A Case of Partially Thrombosed Giant Basilar Aneurysm Successfully Treated by Coil Embolization Followed by Proximal Clipping

1998 ◽  
Vol 4 (1_suppl) ◽  
pp. 85-88
Author(s):  
H. Manabe ◽  
S. Fujita ◽  
M. Kimura ◽  
T. Hatayama ◽  
S. Suzuki
Keyword(s):  
Basilar Artery ◽  
Coil Embolization ◽  
Balloon Occlusion ◽  
Collateral Flow ◽  
Anterior Circulation ◽  
Occlusion Test ◽  
Balloon Occlusion Test

A case of unclippable partially thrombosed giant basilar artery (BA) aneurysm was treated successfully by intra-aneurysmal GDC embolization followed by proximal BA occlusion. Balloon occlusion test of the BA showed a good opacification of the aneurysm angiographically through plentiful collateral flow from anterior circulation. This combination may prevent coil compaction and will promote intra-aneurysmal thrombosis.

Endovascular treatment of unruptured ophthalmic artery aneurysms: clinical usefulness of the balloon occlusion test in predicting vision outcomes after coil embolization

2015 ◽  
Vol 8 (7) ◽  
pp. 696-701 ◽  
Author(s):  
Byungjun Kim ◽  
Pyoung Jeon ◽  
Keonha Kim ◽  
Narae Yang ◽  
Sungtae Kim ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Coil Embolization ◽  
Collateral Circulation ◽  
Ophthalmic Artery ◽  
Balloon Occlusion ◽  
Endovascular Coiling ◽  
External Carotid ◽  
Occlusion Test ◽  
Balloon Occlusion Test ◽  
Retrograde Filling

BackgroundEndovascular coil embolization for ophthalmic artery (OphA) aneurysms has the latent risk of occlusion of the OphA during the procedure, which can lead to loss of vision. We report clinical and angiographic results of endovascular treatment of OphA aneurysms together with the efficacy of the balloon occlusion test (BOT).MethodsFrom August 2005 to December 2013, 31 consecutive patients with 33 OphA aneurysms were treated in our institution. The patients were classified into two groups according to the location of the OphA within the aneurysmal sac. The BOT was performed in 28 patients using a hypercompliant balloon before endovascular coiling. Collateral circulation between the external carotid artery and the OphA was examined and visual function tests were performed before and after treatment. Patient demographics, angiographic and clinical outcomes were reviewed.ResultsAmong the 28 patients who underwent the BOT, intact collateral circulation was demonstrated in 26 (92.9%) patients and complete occlusion of the OphA was obtained in three patients after coiling. Retrograde filling of the OphA with choroidoretinal blush was observed on post-procedural angiography and no specific visual symptoms were reported during the follow-up period. Complete embolization was achieved in 30 lesions (96.8%) and only five patients (16.1%) had minor recanalization.ConclusionsEndovascular treatment of OphA aneurysms can be performed safely and effectively in conjunction with BOT. The BOT may give useful information to predict visual outcome in patients whose OphA is likely to be threatened by the coiling procedure and to determine the optimal treatment strategy.

Fetal Origin of the Posterior Cerebral Artery Demonstrated on Tc-99m Hexamethylpropyleneamine Oxime Brain SPECT Balloon Occlusion Test

2011 ◽  
Vol 36 (5) ◽  
pp. 392-393
Author(s):  
Floyd Daniel Dunnavant ◽  
Pradeep G. Bhambhvani ◽  
Katherine E. Perrien Lursen ◽  
Joseph A. Horton
Keyword(s):  
Cerebral Artery ◽  
Posterior Cerebral Artery ◽  
Balloon Occlusion ◽  
Brain Spect ◽  
Occlusion Test ◽  
Balloon Occlusion Test ◽  
Fetal Origin

Reversible Hyperintense Lesion after Balloon Occlusion Test

2009 ◽  
Vol 19 (2) ◽  
pp. 174-178 ◽  
Author(s):  
Koichi Haraguchi ◽  
Kiyohiro Houkin ◽  
Izumi Koyanagi ◽  
Tadashi Nonaka ◽  
Takeo Baba
Keyword(s):  
Balloon Occlusion ◽  
Hyperintense Lesion ◽  
Occlusion Test ◽  
Balloon Occlusion Test

X-ray Angiography Perfusion Analysis for the Balloon Occlusion Test of the Internal Carotid Artery

2015 ◽  
Vol 24 (7) ◽  
pp. 1506-1512 ◽  
Author(s):  
Katsunori Asai ◽  
Hirotoshi Imamura ◽  
Yohei Mineharu ◽  
Shoichi Tani ◽  
Hidemitsu Adachi ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Balloon Occlusion ◽  
X Ray ◽  
Occlusion Test ◽  
Balloon Occlusion Test
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