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Published on: August 21, 2015
Novel use of the "buddy"wire
A O'Hare1, P Brennan, J Thornton
1Department of Neuroradiology, Beaumont Hospital, Dublin; Ireland - alanohare@yahoo.com.
Summary
Vascular catheter stability is challenging during interventional procedures. A buddy wire technique can prevent complications, such as ballooning into the posterior inferior cerebellar artery during vertebral artery occlusion.
Area of Science:
- Interventional neuroradiology
- Vascular surgery
- Neurosurgery
Background:
- Vascular tortuosity complicates catheter stability during endovascular procedures.
- Maintaining vascular access is crucial for successful interventions.
Purpose of the Study:
- To describe a case of acute subarachnoid hemorrhage from a vertebral artery dissecting aneurysm.
- To highlight a novel application of the buddy wire technique during endovascular procedures.
Main Methods:
- Case report of a patient with acute subarachnoid hemorrhage.
- Utilized a buddy wire during balloon occlusion of the vertebral artery.
- Modified buddy wire technique to prevent catheter displacement.
Main Results:
- Successfully managed acute subarachnoid hemorrhage secondary to vertebral artery dissection.
- The buddy wire prevented recurrent entry into the posterior inferior cerebellar artery during balloon occlusion.
- Demonstrated enhanced catheter stability and procedural control.
Conclusions:
- The buddy wire can be adapted to maintain catheter stability in complex vascular anatomy.
- This modified technique is valuable for preventing intraprocedural complications during vertebral artery interventions.
- The buddy wire offers a versatile solution for challenging vascular access and stability issues.
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