Balloon Remodeling

Abstract

There has been a progressive incremental paradigm shift for treating intracranial aneurysms, both ruptured and unruptured, via endovascular techniques. The appeal of endovascular techniques for patients is in its minimally invasive approach and reduced recovery periods. Several trials have shown efficacy of endovascular treatment against traditional neurosurgical techniques for both ruptured and elective cases. The major challenge for endovascular management of intracranial aneurysms is twofold, endovascular results need to be durable and endovascular techniques need to able to manage complex aneurysms, including large, wide necked, and branches arising from the aneurysm sac. The treatment of complex aneurysms has been advanced by utilization of hypercompliant microballoons, particularly in acutely ruptured aneurysms, where the permanent deployment of a device, such as a stent, as an adjuvant device is prohibited, largely due to increased complications.