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Balloon-Assisted Cannulation for Difficult Anterior Cerebral Artery Access.
Interventional Neurology Pub Date : 2018-04-10 , DOI: 10.1159/000481542
Varun Naragum 1 , Mohamad AbdalKader 2 , Thanh N Nguyen 1, 3 , Alexander Norbash 4
Affiliation  

The anterior communicating artery is a common location for intracranial aneurysms. Compared to surgical clipping, endovascular coiling has been shown to improve outcomes for patients with ruptured aneurysms and we have seen a paradigm shift favoring this technique for treating aneurysms. Access to the anterior cerebral artery can be challenging, especially in patients with tortuous anatomy or subarachnoid hemorrhage or in patients presenting with vasospasm. We present a technique for cannulating the anterior cerebral artery using a balloon inflated in the proximal middle cerebral artery as a rebound surface.

中文翻译:

球囊辅助插管难以进入前脑动脉。

前交通动脉是颅内动脉瘤的常见部位。与外科夹钳相比,血管内卷绕已被证明可以改善动脉瘤破裂患者的预后,而且我们已经看到了一种范式转变,有利于这种技术治疗动脉瘤。进入大脑前动脉可能具有挑战性,特别是在解剖结构弯曲或蛛网膜下腔出血的患者或出现血管痉挛的患者中。我们提出了一种使用近中脑中动脉近端充盈的球囊作为反弹表面来插管前脑动脉的技术。
更新日期:2019-11-01
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