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Updated: Feb 12, 2026
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Isolation and Cannulation of Cerebral Parenchymal Arterioles
Published on: May 23, 2016
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Balloon-Assisted Cannulation for Difficult Anterior Cerebral Artery Access
Varun Naragum1, Mohamad AbdalKader2, Thanh N Nguyen1,3
1Department of Neurology and Radiology, Boston Medical Center, Boston, Massachusetts, USA.
Interventional Neurology
|April 10, 2018
Summary
Endovascular coiling is preferred for ruptured aneurysms. A new technique uses a balloon in the middle cerebral artery to access the anterior cerebral artery, overcoming anatomical challenges.
Area of Science:
- Neurosurgery
- Interventional Neuroradiology
- Cerebrovascular Diseases
Background:
- Anterior communicating artery aneurysms are common.
- Endovascular coiling offers improved outcomes over surgical clipping for ruptured aneurysms.
- Accessing the anterior cerebral artery can be difficult due to patient anatomy or conditions like vasospasm.
Purpose of the Study:
- To describe a novel technique for cannulating the anterior cerebral artery.
- To address challenges in endovascular treatment of anterior circulation aneurysms.
Main Methods:
- A technique involving a balloon inflated in the proximal middle cerebral artery is presented.
- This balloon acts as a rebound surface to facilitate anterior cerebral artery cannulation.
Main Results:
- The described technique allows for successful cannulation of the anterior cerebral artery.
- This method aids in navigating challenging anatomies and conditions such as subarachnoid hemorrhage or vasospasm.
Conclusions:
- This technique provides a viable solution for accessing the anterior cerebral artery in complex cases.
- It expands endovascular treatment options for anterior communicating artery aneurysms.
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