An analysis of inflation times during balloon-assisted aneurysm coil embolization and ischemic complications

Alejandro M. Spiotta, Tarun Bhalla, Muhammad S. Hussain, Thinesh Sivapatham, Ayush Batra, Ferdinand Hui, Peter A. Rasmussen, Shaye I. Moskowitz

Research output: Contribution to journalArticle

Abstract

Background and Purpose- The introduction of balloon remodeling has revolutionized the approach to coiling of wide-neck aneurysms. We studied the effects of balloon inflation during coil embolization on ischemic complications. Methods- A retrospective review was undertaken of the most recent 147 patients undergoing balloon remodeling for unruptured intracranial aneurysm coil embolization at a single institution (81 balloon, 66 unassisted). All underwent postprocedural MRI. Results- Among patients in the "balloon" group, the mean total inflation time was 18 minutes (range, 1-43), a mean number of inflations of 4 (range, 1-9), a mean maximum single inflation time of 7 minutes (range, 1-19), a mean reperfusion time of 2.2 minutes between inflations, and an average procedure time of 2 hours and 10 minutes. Asymptomatic diffusion-weighted imaging abnormalities were detected on postprocedural MRI in 21.5% of patients and symptomatic lesions were identified in 3.8%. Both silent and symptomatic ischemic rates were similar in the internal control group. Patients with ischemic findings were older and more likely have diabetes; no differences were found with respect to total balloon inflation time, number of inflations, maximum inflation time, or reperfusion times. Conclusions- We found no significant relationship between balloon inflation practices and ischemic events. Older and diabetic patients were more likely to have ischemic events develop.

Original languageEnglish (US)
Pages (from-to)1051-1055
Number of pages5
JournalStroke
Volume42
Issue number4
DOIs
StatePublished - Apr 2011
Externally publishedYes

Fingerprint

Economic Inflation
Aneurysm
Reperfusion
Intracranial Aneurysm
Neck
Control Groups

Keywords

  • aneurysm
  • balloon
  • coil embolization
  • diffusion-weighted imaging
  • ischemia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Clinical Neurology
  • Advanced and Specialized Nursing

Cite this

Spiotta, A. M., Bhalla, T., Hussain, M. S., Sivapatham, T., Batra, A., Hui, F., ... Moskowitz, S. I. (2011). An analysis of inflation times during balloon-assisted aneurysm coil embolization and ischemic complications. Stroke, 42(4), 1051-1055. https://doi.org/10.1161/STROKEAHA.110.602276

An analysis of inflation times during balloon-assisted aneurysm coil embolization and ischemic complications. / Spiotta, Alejandro M.; Bhalla, Tarun; Hussain, Muhammad S.; Sivapatham, Thinesh; Batra, Ayush; Hui, Ferdinand; Rasmussen, Peter A.; Moskowitz, Shaye I.

In: Stroke, Vol. 42, No. 4, 04.2011, p. 1051-1055.

Research output: Contribution to journalArticle

Spiotta, AM, Bhalla, T, Hussain, MS, Sivapatham, T, Batra, A, Hui, F, Rasmussen, PA & Moskowitz, SI 2011, 'An analysis of inflation times during balloon-assisted aneurysm coil embolization and ischemic complications', Stroke, vol. 42, no. 4, pp. 1051-1055. https://doi.org/10.1161/STROKEAHA.110.602276
Spiotta, Alejandro M. ; Bhalla, Tarun ; Hussain, Muhammad S. ; Sivapatham, Thinesh ; Batra, Ayush ; Hui, Ferdinand ; Rasmussen, Peter A. ; Moskowitz, Shaye I. / An analysis of inflation times during balloon-assisted aneurysm coil embolization and ischemic complications. In: Stroke. 2011 ; Vol. 42, No. 4. pp. 1051-1055.
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