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Research ArticleINTERVENTIONAL

Aneurysmal Pressure Changes with Nondetachable Balloon Placement and Fluid Infusion: Rationale for Liquid Embolization

Steven G. Imbesi, Kimberly Knox and Charles W. Kerber
American Journal of Neuroradiology May 2005, 26 (5) 1232-1236;
Steven G. Imbesi
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Kimberly Knox
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Charles W. Kerber
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    Fig 1.

    Clear, elastic, silicone replica of a lateral sidewall aneurysm.

    A, A needle is inserted through the dome, with its tip in the sac to measure intra-aneurysmal pressure. A microcatheter is positioned with its tip in the lumen of the aneurysm. A nondetachable silicone balloon placed in the parent vessel across the aneurysmal neck is inflated, with the use of dyed fluid for visualization.

    B, Infusion of dyed fluid into the aneurysm sac via the microcatheter during balloon inflation.

    C, Infused fluid exits the aneurysmal sac along a channel created by the microcatheter between the nondetachable balloon and the wall of the parent vessel; fluid collects in the lumen of the proximal parent vessel.

Tables

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    TABLE 1:

    Physiologic pressure measurements in aneurysm

    BaselineBalloon InflationFluid InfusionChange
    Balloon Inflation − BaselineFluid Infusion − Balloon Inflation
    94106107121
    94107107130
    93106107131
    94106107121
    94106108122
    94106108122
    95107108121
    94106107121
    • Note.—Data are MAPs in units of millimeters of mercury

    • View popup
    TABLE 2:

    Low pressure measurements in aneurysm

    BaselineBalloon InflationFluid InfusionChange
    Balloon Inflation − BaselineFluid Infusion − Balloon Inflation
    264143152
    264041141
    264243161
    264044144
    264243161
    254142161
    264143152
    264243161
    • Note.—Data are MAPs in units of millimeters of mercury.

    • View popup
    TABLE 3:

    Low pressure measurements in aneurysm

    BaselineBalloon InflationFluid InfusionChange
    Balloon Inflation − BaselineFluid Infusion − Balloon Inflation
    264145154
    264143152
    254143162
    264143152
    264142151
    264043143
    264343170
    264243161
    • Note.—Data are MAPs in units of millimeters of mercury.

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American Journal of Neuroradiology: 26 (5)
American Journal of Neuroradiology
Vol. 26, Issue 5
1 May 2005
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Aneurysmal Pressure Changes with Nondetachable Balloon Placement and Fluid Infusion: Rationale for Liquid Embolization
Steven G. Imbesi, Kimberly Knox, Charles W. Kerber
American Journal of Neuroradiology May 2005, 26 (5) 1232-1236;

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Aneurysmal Pressure Changes with Nondetachable Balloon Placement and Fluid Infusion: Rationale for Liquid Embolization
Steven G. Imbesi, Kimberly Knox, Charles W. Kerber
American Journal of Neuroradiology May 2005, 26 (5) 1232-1236;
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