Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Publication Preview--Ahead of Print
    • Past Issue Archive
    • Case of the Week Archive
    • Classic Case Archive
    • Case of the Month Archive
    • COVID-19 Content and Resources
  • For Authors
  • About Us
    • About AJNR
    • Editors
    • American Society of Neuroradiology
  • Submit a Manuscript
  • Podcasts
    • Subscribe on iTunes
    • Subscribe on Stitcher
  • More
    • Subscribers
    • Permissions
    • Advertisers
    • Alerts
    • Feedback
  • Other Publications
    • ajnr

User menu

  • Subscribe
  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

  • Subscribe
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Publication Preview--Ahead of Print
    • Past Issue Archive
    • Case of the Week Archive
    • Classic Case Archive
    • Case of the Month Archive
    • COVID-19 Content and Resources
  • For Authors
  • About Us
    • About AJNR
    • Editors
    • American Society of Neuroradiology
  • Submit a Manuscript
  • Podcasts
    • Subscribe on iTunes
    • Subscribe on Stitcher
  • More
    • Subscribers
    • Permissions
    • Advertisers
    • Alerts
    • Feedback
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds
Research ArticleINTERVENTIONAL

Utility of Balloon-assisted Guglielmi Detachable Coiling in the Treatment of 49 Cerebral Aneurysms: A Retrospective, Multicenter Study

Jean-Philippe Cottier, Anne Pasco, Sophie Gallas, Jean Gabrillargues, Christophe Cognard, Jacques Drouineau, Laurent Brunereau and Denis Herbreteau
American Journal of Neuroradiology February 2001, 22 (2) 345-351;
Jean-Philippe Cottier
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Anne Pasco
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sophie Gallas
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jean Gabrillargues
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Christophe Cognard
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jacques Drouineau
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Laurent Brunereau
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Denis Herbreteau
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • References
  • PDF
Loading

Abstract

BACKGROUND AND PURPOSE: The management of wide-necked aneurysms or aneurysms with a neck-to-body ratio close to 1 is a difficult challenge for the interventional radiologist because of the risk of coil migration or coil protrusion into the parent vessel. Our objective was to evaluate the efficacy and safety of balloon-assisted coiling as well as the follow-up results of occlusion for those difficult aneurysms in which conventional treatment with Guglielmi detachable coils (GDCs) had failed.

METHODS: A nondetachable balloon was used in 49 procedures performed in 44 patients (35 women and nine men) who underwent GDC coiling of aneurysms. Every aneurysm had either a wide neck or a sac diameter/neck size ratio (SNR) of 1.5 or less.

RESULTS: In four (8%) of the procedures, balloon placement failed, leaving a total of 45 aneurysms treated with balloon-assisted coiling. Final results consisted of total occlusion in 30 cases (67%), subtotal occlusion in 11 cases (24%), and incomplete occlusion in four cases (9%). We found a correlation between the diameter of the sac and the occlusion rate, but not between the size of the neck or the SNR and the occlusion rate. Two thromboembolic complications occurred, but neither had clinical consequences. No aneurysmal rupture was observed during treatment. Final angiographic follow-up time ranged from 3 months to 5 years (mean, 16 months).

CONCLUSION: Balloon-assisted coiling is an important adjunct in the treatment of aneurysms with a wide neck or low SNR. In our experience, this technique allowed safe and efficient treatment of aneurysms when conventional GDC treatment had failed.

  • Copyright © American Society of Neuroradiology
View Full Text
PreviousNext
Back to top

In this issue

American Journal of Neuroradiology
Vol. 22, Issue 2
1 Feb 2001
  • Table of Contents
  • Index by author
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Utility of Balloon-assisted Guglielmi Detachable Coiling in the Treatment of 49 Cerebral Aneurysms: A Retrospective, Multicenter Study
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Utility of Balloon-assisted Guglielmi Detachable Coiling in the Treatment of 49 Cerebral Aneurysms: A Retrospective, Multicenter Study
Jean-Philippe Cottier, Anne Pasco, Sophie Gallas, Jean Gabrillargues, Christophe Cognard, Jacques Drouineau, Laurent Brunereau, Denis Herbreteau
American Journal of Neuroradiology Feb 2001, 22 (2) 345-351;

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Utility of Balloon-assisted Guglielmi Detachable Coiling in the Treatment of 49 Cerebral Aneurysms: A Retrospective, Multicenter Study
Jean-Philippe Cottier, Anne Pasco, Sophie Gallas, Jean Gabrillargues, Christophe Cognard, Jacques Drouineau, Laurent Brunereau, Denis Herbreteau
American Journal of Neuroradiology Feb 2001, 22 (2) 345-351;
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Conclusion
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Early experience with a temporary bridging device (Comaneci) in the endovascular treatment of ruptured wide neck aneurysms
  • Angiographic and clinical outcomes of balloon remodeling versus unassisted coil embolization in the ruptured aneurysm cohort of the GEL THE NEC study
  • Coiling of wide-necked carotid artery aneurysms assisted by a temporary bridging device (Comaneci): preliminary experience
  • Single-center experience in the endovascular treatment of wide-necked intracranial aneurysms with a bridging intra-/extra-aneurysm implant (pCONus)
  • Flow diverter device for the treatment of small middle cerebral artery aneurysms
  • Assisted coiling of saccular wide-necked unruptured intracranial aneurysms: stent versus balloon
  • Balloon remodeling for aneurysm coil embolization with the coaxial lumen Scepter C balloon catheter: initial experience at a high volume center
  • Combined balloon stent technique with the Scepter C balloon and low-profile visualized intraluminal stent for the treatment of intracranial aneurysms
  • Balloon-assisted coil embolization of intracranial aneurysms is not associated with increased periprocedural complications
  • Y stenting using kissing stents for the treatment of bifurcation aneurysms
  • Safety and Efficacy of Balloon Remodeling Technique during Endovascular Treatment of Intracranial Aneurysms: Critical Review of the Literature
  • Short- and Intermediate-Term Angiographic and Clinical Outcomes of Patients with Various Grades of Coil Protrusions Following Embolization of Intracranial Aneurysms
  • Endovascular Treatment of Wide-Neck Intracranial Aneurysms Using a Microcatheter Protective Technique: Results and Outcomes in 75 Aneurysms
  • An Analysis of Inflation Times During Balloon-Assisted Aneurysm Coil Embolization and Ischemic Complications
  • Neuroform Stent-Assisted Coiling of Unruptured Intracranial Aneurysms: Short- and Midterm Results from a Single-Center Experience with 68 Patients
  • Treatment of Brain Aneurysms
  • Brain Aneurysms and Arteriovenous Malformations: Advancements and Emerging Treatments in Endovascular Embolization
  • Endovascular management of unruptured intracranial aneurysms
  • Balloon-Assisted Coil Placement in Wide-Neck Bifurcation Aneurysms by Use of a New, Compliant Balloon Microcatheter
  • Treatment of Wide-Necked Intracranial Aneurysms with a Self-Expanding Stent System: Initial Clinical Experience
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

More in this TOC Section

  • Use of the Woven EndoBridge Device for Sidewall Aneurysms: Systematic Review and Meta-analysis
  • WEB Treatment of Ruptured Intracranial Aneurysms: Long-Term Follow-up of a Single-Center Cohort of 100 Patients
  • Association between Infarct Location and Hemorrhagic Transformation of Acute Ischemic Stroke following Successful Recanalization after Mechanical Thrombectomy
Show more Interventional

Similar Articles

Advertisement

News and Updates

  • Lucien Levy Best Research Article Award
  • Thanks to our 2022 Distinguished Reviewers
  • Press Releases

Resources

  • Evidence-Based Medicine Level Guide
  • How to Participate in a Tweet Chat
  • AJNR Podcast Archive
  • Ideas for Publicizing Your Research
  • Librarian Resources
  • Terms and Conditions

Opportunities

  • Share Your Art in Perspectives
  • Get Peer Review Credit from Publons
  • Moderate a Tweet Chat

American Society of Neuroradiology

  • Neurographics
  • ASNR Annual Meeting
  • Fellowship Portal
  • Position Statements

© 2023 by the American Society of Neuroradiology | Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire