Bifurcation aneurysms (carotid bifurcation aneurysms, top of basilar artery aneurysms and middle cerebral artery aneurysms) are frequently treated by endovascular treatment (EVT) but their treatment is sometimes difficult singularly when the neck is wide. The "remodelling technique" is used for the treatment of these difficult aneurysms. However, the use of this technique is more complicated in bifurcation aneurysms compared to side-wall aneurysms. It is effectively necessary to protect in the same time the aneurysm neck, the parent vessel, and also the collateral branches. We present endovascular treatment of two cases of bifurcation aneurysms using a new technique of remodelling for endovascular treatment of bifurcation aneurysms by using a double lumen balloon.
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http://dx.doi.org/10.1016/j.neurad.2010.10.003 | DOI Listing |
AJNR Am J Neuroradiol
January 2025
From the Institute of Neurointervention (C. Hecker, C. Hufnagl, A.O., C.J.G., M.K-O.), Paracelsus Medical University, Salzburg, Austria
Background And Purpose: This animal study was designed to evaluate in vivo the acute and short-term safety and efficacy of the new Artisse intrasaccular device (ISD) for aneurysm occlusion and to gain knowledge about the behavior in the aneurysms.
Materials And Methods: The device was implanted in 7 white New Zealand rabbits with bifurcation aneurysms. Immediate and 90-day angiographic follow-up as well as histologic and scanning electron microscope imaging were evaluated.
Oper Neurosurg (Hagerstown)
January 2025
Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Background And Importance: Fusiform middle cerebral artery (MCA) bifurcation aneurysms can be challenging to treat with standard endovascular or microsurgical techniques. The in situ side-to-side bypass technique represents an elegant revascularization option for these aneurysms when trapping becomes necessary.
Clinical Presentation: A man in his 50s presented for evaluation of an incidentally found fusiform, 10 mm, right MCA bifurcation aneurysm with involvement of both the inferior and superior M2 trunks.
Bioengineering (Basel)
November 2024
University of Electronic Science and Technology of China, Chengdu 611731, China.
Aneurysm modeling and simulation play an important role in many specialist areas in the field of medicine such as surgical education and training, clinical diagnosis and prediction, and treatment planning. Despite the considerable effort invested in developing computational fluid dynamics so far, visual simulation of blood flow dynamics in aneurysms, especially the under-explored aspect of bifurcation aneurysms, remains a challenging issue. To alleviate the situation, this study introduces a novel Smoothed Particle Hydrodynamics (SPH)-based method to model and visually simulate blood flow, bifurcation progression, and fluid-structure interaction.
View Article and Find Full Text PDFBrain Sci
December 2024
Clinic of Neurosurgery, Ankara Bilkent City Hospital, University of Health Science, Ankara 06290, Türkiye.
Background: In this study, we aimed to comparatively evaluate the morphology of internal carotid artery (ICA) bifurcations with and without aneurysms and identify risk factors for aneurysm development that are associated with the bifurcation geometry.
Method: In this two-center study, the computerized tomography angiography data of 1512 patients were evaluated. The study included 64 (4.
Oper Neurosurg (Hagerstown)
January 2025
Neurosurgery Division, East Bay Brain and Spine Medical Group, Walnut Creek, California, USA.
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