Balloon-Assisted Cannulation for Difficult Anterior Cerebral Artery Access | Zendy

Varun Naragum | Zendy; Mohamad Abdalkader | Zendy; Thanh N. Nguyen | Zendy; Alexander Norbash | Zendy

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Balloon-Assisted Cannulation for Difficult Anterior Cerebral Artery Access

Author(s) -

Varun Naragum,

Mohamad Abdalkader,

Thanh N. Nguyen,

Alexander Norbash

Publication year - 2017

Publication title -

interventional neurology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.07

H-Index - 5

eISSN - 1664-9737

pISSN - 1664-5545

DOI - 10.1159/000481542

Subject(s) - medicine , anterior cerebral artery , subarachnoid hemorrhage , clipping (morphology) , anterior communicating artery , middle cerebral artery , vasospasm , balloon , cerebral arteries , aneurysm , surgery , cardiology , radiology , ischemia , linguistics , philosophy

The anterior communicating artery is a common location for intracranial aneurysms. Compared to surgical clipping, endovascular coiling has been shown to improve outcomes for patients with ruptured aneurysms and we have seen a paradigm shift favoring this technique for treating aneurysms. Access to the anterior cerebral artery can be challenging, especially in patients with tortuous anatomy or subarachnoid hemorrhage or in patients presenting with vasospasm. We present a technique for cannulating the anterior cerebral artery using a balloon inflated in the proximal middle cerebral artery as a rebound surface.

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