Endosaccular Detachable Balloon Catheter Treatment of Cerebral Saccular Aneurysms*

Abstract

Endovascular technology is rapidly developing and undergoing refinement. The experience of 725 endovascular procedures on saccular aneurysms during the past 14 years at the Neurosurgical Institute of Kiev has shown that the operation is relatively simple and the associated trauma is minimal. Yet the system of occlusion is both complex and demanding, requiring the determination of appropriate balloon shapes for given aneurysms, the “training” of each balloon such that its entry into the aneurysm is facilitated, and the use of one or two additional balloons concomitantly to artificially generate turbulent flow and permit balloon entry into the aneurysm. Strict monitoring of the patient is mandatory during and following each procedure.