Journal article
Balloon-assisted coiling of cerebral aneurysms with the dual-lumen Scepter XC balloon catheter: Experience at two high-volume centers
Interventional neuroradiology, Vol.25(4), pp.414-418
08/2019
DOI: 10.1177/1591019919828677
PMID: 30922198
Abstract
The Scepter XC is a dual-lumen balloon catheter that accommodates a 0.014-inch microwire and can be used for balloon-assisted coiling of cerebral aneurysms. We describe our experience with the use of this device.
Two high-volume institution neurointerventional databases were retrospectively reviewed for cerebral aneurysms treated with balloon-assisted coiling using the Scepter XC balloon catheter. Patient demographics, aneurysm characteristics, and procedural details were recorded. Major procedure-related neurologic complications were defined as events that caused an increase in modified Rankin Scale that persisted for more than 1 week after the procedure. Follow-up aneurysm occlusion was assessed using the Raymond-Roy classification.
During the study period, 231 aneurysms were treated in 219 patients (152 women, 67 men) with a mean age of 58.4 ± 12.2 years. Mean aneurysm size was 6.1 ± 3.1 mm, with a mean neck diameter of 3.1 ± 1.3 mm. In total, 77.5% of aneurysms were wide necked, and 39.8% were treated in the setting of subarachnoid hemorrhage. The major complication rate was 0.9% (2/231) per treated aneurysm, including one stroke and one death related to intraoperative aneurysm rupture. Excluding patients who died, angiographic follow up was available for 85.3% (191/224) of aneurysms. During a mean follow up of 17.4 ± 13.0 months (range, 1.7-66.5 months), Raymond-Roy 1 and 2 occlusion rates were 56.5% (108/191) and 35.6% (68/191), respectively. The retreatment rate was 12.6% (24/191).
Our experience using the coaxial dual-lumen Scepter XC for balloon-assisted coiling demonstrates acceptable aneurysm occlusion and complication rates.
Details
- Title: Subtitle
- Balloon-assisted coiling of cerebral aneurysms with the dual-lumen Scepter XC balloon catheter: Experience at two high-volume centers
- Creators
- Adam N Wallace - 2 University of Iowa, Department of Radiology, Iowa City, United States of AmericaEdgar Samaniego - 3 University of Iowa, Department of Neurology, Iowa City, United States of AmericaYasha Kayan - 1 Division of Neurointerventional Radiology, Neuroscience Institute, Abbott Northwestern Hospital, Minneapolis, and Department of Radiology, University of Iowa, Iowa City, United States of AmericaColin P Derdeyn - 2 University of Iowa, Department of Radiology, Iowa City, United States of AmericaJosser E Delgado Almandoz - 1 Division of Neurointerventional Radiology, Neuroscience Institute, Abbott Northwestern Hospital, Minneapolis, and Department of Radiology, University of Iowa, Iowa City, United States of AmericaSudeepta Dandapat - 3 University of Iowa, Department of Neurology, Iowa City, United States of AmericaJennifer L Fease - 1 Division of Neurointerventional Radiology, Neuroscience Institute, Abbott Northwestern Hospital, Minneapolis, and Department of Radiology, University of Iowa, Iowa City, United States of AmericaMary Thomas - 1 Division of Neurointerventional Radiology, Neuroscience Institute, Abbott Northwestern Hospital, Minneapolis, and Department of Radiology, University of Iowa, Iowa City, United States of AmericaAnna M Milner - 1 Division of Neurointerventional Radiology, Neuroscience Institute, Abbott Northwestern Hospital, Minneapolis, and Department of Radiology, University of Iowa, Iowa City, United States of AmericaJill M Scholz - 1 Division of Neurointerventional Radiology, Neuroscience Institute, Abbott Northwestern Hospital, Minneapolis, and Department of Radiology, University of Iowa, Iowa City, United States of AmericaSantiago Ortega-Gutiérrez - 3 University of Iowa, Department of Neurology, Iowa City, United States of America
- Resource Type
- Journal article
- Publication Details
- Interventional neuroradiology, Vol.25(4), pp.414-418
- DOI
- 10.1177/1591019919828677
- PMID
- 30922198
- NLM abbreviation
- Interv Neuroradiol
- ISSN
- 1591-0199
- eISSN
- 2385-2011
- Publisher
- United States
- Language
- English
- Date published
- 08/2019
- Academic Unit
- Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984070327502771
Metrics
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