{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T03:50:47Z","timestamp":1777002647771,"version":"3.51.4"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:00:00Z","timestamp":1775952000000},"content-version":"vor","delay-in-days":42,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We present a novel triple-catheter adjunctive technique through a 6-Fr distal access catheter (DAC) for coil embolisation of an 18\u2009mm wide-necked splenic aneurysm located at the bifurcation of the superior and inferior branches in a 63-year-old female. Despite the significantly tortuous splenic artery, the DAC was successfully navigated near the aneurysm, providing catheter stability. One 2.8-Fr balloon catheter and 2 2.2-Fr microcatheters were deployed simultaneously through the DAC to perform the balloon-assisted double-catheter technique. Dense packing was achieved with a volume embolisation ratio of 39.2%, while preserving the superior branch flow. Post-embolisation angiography revealed complete aneurysmal occlusion without splenic infarction. This technique presents a viable solution for complex visceral aneurysms in tortuous anatomies, enabling dense packing while preserving the parent artery, without requiring multiple access sites or larger guiding catheters.<\/jats:p>","DOI":"10.1093\/bjrcr\/uaag014","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T06:44:07Z","timestamp":1776062647000},"source":"Crossref","is-referenced-by-count":0,"title":["Triple-catheter adjunctive technique through a 6-Fr distal access catheter for coil embolisation of splenic aneurysm: one balloon and two embolisation catheters via single access"],"prefix":"10.1093","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9791-9274","authenticated-orcid":false,"given":"Hiroshi","family":"Kuwamura","sequence":"first","affiliation":[{"name":"Department of Radiology, National Defense Medical College , Tokorozawa, Saitama, 359-8513,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4148-2889","authenticated-orcid":false,"given":"Yohsuke","family":"Suyama","sequence":"additional","affiliation":[{"name":"Department of Radiology, National Defense Medical College , Tokorozawa, Saitama, 359-8513,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiro","family":"Enjoji","sequence":"additional","affiliation":[{"name":"Department of Radiology, National Defense Medical College , Tokorozawa, Saitama, 359-8513,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ippei","family":"Ozaki","sequence":"additional","affiliation":[{"name":"Department of Radiology, National Defense Medical College , Tokorozawa, Saitama, 359-8513,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Radiology, National Defense Medical College , Tokorozawa, Saitama, 359-8513,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikiya","family":"Takao","sequence":"additional","affiliation":[{"name":"Department of Hepato-Biliary-Pancreatic Surgery, National Defense Medical College , Tokorozawa, Saitama, 359-8513,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8885-1210","authenticated-orcid":false,"given":"Yoji","family":"Kishi","sequence":"additional","affiliation":[{"name":"Department of Hepato-Biliary-Pancreatic Surgery, National Defense Medical College , Tokorozawa, Saitama, 359-8513,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3474-2913","authenticated-orcid":false,"given":"Hiroshi","family":"Shinmoto","sequence":"additional","affiliation":[{"name":"Department of Radiology, National Defense Medical College , Tokorozawa, Saitama, 359-8513,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,4,11]]},"reference":[{"key":"2026042323211598800_uaag014-B1","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1007\/s00270-023-03620-w","article-title":"CIRSE standards of practice for the endovascular treatment of visceral and renal artery aneurysms and pseudoaneurysms","volume":"47","author":"Rossi","year":"2024","journal-title":"Cardiovasc Intervent Radiol"},{"key":"2026042323211598800_uaag014-B2","doi-asserted-by":"publisher","first-page":"941","DOI":"10.1016\/j.jvir.2023.01.028","article-title":"Lessons in IR: Splenic infarct after splenic aneurysm embolization","volume":"34","author":"Kumari","year":"2023","journal-title":"J Vasc Interv Radiol"},{"key":"2026042323211598800_uaag014-B3","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1186\/s42155-024-00427-9","article-title":"Selection of endovascular treatment strategies and analysis of the efficacy of different locations and types of splenic artery aneurysms","volume":"7","author":"Wang","year":"2024","journal-title":"CVIR Endovasc"},{"key":"2026042323211598800_uaag014-B4","doi-asserted-by":"publisher","first-page":"1798","DOI":"10.1016\/j.jvir.2013.04.030","article-title":"Long-term outcomes of coil packing for visceral aneurysms: correlation between packing density and incidence of coil compaction or recanalization","volume":"24","author":"Yasumoto","year":"2013","journal-title":"J Vasc Interv 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