Tandem balloon test occlusion for a large unruptured aneurysm associated with persistent primitive trigeminal artery: Technical note

Teppei Tanaka, Akiyo Sadato, Motoharu Hayakawa, Masahiro Oomura, Shmgo Maeda, Kazuhide Adachi, Takeya Watabe, Hisaya Hiramatsu, Shuei Imizu, Makoto Negoro, Yuichi Hirose

研究成果: Article

抄録

Objective: We report a case of unruptured large aneurysm associated with persistent primitive trigeminal artery (PTA) treated by endovascular trapping after balloon test occlusion (BTO) with tandem balloons. Case presentation: A 37-year-old woman presented with diplopia and ptosis due to left oculomotor palsy. Cerebral angiography revealed a left PTA and unruptured large aneurysm at the junction of the PTA and the left internal carotid artery (ICA). The left carotid angiogram showed filling of the upper basilar artery via the PTA, and the left vertebral angiogram also showed filling of the basilar artery and entire posterior circulation. To evaluate the tolerance for the aneurysm trapping, we performed BTO with tandem balloons placed both proximal and distal to the aneurysm to isolate the left anterior circulation from both the ICA and PTA. As the mean stump pressure was below 60% of pre-BTO value, left superficial temporal artery-middle cerebral artery anastomosis was performed a week before endovascular trapping. Subsequently, the aneurysm, ICA, and PTA were successfully embolized with coils, leading to completion of trapping of the aneurysm, without causing any new neurological deficits. Conclusion: To evaluate the precise hemodynamics and collateral circulation, BTO using tandem balloons seems to be useful in cases of persistent PTA.

元の言語English
ページ(範囲)202-207
ページ数6
ジャーナルJournal of Neuroendovascular Therapy
5
発行部数3
DOI
出版物ステータスPublished - 01-01-2012

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Balloon Occlusion
Aneurysm
Arteries
Internal Carotid Artery
Basilar Artery
Angiography
Temporal Arteries
Collateral Circulation
Cerebral Angiography
Diplopia
Vertebral Artery
Middle Cerebral Artery
Paralysis
Hemodynamics
Pressure

All Science Journal Classification (ASJC) codes

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

これを引用

Tanaka, Teppei ; Sadato, Akiyo ; Hayakawa, Motoharu ; Oomura, Masahiro ; Maeda, Shmgo ; Adachi, Kazuhide ; Watabe, Takeya ; Hiramatsu, Hisaya ; Imizu, Shuei ; Negoro, Makoto ; Hirose, Yuichi. / Tandem balloon test occlusion for a large unruptured aneurysm associated with persistent primitive trigeminal artery : Technical note. :: Journal of Neuroendovascular Therapy. 2012 ; 巻 5, 番号 3. pp. 202-207.
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Tanaka, T, Sadato, A, Hayakawa, M, Oomura, M, Maeda, S, Adachi, K, Watabe, T, Hiramatsu, H, Imizu, S, Negoro, M & Hirose, Y 2012, 'Tandem balloon test occlusion for a large unruptured aneurysm associated with persistent primitive trigeminal artery: Technical note', Journal of Neuroendovascular Therapy, 巻. 5, 番号 3, pp. 202-207. https://doi.org/10.5797/jnet.5.202

Tandem balloon test occlusion for a large unruptured aneurysm associated with persistent primitive trigeminal artery : Technical note. / Tanaka, Teppei; Sadato, Akiyo; Hayakawa, Motoharu; Oomura, Masahiro; Maeda, Shmgo; Adachi, Kazuhide; Watabe, Takeya; Hiramatsu, Hisaya; Imizu, Shuei; Negoro, Makoto; Hirose, Yuichi.

:: Journal of Neuroendovascular Therapy, 巻 5, 番号 3, 01.01.2012, p. 202-207.

研究成果: Article

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T1 - Tandem balloon test occlusion for a large unruptured aneurysm associated with persistent primitive trigeminal artery

T2 - Technical note

AU - Tanaka, Teppei

AU - Sadato, Akiyo

AU - Hayakawa, Motoharu

AU - Oomura, Masahiro

AU - Maeda, Shmgo

AU - Adachi, Kazuhide

AU - Watabe, Takeya

AU - Hiramatsu, Hisaya

AU - Imizu, Shuei

AU - Negoro, Makoto

AU - Hirose, Yuichi

PY - 2012/1/1

Y1 - 2012/1/1

N2 - Objective: We report a case of unruptured large aneurysm associated with persistent primitive trigeminal artery (PTA) treated by endovascular trapping after balloon test occlusion (BTO) with tandem balloons. Case presentation: A 37-year-old woman presented with diplopia and ptosis due to left oculomotor palsy. Cerebral angiography revealed a left PTA and unruptured large aneurysm at the junction of the PTA and the left internal carotid artery (ICA). The left carotid angiogram showed filling of the upper basilar artery via the PTA, and the left vertebral angiogram also showed filling of the basilar artery and entire posterior circulation. To evaluate the tolerance for the aneurysm trapping, we performed BTO with tandem balloons placed both proximal and distal to the aneurysm to isolate the left anterior circulation from both the ICA and PTA. As the mean stump pressure was below 60% of pre-BTO value, left superficial temporal artery-middle cerebral artery anastomosis was performed a week before endovascular trapping. Subsequently, the aneurysm, ICA, and PTA were successfully embolized with coils, leading to completion of trapping of the aneurysm, without causing any new neurological deficits. Conclusion: To evaluate the precise hemodynamics and collateral circulation, BTO using tandem balloons seems to be useful in cases of persistent PTA.

AB - Objective: We report a case of unruptured large aneurysm associated with persistent primitive trigeminal artery (PTA) treated by endovascular trapping after balloon test occlusion (BTO) with tandem balloons. Case presentation: A 37-year-old woman presented with diplopia and ptosis due to left oculomotor palsy. Cerebral angiography revealed a left PTA and unruptured large aneurysm at the junction of the PTA and the left internal carotid artery (ICA). The left carotid angiogram showed filling of the upper basilar artery via the PTA, and the left vertebral angiogram also showed filling of the basilar artery and entire posterior circulation. To evaluate the tolerance for the aneurysm trapping, we performed BTO with tandem balloons placed both proximal and distal to the aneurysm to isolate the left anterior circulation from both the ICA and PTA. As the mean stump pressure was below 60% of pre-BTO value, left superficial temporal artery-middle cerebral artery anastomosis was performed a week before endovascular trapping. Subsequently, the aneurysm, ICA, and PTA were successfully embolized with coils, leading to completion of trapping of the aneurysm, without causing any new neurological deficits. Conclusion: To evaluate the precise hemodynamics and collateral circulation, BTO using tandem balloons seems to be useful in cases of persistent PTA.

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