title: Use of the Ascent balloon for a 2-in-1 remodeling technique: feasibility and initial experience: case report.
abstract: BACKGROUND
  To present the feasibility of using the Ascent balloon, a new double-lumen remodeling balloon, for a new 2-in-1 technique allowing coiling through the lumen of the balloon without the use of an additional coiling microcatheter. Remodeling technique had enlarged the indications for endovascular treatment of intracranial aneurysm. Nevertheless, one of the limitations of this technique is that it requires using 2 devices in the same parent artery.
  
  
  METHODS
  A 55-year-old woman presented with a 7.7 × 4.5-mm incidental anterior communicating artery aneurysm. Only 1 A1 segment (left side) was patent on the cerebral angiogram. A 6F Fargo Max guiding catheter was positioned in the left petrous internal carotid artery. The Ascent balloon was placed in front of the neck of the aneurysm after navigation on a Traxcess 0.014-in guidewire. Coiling of the aneurysm sac was performed via 1 lumen of the device under iterative inflations of the balloon through the second lumen.
  
  
  CONCLUSIONS
  This new 2-in-1 technique using a sole remodeling balloon without an additional coiling microcatheter is very promising, especially in cases of a small-caliber parent artery.
authors.affiliation: Department of Neuroradiology, Pitié-Salpêtrière Hospital, Paris VI University, Paris, France.
authors.forename: Frédéric
authors.initials: F
authors.lastname: Clarençon
authors.forename: Guillaume
authors.initials: G
authors.lastname: Pérot
authors.forename: Alessandra
authors.initials: A
authors.lastname: Biondi
authors.forename: Federico
authors.initials: F
authors.lastname: Di Maria
authors.forename: Zoltan
authors.initials: Z
authors.lastname: Szatmary
authors.forename: Jacques
authors.initials: J
authors.lastname: Chiras
authors.forename: Nader
authors.initials: N
authors.lastname: Sourour
mesh_terms: D000800:Angioplasty, Balloon / Q000295:instrumentation* / Q000379:methods*; D020771:Anterior Cerebral Artery / Q000000981:diagnostic imaging / Q000473:pathology; D021721:Balloon Occlusion / Q000295:instrumentation* / Q000379:methods*; D001807:Blood Vessel Prosthesis / Q000592:standards; D002404:Catheterization / Q000295:instrumentation* / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D011859:Radiography; D016896:Treatment Outcome