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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(03): 726-729
DOI: 10.4103/ajns.AJNS_153_20
Case Report

Parent vessel occlusion via the balloon-assisted, dual microcatheter technique

Gregory Glauser
Department of Neurosurgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
,
Brian Walcott
1   Department of Neurosurgery, NorthShore University HealthSystem, Evanston
2   Section of Neurosurgery, Department of Surgery, University of Chicago Pritzker School of Medicine, Chicago, IL
,
Omar Choudhri
Department of Neurosurgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
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Endovascular parent vessel sacrifice is an established technique used to treat vascular pathology and tumor infiltration of blood vessels. In high-flow vessels, such as the carotid artery or vertebral artery, distal coil migration and embolization are concerns. A method to mitigate this risk would improve the safety profile of the procedure. Five patients undergoing parent vessel sacrifice were retrospectively identified (from June 2018 to May 2019) for the purpose of illustrating this high-flow parent vessel occlusion technique. The technique utilizes a proximal dual-lumen balloon microcatheter inflated for blood flow arrest. The balloon-assisted, dual microcatheter technique is useful for occlusion of high-flow parent arteries. Because it utilizes both flow arrest and a tethered coil backstop, precise occlusion of a vessel can be achieved.

Key-words:

Balloon occlusion - coiling - embolization - endovascular - technique

Financial support and sponsorship

Nil.




Publication History

Received: 10 April 2020

Accepted: 26 June 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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