Initial Experience with the New Double-lumen Scepter Balloon Catheter for Treatment of Wide-necked Aneurysms
A 72-year-old man was being admitted with a Hunt & Hess grade 3 SAH. An angiography revealed a small, wide-necked aneurysm at the Acom. Under general anesthesia, a shuttle 6 Fr-guiding catheter was placed in the cervical ICA. First, a 0.014-inch microguidewire was positioned on the left anterior cerebral artery (ACA) A1 portion and the Scepter-C balloon 4/10 catheter was advanced over the microguidewire to the ACA A1 portion (). The microguidewire was positioned further to the right A2 portion and the balloon catheter was placed, thus, spanning the entire aneurysm neck, and then, the balloon-assisted coil embolization was performed (). Near the end of the coil embolization, a coil tail protruded the Acom after balloon deflation (). The balloon catheter was re-positioned to the left A2 using a reintroduced microguidewire. Inflation of the balloon pushed the protruded coil tail into the aneurysm sac (). A final control angiogram showed complete occlusions of the aneurysm sac ().