{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:10:01Z","timestamp":1756285801033,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Acute iatrogenic occlusion of cerebral vessels is a risk during the performance of neuroendovascular procedures. Most commonly this is a result of thrombus formation within the vessel, thromboembolism or an acute vasospastic response. There are several options for flow restoration including pharmacological, mechanical and microsurgical. Mechanical flow restoration, usually by thrombectomy, is typically performed in large cerebral vessels. Current mechanical thrombectomy devices have limited utility in smaller vessels that are more difficult to access, such as the anterior cerebral artery (ACA). We present two cases where successful flow restoration of an intraoperative acutely occluded or thrombotic ACA was rapidly achieved by balloon dilation using a new coaxial dual-lumen balloon catheter. The time elapsed from the decision to use the balloon catheter until revascularization for each patient was 5\u2005min and 46\u2005s (case 1) and 10\u2005min and 25\u2005s (case 2).<\/jats:p>","DOI":"10.1136\/bcr-2012-010545","type":"journal-article","created":{"date-parts":[[2012,12,5]],"date-time":"2012-12-05T13:52:23Z","timestamp":1354715543000},"page":"bcr2012010545","source":"Crossref","is-referenced-by-count":0,"title":["Mechanical revascularization of acute iatrogenic anterior cerebral artery occlusions: use of a new coaxial dual-lumen balloon catheter results in rapid access and flow restoration"],"prefix":"10.1136","volume":"2012","author":[{"given":"Robert F","family":"James","sequence":"first","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, East Carolina University Brody School of Medicine, Greenville, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John Richard","family":"Lamm","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, East Carolina University Brody School of Medicine, Greenville, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hilal A","family":"Kanaan","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, East Carolina University Brody School of Medicine, Greenville, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,12,5]]},"reference":[{"key":"2025082701342578000_2012.dec05_1.bcr2012010545.1","doi-asserted-by":"publisher","DOI":"10.3171\/JNS\/2008\/108\/3\/0450"},{"key":"2025082701342578000_2012.dec05_1.bcr2012010545.2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A1253"},{"key":"2025082701342578000_2012.dec05_1.bcr2012010545.3","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.107.497115"},{"key":"2025082701342578000_2012.dec05_1.bcr2012010545.4","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000380954.29925.CE"},{"key":"2025082701342578000_2012.dec05_1.bcr2012010545.5","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1177\/159101990401000303","article-title":"Endovascular treatment of acute embolism of the major cerebral arteries. The value of balloon disruption of the embolus","volume":"10","author":"Ota","year":"2004","journal-title":"Interv Neuroradiol"},{"key":"2025082701342578000_2012.dec05_1.bcr2012010545.6","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e3182181e3a"},{"key":"2025082701342578000_2012.dec05_1.bcr2012010545.7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6569.2011.00619.x"},{"key":"2025082701342578000_2012.dec05_1.bcr2012010545.8","doi-asserted-by":"crossref","first-page":"52","DOI":"10.3389\/fneur.2011.00052","article-title":"Initial experience with the coaxial dual-lumen ascent balloon catheter for wide-neck aneurysm coil embolization","volume":"2","author":"Lazzaro","year":"2011","journal-title":"Front Neurol"},{"key":"2025082701342578000_2012.dec05_1.bcr2012010545.9","doi-asserted-by":"crossref","unstructured":"Orozco LD Luzardo GD Buciuc RF . Transarterial balloon assisted Onyx embolization of pericallosal arteriovenous malformations. 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