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Problems in the balloon occlusion of aneurysms
1Universitätsklinikum Rudolf Virchow, Freie Universität Berlin, Bundesrepublik, Deutschland.
Zentralblatt Fur Neurochirurgie
|January 1, 1993
Summary
Percutaneous balloon occlusion for intracranial aneurysms had a high success rate but resulted in three deaths. This technique is limited to unclippable aneurysms due to associated fatalities.
Area of Science:
- Neurosurgery
- Interventional Neuroradiology
- Vascular Neurology
Background:
- Intracranial aneurysms pose significant risks, including rupture and hemorrhage.
- Traditional surgical clipping and endovascular coiling are primary treatment modalities.
- Percutaneous balloon occlusion offers an alternative for complex or inaccessible aneurysms.
Purpose of the Study:
- To evaluate the efficacy and safety of percutaneous balloon occlusion for intracranial aneurysms.
- To assess the long-term outcomes and complications associated with this procedure.
Main Methods:
- A retrospective review of 20 percutaneous balloon occlusion procedures performed between 1987 and 1991.
- 15 patients with intracranial aneurysms were included in the study.
- Technical success and complication rates were meticulously recorded.
Main Results:
- The procedure was technically successful in 9 out of 15 patients.
- Despite technical success, three patients experienced fatal long-term complications.
- Advancements in balloon catheter technology have not eliminated the risk of mortality.
Conclusions:
- Percutaneous balloon occlusion can be technically successful for treating intracranial aneurysms.
- The procedure carries a significant risk of fatal complications, limiting its widespread application.
- This technique remains a viable option primarily for unclippable intracranial aneurysms where other treatments are not feasible.