Coiling Using Dual Microcatheter Technique—A Novel Approach
Posterior circulation aneurysms are difficult to treat, and if an incorporated artery is arising from the neck of aneurysm, management becomes much more challenging. Here, we are describing a novel technique used to treat a patient with a large, wide-necked left vertebral artery (VA)-posterior infer...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2022-01-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730875 |
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| author | Arvind Kumar Swarup Sohan Gandhi Ashok Gandhi Trilochan Srivastav Devendra Purohit |
| author_facet | Arvind Kumar Swarup Sohan Gandhi Ashok Gandhi Trilochan Srivastav Devendra Purohit |
| author_sort | Arvind Kumar |
| collection | DOAJ |
| description | Posterior circulation aneurysms are difficult to treat, and if an incorporated artery is arising from the neck of aneurysm, management becomes much more challenging. Here, we are describing a novel technique used to treat a patient with a large, wide-necked left vertebral artery (VA)-posterior inferior cerebellar artery (PICA) junctional aneurysm. PICA seems to be arising from the aneurysm neck, but the aneurysm neck was not very clearly defined. So, we placed a second microcatheter into PICA, which not only allowed the coils to be placed in the aneurysm, without disrupting the flow through PICA but also helpful in assessing the aneurysmal occlusion. This technique allowed coils to be placed successfully without compromising flow through PICA. |
| format | Article |
| id | doaj-art-a6d71ab72e8c4cb0bad4b129bc5d6e4e |
| institution | OA Journals |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-a6d71ab72e8c4cb0bad4b129bc5d6e4e2025-08-20T02:00:45ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672022-01-01110108008210.1055/s-0041-1730875Coiling Using Dual Microcatheter Technique—A Novel ApproachArvind Kumar0Swarup Sohan Gandhi1Ashok Gandhi2Trilochan Srivastav3Devendra Purohit4Department of Neurosurgery, Sawai Man Singh Medical College, Jaipur, Rajasthan, IndiaDepartment of Neurosurgery, Sawai Man Singh Medical College, Jaipur, Rajasthan, IndiaDepartment of Neurosurgery, Sawai Man Singh Medical College, Jaipur, Rajasthan, IndiaDepartment of Neurosurgery, Sawai Man Singh Medical College, Jaipur, Rajasthan, IndiaDepartment of Neurosurgery, Sawai Man Singh Medical College, Jaipur, Rajasthan, IndiaPosterior circulation aneurysms are difficult to treat, and if an incorporated artery is arising from the neck of aneurysm, management becomes much more challenging. Here, we are describing a novel technique used to treat a patient with a large, wide-necked left vertebral artery (VA)-posterior inferior cerebellar artery (PICA) junctional aneurysm. PICA seems to be arising from the aneurysm neck, but the aneurysm neck was not very clearly defined. So, we placed a second microcatheter into PICA, which not only allowed the coils to be placed in the aneurysm, without disrupting the flow through PICA but also helpful in assessing the aneurysmal occlusion. This technique allowed coils to be placed successfully without compromising flow through PICA.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730875aneurysmsendovascular treatmentdual microcatheter |
| spellingShingle | Arvind Kumar Swarup Sohan Gandhi Ashok Gandhi Trilochan Srivastav Devendra Purohit Coiling Using Dual Microcatheter Technique—A Novel Approach Indian Journal of Neurosurgery aneurysms endovascular treatment dual microcatheter |
| title | Coiling Using Dual Microcatheter Technique—A Novel Approach |
| title_full | Coiling Using Dual Microcatheter Technique—A Novel Approach |
| title_fullStr | Coiling Using Dual Microcatheter Technique—A Novel Approach |
| title_full_unstemmed | Coiling Using Dual Microcatheter Technique—A Novel Approach |
| title_short | Coiling Using Dual Microcatheter Technique—A Novel Approach |
| title_sort | coiling using dual microcatheter technique a novel approach |
| topic | aneurysms endovascular treatment dual microcatheter |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730875 |
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