Use of Triple Microcatheters for Endovascular Treatment of Wide-Necked Intracranial Aneurysms: A Single Center Experience

摘要: The dual microcatheter technique is common practice for coil embolization of a wide-necked aneurysm, due to safety and efficacy. However, technical limitations some complex configurations may necessitate additional microcatheters bolster stability, compact the coil, or protection. Described herein triple endovascular management intracranial aneurysms.Data accruing prospectively between January 2006 October 2014 on simultaneously executed procedures done in 38 saccular aneurysms were reviewed. Clinical morphological outcomes assessed, with emphasis aspects treatment.The was successfully applied all aneurysms, involving posterior communicating artery (n = 13), middle cerebral 10), basilar tip 7), anterior 5), internal carotid 3). Stent protection added four patients balloon remodeling one. Dual 24) usually deployed deliver within sacs used Otherwise, delivery 11) coils delivered via single microcatheter, Successful occlusion achieved 89.5% cases, no procedure-related morbidity mortality. Stable maintained 72.2% (26/36) at final follow-up (mean interval, 30.2 ± 22.7 months).The this limited study suggest that be an effective safe therapeutic option using strategies tailored angio-anatomic configurations.