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Updated: Jun 12, 2026

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Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices
Published on: September 8, 2023
Temporary Balloon Occlusion during Giant Aneurysm Surgery. A Technical Description
1Neuroradiology Operative Unit, Azienda Ospedaliera Santa Maria della Misericordia, Udine, Italy - nittu@tiscali.it.
Summary
This study introduces a combined balloon occlusion and surgical technique for treating large-giant aneurysms. This innovative approach offers complete aneurysm occlusion and reduced surgery time for complex cases.
Area of Science:
- Neurosurgery
- Endovascular Therapy
- Vascular Neurology
Background:
- Large-giant aneurysms pose significant treatment challenges.
- Traditional endovascular or surgical methods may not be suitable for all complex aneurysms.
Purpose of the Study:
- To present a novel combined balloon occlusion and surgical technique.
- To evaluate the safety and efficacy of this approach for large-giant aneurysms.
Main Methods:
- A combined technique involving balloon occlusion and surgical intervention.
- A non-detachable balloon catheter is used for temporary occlusion during surgery.
- The balloon is inflated/deflated as needed for surgical control.
Main Results:
- Successful treatment of 13 giant aneurysms (10 paraclinoid, 3 vertebrobasilar).
- Complete aneurysm occlusion achieved in all cases.
- No significant complications related to balloon assistance were reported.
Conclusions:
- The combined technique is effective for selected patients with large-giant aneurysms.
- This approach facilitates better surgical control and reduces operative time.
- Positive outcomes were observed in all treated patients.
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