Coiling Using Dual Microcatheter Technique—A Novel Approach

Indian Journal of Neurosurgery

Swarup Sohan Gandhi¹  Devendra Purohit¹  Arvind Kumar¹  Trilochan Srivastav¹  Ashok Gandhi¹ 

[1] Department of Neurosurgery, Sawai Man Singh Medical College, Jaipur, Rajasthan, India;

关键词: aneurysms;    endovascular treatment;    dual microcatheter;   

DOI  :  10.1055/s-0041-1730875

来源: DOAJ

【 摘 要 】

Posterior circulation aneurysms are difficult to treat, and if an incorporated artery is arising from the neck of aneurysm, management becomes much more challenging. Here, we are describing a novel technique used to treat a patient with a large, wide-necked left vertebral artery (VA)-posterior inferior cerebellar artery (PICA) junctional aneurysm. PICA seems to be arising from the aneurysm neck, but the aneurysm neck was not very clearly defined. So, we placed a second microcatheter into PICA, which not only allowed the coils to be placed in the aneurysm, without disrupting the flow through PICA but also helpful in assessing the aneurysmal occlusion. This technique allowed coils to be placed successfully without compromising flow through PICA.

【 授权许可】

Unknown