilitate the use of new stent technologies for the treatment of aneurysms that would otherwise be untreatable with endovascular therapies.
authors: Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, 14209, USA.
authors: Kenneth V
authors: KV
authors: Snyder
authors: Sabareesh K
authors: SK
authors: Natarajan
authors: Erik F
authors: EF
authors: Hauck
authors: J
authors: J
authors: Mocco
authors: Adnan H
authors: AH
authors: Siddiqui
authors: L Nelson
authors: LN
authors: Hopkins
authors: Elad I
authors: EI
authors: Levy
mesh_terms: D021721:Balloon Occlusion / Q000379:methods*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography; D015607:Stents