Author :
Atulabh Vajpeyee, Manisha Vajpeyee, Shivam Tiwari, Lokendra Bahadur Yadav, Nilesh Kinge, Ramakant, Narendra Mal
Volume :
6
Issue :
4
Abstract :
Purpose: Wide neck aneurysms can be treated with several methods. In this study, we share our experience of intra aneurysmal double microcatheter technique to treat complex intracranial wide-neck aneurysms with unusual shapes.
Materials and Methods: Ten patients with wide-neck intracranial aneurysms were treated using the endovascular method of the double microcatheter between December 2013 to September 2014. All patients had presented with acute subarachnoid hemorrhage on plain CT brain. Detailed demographic information and aneurysm morphology by DSA were noted. Aneurysms were coiled using a double microcatheter technique. Follow up done up to 1 year.
Result: All aneurysms were completely embolised using a double microcatheter technique. DSA has done immediately post embolization showed class I filling in 9 patients and class II filling in 1 patient using the Raymond-Roy Classification system. The mean neck diameter was2.91 mm (range 2 to 4 mm) and the mean dome of neck ratio was 1.34 (range 0.89 to 2.14). All these patients were relatively in good grade before the procedure, an improvement was noted during the one year of follow-up.
Conclusion: In our series, this modified intra aneurysmal double catheter technique is safe, effective, not costly, and not technically demanding.
Keyword :
Complex aneurysm, Double microcatheter, Wideneck aneurysm.