Successful management of aneurysms of complex morphology depends primarily on adjunct use of balloons or stents. However, these two methods are technically demanding and have higher complication rates. As an alternative to these two techniques, we have used a catheter-assisted technique with a number of cases. It is simple, versatile, and less demanding technically. This technique should be considered as an alternative strategy in cases of wide-necked aneurysms.
MolyneuxAJKerrRSCYuLM. International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: A randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion. Lancet. 2005; 366: 809–817.
2.
TakaoHNojoTOhtomoK. Treatment of ruptured intracranial aneurysms: A decision analysis. Br J Radiol. 2008; 81: 299–303.
3.
ChoudhariKARamachandranMSMcCarronMO. Aneurysms unsuitable for endovascular intervention: Surgical outcome and management challenges over a 5-year period following International Subarachnoid Haemorrhage Trial (ISAT). Clin Neurol Neurosurg. 2007; 109: 868–875.
4.
SchaafsmaJDSprengersMEvan RooijWJ. Long-term recurrent subarachnoid hemorrhage after adequate coiling versus clipping of ruptured intracranial aneurysms. Stroke. 2009; 40: 1758–1763.
SluzewskiMvan RooijWJBeuteGN. Balloon-assisted coil embolization of intracranial aneurysms: Incidence, complications, and angiography results. J Neurosurg. 2006; 105: 396–399.
7.
van RooijWJSluzewskiMBeuteGN. Procedural complications of coiling of ruptured intracranial aneurysms: Incidence and risk factors in a consecutive series of 681 patients. Am J Neuroradiol. 2006; 27: 1498–1501.
8.
MolyneuxAJKerrRSCStrattonI. Risk of recurrent subarachnoid haemorrhage, death, or dependence and standardised mortality ratios after clipping or coiling of an intracranial aneurysm in the International Subarachnoid Aneurysm Trial (ISAT): Long-term follow-up. Lancet Neurol. 2009; 8: 427–433.
9.
RaymondJGuilbertFWeillA. Long-term angiographic recurrences after selective endovascular treatment of aneurysms with detachable coils. Stroke. 2003; 34: 1398–1403.
10.
ShapiroMBabbJBecskeT. Safety and efficacy of adjunctive balloon remodeling during endovascular treatment of intracranial aneurysms: A literature review. Am J Neuroradiol. 2008; 29: 1777–1781.
11.
WolfeSQFarhatHMoftakharR. Intraaneurysmal balloon assistance for navigation across a wide-necked aneurysm. J Neurosurg. 2010; 112: 1222–1226.
12.
PierotLSpelleLLeclercX. Endovascular treatment of unruptured intracranial aneurysms: Comparison of safety of remodeling technique and standard treatment with coils. Radiology. 2009; 251: 846–855.
13.
LanzinoGWakhlooAKFesslerRD. Efficacy and current limitations of intravascular stents for intracranial internal carotid, vertebral, and basilar artery aneurysms. J Neurosurg. 1999; 91: 538–546.
14.
van den BerghWMKerrRSCAlgraA. Effect of antiplatelet therapy for endovascular coiling in aneurysmal subarachnoid hemorrhage. Stroke. 2009; 40: 1969–1972.
15.
YangPLiuJHuangQ. Endovascular treatment of wide-neck middle cerebral artery aneurysms with stents: A review of 16 cases. Am J Neuroradiol. 2010; 31: 940–946.
16.
LiangGGaoXLiZ. Neuroform stent-assisted coiling of intracranial aneurysms: A 5 year single-center experience and follow-up. Neurol Res.2009.
17.
KwonO-KKimSHKwonBJ. Endovascular treatment of wide-necked aneurysms by using two microcatheters: Techniques and outcomes in 25 patients. Am J Neuroradiol. 2005; 26: 894–900.
18.
IhnYKKimD-IKimBS. Utility of catheter-assisted Guglielmi detachable coiling in the treatment of wide-necked aneurysms. Acta Neurochir (Wien). 2006; 148: 1045–1052; discussion 1052.
19.
KimBMParkSIParkSI. Endovascular coil embolization of aneurysms with a branch incorporated into the sac. Am J Neuroradiol. 2010; 31: 145–151.
20.
BroadbentLPMoranCJCrossDTIII. Management of neuroform stent dislodgement and misplacement. Am J Neuroradiol. 2003; 24: 1819–1822.
