BACKGROUND AND OBJECTIVE: Balloon-assisted coil embolization has become an important adjunct in the endovascular treatment of intracranial aneurysms. The management of broad-necked cerebral aneurysms is technically perplexed due to a variety of factors, which include the difficulty in defining the aneurysm-parent vessel interface angiographically and problems in achieving complete aneurysmal occlusion. This could later predispose to regrowth or recanalization. We sought to determine the safety and efficacy of the TransForm™ occlusion balloon catheter (TOBC) for the coiling of intracranial aneurysms at our institute. METHODS: A retrospective review was performed to identify TOBC cases between May 1, 2013, and April 30, 2014. RESULTS: A total of 24 TOBC cases were identified. In 23 cases, the TOBC was used for balloon-remodeled coil embolization, and in 1 case, it was used for vasospasm treatment alone. Out of the total 24 cases in which the TOBC was used, 16 (66.6%) were ruptured aneurysms. Stents were used in 6/23 (26%) cases. In all cases, the balloon could be placed as intended. The inflation and deflation times ranged from 3 to 4 s. No serious complications were noted. In the experience of the authors, the balloon performed the intended role in most cases. CONCLUSIONS: This series shows that the TOBC is feasible, safe and useful in the treatment of cerebral aneurysms. The balloon was traceable to the intended site and the preparation, inflation and deflation times were short. We believe that the TOBC has effective utility in treating broad-necked and small aneurysms.
BACKGROUND AND OBJECTIVE: Balloon-assisted coil embolization has become an important adjunct in the endovascular treatment of intracranial aneurysms. The management of broad-necked cerebral aneurysms is technically perplexed due to a variety of factors, which include the difficulty in defining the aneurysm-parent vessel interface angiographically and problems in achieving complete aneurysmal occlusion. This could later predispose to regrowth or recanalization. We sought to determine the safety and efficacy of the TransForm™ occlusion balloon catheter (TOBC) for the coiling of intracranial aneurysms at our institute. METHODS: A retrospective review was performed to identify TOBC cases between May 1, 2013, and April 30, 2014. RESULTS: A total of 24 TOBC cases were identified. In 23 cases, the TOBC was used for balloon-remodeled coil embolization, and in 1 case, it was used for vasospasm treatment alone. Out of the total 24 cases in which the TOBC was used, 16 (66.6%) were ruptured aneurysms. Stents were used in 6/23 (26%) cases. In all cases, the balloon could be placed as intended. The inflation and deflation times ranged from 3 to 4 s. No serious complications were noted. In the experience of the authors, the balloon performed the intended role in most cases. CONCLUSIONS: This series shows that the TOBC is feasible, safe and useful in the treatment of cerebral aneurysms. The balloon was traceable to the intended site and the preparation, inflation and deflation times were short. We believe that the TOBC has effective utility in treating broad-necked and small aneurysms.
Authors: A M Malek; V V Halbach; C C Phatouros; T E Lempert; P M Meyers; C F Dowd; R T Higashida Journal: Neurosurgery Date: 2000-06 Impact factor: 4.654
Authors: Thanh N Nguyen; Jean Raymond; François Guilbert; Daniel Roy; Maxime D Bérubé; Mostafa Mahmoud; Alain Weill Journal: J Neurosurg Date: 2008-06 Impact factor: 5.115
Authors: Andrew J Molyneux; Richard S C Kerr; Ly-Mee Yu; Mike Clarke; Mary Sneade; Julia A Yarnold; Peter Sandercock Journal: Lancet Date: 2005 Sep 3-9 Impact factor: 79.321
Authors: Adriana Campi; Najib Ramzi; Andrew J Molyneux; Paul E Summers; Richard S C Kerr; Mary Sneade; Julia A Yarnold; Joan Rischmiller; James V Byrne Journal: Stroke Date: 2007-03-29 Impact factor: 7.914
Authors: M Asif Taqi; Syed A Quadri; Ajit S Puri; Brian F Fitzsimmons; Jianhua Nancy Jin; Ansaar T Rai; Curtis A Given; Javier Masso; Ciaran J Powers; Joey D English; Osama O Zaidat Journal: Interv Neurol Date: 2017-11-15
Authors: James Fowler; Brian Fiani; Syed A Quadri; Vladimir Cortez; Mudassir Frooqui; Atif Zafar; Fahad Shabbir Ahmed; Asad Ikram; Anirudh Ramachandran; Javed Siddiqi Journal: Case Rep Neurol Med Date: 2018-10-04