title: Initial experience with the new double-lumen scepter balloon catheter for treatment of wide-necked aneurysms.
abstract: OBJECTIVE
  A new double-lumen balloon catheter was being developed for the treatment of cerebral aneurysms. The purpose of this study is to report our initial experience of a double-lumen balloon catheter for the treatment of wide-necked aneurysms.
  
  
  METHODS
  Seventeen patients (mean age, 63 years; range, 45-80 years) with wide-necked, with or without a branch-incorporated aneurysms, (10 ruptured and 9 unruptured) were treated with balloon-assisted coil embolization using a double-lumen balloon catheter (Scepter C™ or Scepter XC™) for 7 months after being introduced to our country. Locations of the aneurysms were posterior communicating artery (n = 7), anterior communicating artery or A2 (n = 7), middle cerebral artery (MCA) bifurcation (n = 3), basilar artery tip (n = 1) and anterior choroidal artery (n = 1). The initial clinical and angiographic outcomes were retrospectively evaluated.
  
  
  RESULTS
  Coil embolization was successfully completed in all 19 aneurysms, resulting in complete occlusions (n = 18) or residual neck (n = 1). In one procedure, a thrombus formation was detected at the neck portion of the ruptured MCA bifurcation aneurysm near to the end of the procedure. It was completely resolved with an intra-arterial infusion of Glycoprotein IIb/IIIa inhibitor (Tirofiban, 1.0 mg) without any clinical sequela. There were no treatment-related events in the remaining 18 aneurysms. At discharge, functional neurological state improved in 11 patients (10 patients with ruptured aneurysm and 1 with unruptured aneurysm presenting with mass symptoms) and 6 patients with unruptured aneurysms had no newly developed symptoms.
  
  
  CONCLUSIONS
  In this preliminary case series, the newly developed double-lumen Scepter balloon appears to be a safe and convenient device for coil embolization of wide-necked aneurysms.
authors.affiliation: Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul 110-746, Korea.
authors.forename: Myung Ho
authors.initials: MH
authors.lastname: Rho
authors.forename: Byung Moon
authors.initials: BM
authors.lastname: Kim
authors.forename: Sang Hyun
authors.initials: SH
authors.lastname: Suh
authors.forename: Dong Joon
authors.initials: DJ
authors.lastname: Kim
authors.forename: Dong Ik
authors.initials: DI
authors.lastname: Kim
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000628:therapy*; D021721:Balloon Occlusion / Q000295:instrumentation*; D057785:Catheters; D002533:Cerebral Angiography; D004867:Equipment Design; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome
keywords: Balloon; Coil embolization; Intracranial aneurysm
references.citation: AJNR Am J Neuroradiol. 2012 May;33(5):965-71
references.pmid: 22268079
references.citation: AJNR Am J Neuroradiol. 2012 Jan;33(1):159-63
references.pmid: 22033717
references.citation: Stroke. 2010 Jan;41(1):110-5
references.pmid: 19959540
references.citation: Neurointervention. 2011 Aug;6(2):53-70
references.pmid: 22125751
references.citation: J Neurosurg. 2006 Sep;105(3):396-9
references.pmid: 16961133
references.citation: Radiology. 2011 Feb;258(2):546-53
references.pmid: 21131582
references.citation: AJNR Am J Neuroradiol. 2010 Jan;31(1):145-51
references.pmid: 19749218
references.citation: Interv Neuroradiol. 2012 Sep;18(3):284-7
references.pmid: 22958766
references.citation: Neurosurgery. 2010 Jul;67(1):73-8; discussion 78-9
references.pmid: 20559093
references.citation: J Neurointerv Surg. 2013 Nov;5(6):582-5
references.pmid: 23136237
references.citation: Stroke. 2003 Jun;34(6):1398-403
references.pmid: 12775880
references.citation: Korean J Radiol. 2012 Jul-Aug;13(4):510-4
references.pmid: 22778576
references.citation: AJNR Am J Neuroradiol. 2012 Jan;33(1):12-5
references.pmid: 21349960