Intracranial aneurysm with poor topography embolized by a coil guiding catheterization technique

Intracranial aneurysms with poor topography are still difficult and dangerous to be catheterized during endovascular procedures. Here we report a novel coil guiding catheterization technique which could be safe and helpful. Seven aneurysms of 5 cases were embolized with the novel coil guiding cathet...

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Main Authors: Hantao Yang, Liangliang Yang, Zejun Jia, Puyuan Zhao, Jinlong Huang, Zhigang Yang
Format: Article
Language:English
Published: Taylor & Francis Group 2023-03-01
Series:Biotechnology & Biotechnological Equipment
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Online Access:https://www.tandfonline.com/doi/10.1080/13102818.2023.2203331
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author Hantao Yang
Liangliang Yang
Zejun Jia
Puyuan Zhao
Jinlong Huang
Zhigang Yang
author_facet Hantao Yang
Liangliang Yang
Zejun Jia
Puyuan Zhao
Jinlong Huang
Zhigang Yang
author_sort Hantao Yang
collection DOAJ
description Intracranial aneurysms with poor topography are still difficult and dangerous to be catheterized during endovascular procedures. Here we report a novel coil guiding catheterization technique which could be safe and helpful. Seven aneurysms of 5 cases were embolized with the novel coil guiding catheterization technique in Zhongshan Hospital, Fudan University, from January 2017 to March 2019. All the aneurysms were with poor topography for endovascular embolization. One of the aneurysms was in the posterior communicating segment of internal carotid artery (ICA), three in the ophthalmic segment of ICA, and one in the posterior cerebral artery. Two of the cases had multiple aneurysms. All the aneurysms were catheterized by coil guiding technique and embolized. All the aneurysms were catheterized successfully and safely. The aneurysms embolization results were as follows: Raymond Class 1 occlusion was achieved in 4 aneurysms, Class 2 occlusion in 1, Class 3 occlusion in 2 immediately after the procedure. Follow-up imaging demonstrated all the aneurysms achieved total occlusion. There was no aneurysm re-rupture or patient death. The results indicated that the technique has good safety and effectiveness, with a high rate of technical success and a low rate of periprocedural complications in the reported cases. Thus, appling coil guiding aneurysm catheterization could be considered as a safe and effective method, especially for aneurysms with poor topography.
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spelling doaj-art-814796efc9fa4addaa3b2f9498447ea32025-08-20T02:49:29ZengTaylor & Francis GroupBiotechnology & Biotechnological Equipment1310-28181314-35302023-03-0137110.1080/13102818.2023.2203331Intracranial aneurysm with poor topography embolized by a coil guiding catheterization techniqueHantao Yang0Liangliang Yang1Zejun Jia2Puyuan Zhao3Jinlong Huang4Zhigang Yang5Department of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, PR ChinaDepartment of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, PR ChinaDepartment of Research, Zhongshan Hospital, Fudan University, Shanghai, PR ChinaDepartment of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, PR ChinaDepartment of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, PR ChinaDepartment of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, PR ChinaIntracranial aneurysms with poor topography are still difficult and dangerous to be catheterized during endovascular procedures. Here we report a novel coil guiding catheterization technique which could be safe and helpful. Seven aneurysms of 5 cases were embolized with the novel coil guiding catheterization technique in Zhongshan Hospital, Fudan University, from January 2017 to March 2019. All the aneurysms were with poor topography for endovascular embolization. One of the aneurysms was in the posterior communicating segment of internal carotid artery (ICA), three in the ophthalmic segment of ICA, and one in the posterior cerebral artery. Two of the cases had multiple aneurysms. All the aneurysms were catheterized by coil guiding technique and embolized. All the aneurysms were catheterized successfully and safely. The aneurysms embolization results were as follows: Raymond Class 1 occlusion was achieved in 4 aneurysms, Class 2 occlusion in 1, Class 3 occlusion in 2 immediately after the procedure. Follow-up imaging demonstrated all the aneurysms achieved total occlusion. There was no aneurysm re-rupture or patient death. The results indicated that the technique has good safety and effectiveness, with a high rate of technical success and a low rate of periprocedural complications in the reported cases. Thus, appling coil guiding aneurysm catheterization could be considered as a safe and effective method, especially for aneurysms with poor topography.https://www.tandfonline.com/doi/10.1080/13102818.2023.2203331intracranial aneurysmpoor interventional topographytortuous accesscoil guiding catheterizationaneurysm embolization
spellingShingle Hantao Yang
Liangliang Yang
Zejun Jia
Puyuan Zhao
Jinlong Huang
Zhigang Yang
Intracranial aneurysm with poor topography embolized by a coil guiding catheterization technique
Biotechnology & Biotechnological Equipment
intracranial aneurysm
poor interventional topography
tortuous access
coil guiding catheterization
aneurysm embolization
title Intracranial aneurysm with poor topography embolized by a coil guiding catheterization technique
title_full Intracranial aneurysm with poor topography embolized by a coil guiding catheterization technique
title_fullStr Intracranial aneurysm with poor topography embolized by a coil guiding catheterization technique
title_full_unstemmed Intracranial aneurysm with poor topography embolized by a coil guiding catheterization technique
title_short Intracranial aneurysm with poor topography embolized by a coil guiding catheterization technique
title_sort intracranial aneurysm with poor topography embolized by a coil guiding catheterization technique
topic intracranial aneurysm
poor interventional topography
tortuous access
coil guiding catheterization
aneurysm embolization
url https://www.tandfonline.com/doi/10.1080/13102818.2023.2203331
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AT zejunjia intracranialaneurysmwithpoortopographyembolizedbyacoilguidingcatheterizationtechnique
AT puyuanzhao intracranialaneurysmwithpoortopographyembolizedbyacoilguidingcatheterizationtechnique
AT jinlonghuang intracranialaneurysmwithpoortopographyembolizedbyacoilguidingcatheterizationtechnique
AT zhigangyang intracranialaneurysmwithpoortopographyembolizedbyacoilguidingcatheterizationtechnique