In this paper, we report five cases with acutely ruptured wide-necked aneurysms, which were treated with coil embolization using a balloon or stent-assisted technique. Balloon-assisted coil embolization using Equinox balloon, Commodore balloon, and Hyperform balloon were performed for four patients and stent-assisted coil embolization using BX velocity for one patient. We discuss problems of coil embolization for acutely ruptured wide-necked aneurysms with a balloon or stent-assisted technique.
AletichVDebrunGM: The remodeling technique of balloon-assisted Guglielmi detachable coil placement in wide-necked aneurysms: Experience at the University of Illinois at Chicago. J Neurosurg93: 388–396, 2000.
2.
BaldiSMounayerC: Balloon-assisted coil placement in wide-neck bifurcation aneurysms by use of a new, compliant balloon microcatheter. Am J Neuroradiol24: 1222–1225, 2003.
3.
BenitezRPSilvaMT: Endovascular occlusion of wide-necked aneurysms with a new intracranial microstent (Neuroform) and detachable coils. Neurosurgery54: 1359–1368, 2004.
4.
CottierJPPascoA: Utility of balloon-assisted Guglielmi detachable coiling in the treatment of 49 cerebral aneurysms: A retrospective, multicenter study. Am J Neuroradiol22: 345–351, 2001.
5.
FiorellaDAlbuquerqueFC: Preliminary experience using the Neuroform stent for the treatment of cerebral aneurysm. Neurosurgery54: 6–17, 2004.
6.
MoretJCognardC: “The remodelling technique” in the treatment of wide neck intracranial aneurysms. Interventional Neuroradiology3: 21–35, 1997.
7.
Perez-ArjonaEFesslerRD: Basilar artery to bilateral posterior cerebral artery ‘Y stenting’ for endovascular reconstruction of wide-necked basilar apex aneurysms: Report of three cases. Neurol Res.26: 276–281, 2004.
8.
RaymohdJGuilbertF: Neck-bridge device for endovascular treatment of wide neck bifurcation aneurysms: Initial experience. Radiology221: 318–326, 2001.
