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Detachable balloons were used for proximal occlusion of the internal carotid artery in 5 patients with intracavernous giant aneurysms. As a result, decrease in size of the aneurysm was observed in all patients on follow-up CT and MRI. Moreover, improved neurological symptoms were noted in 2 patients in whom treatment had been completed within 2 months after the onset of symptoms. Before performing proximal occlusion, it is important to conduct a balloon occlusion test so as to accurately evaluate the availability of the occlusion of the internal carotid artery. In these patients who underwent simultaneous STA-MCA bypass surgery, none of them showed any late cerebral ischemic symptoms during follow-up observation up to 27 months. Thus, the above procedure is considered to be a useful method of treatment for intracavernous giant aneurysms because it is a safe and easy method for reducing the size of aneurysms and for improving neurological symptoms.

Use of Detachable Balloons for Proximal Occlusion of the Internal Carotid Artery in the Treatment of Intracavernous Giant Aneurysms