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100 Interesting Case Studies in Neurointervention: Tips and Tricks pp 37–39Cite as

Small Lobulated Aneurysm: Balloon-Assisted Coiling

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Abstract

A 37-year-old lady presented with subarachnoid haemorrhage (Hunt and Hess Grade III; Fisher Grade IV). The angiogram revealed a small but broad-neck anterior communicating artery aneurysm filling from left internal carotid artery injection. Both anterior cerebral arteries were filling from left side with absence of A1 segment of right ACA. The aneurysm had a lobule projecting from the fundus (Fig. 10.1) as well a small lobule near the neck. Balloon-assisted coiling was planned.

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Suggested Reading

  • Aletich VA, Debrun GM, Misra M, Charbel F, Ausman JI. The remodeling technique of balloon-assisted Guglielmi detachable coil placement in wide-necked aneurysms: experience at the University of Illinois at Chicago. J Neurosurg. 2000;93:388–96.

    Article  CAS  Google Scholar 

  • Shapiro M, Babb J, Becske T, Nelson PK. Safety and efficacy of adjunctive balloon remodeling during endovascular treatment of intracranial aneurysms: a literature review. AJNR Am J Neuroradiol. 2008;29:1777–81.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Neurointerventional Surgery, Stroke unit, Artemis Agrim Institute of Neuroscience, Gurgaon, India

    Vipul Gupta

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  1. Vipul Gupta
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Correspondence to Vipul Gupta .

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Editors and Affiliations

  1. Neurointerventional Surgery, Stroke Unit, Artemis Agrim Institute of Neuroscience, Gurgaon, India

    Vipul Gupta

  2. Division of Neurointerventional Surgery, University of Massachusetts Medical Center, Worcester, MA, USA

    Ajit S. Puri

  3. Department of Vascular Neurology and Neurointerventional Surgery, Artemis Agrim Institute of Neuroscience, Gurgaon, India

    Rajsrinivas Parthasarathy

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Gupta, V. (2019). Small Lobulated Aneurysm: Balloon-Assisted Coiling. In: Gupta, V., Puri, A., Parthasarathy, R. (eds) 100 Interesting Case Studies in Neurointervention: Tips and Tricks. Springer, Singapore. https://doi.org/10.1007/978-981-13-1346-2_10

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  • DOI: https://doi.org/10.1007/978-981-13-1346-2_10

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-1345-5

  • Online ISBN: 978-981-13-1346-2

  • eBook Packages: MedicineMedicine (R0)

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