{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:27:06Z","timestamp":1786728426720,"version":"build-2736575974"},"reference-count":47,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,3]]},"abstract":"\n Background:<\/jats:title>\n Wide-neck intracranial aneurysms need additional devices like balloons or stent for management. Balloon-assisted coiling has evolved both with interventionalist experience and device modifications.<\/jats:p>\n <\/jats:sec>\n \n Objective:<\/jats:title>\n We discussed our experience, evolution, and complications with this novel technique.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n Data of 2014\u20132019 was retrospectively reviewed for type of balloon used along with complications in intracranial aneurysm coiling. Two hundred five aneurysms were detected in 188 patients, of which balloon-assisted coiling was planned for 198 aneurysms. Both single and double-lumen balloons were used. Aneurysms were divided into bifurcation and sidewall aneurysms. The complications were compared between bifurcation and sidewall aneurysms, and between single and double lumen balloons.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Balloon-assisted coiling was planned for 198 aneurysms but successfully done for 195 (98.5%) cases. Single-lumen balloons were used in 56 aneurysms (28.3%), and double-lumen balloons were used in 142 cases (71.7%). Procedural thromboembolism within parent vessel was seen in 28 cases (14.1%); however symptomatic were encountered in 5 cases (2.5%). Intraprocedural rupture of the aneurysmal sac was seen in 9 cases (4.5%). The procedure-related mortality in our series was 1.6% (3\/188 patients), and morbidity was 4.3% (8\/188 patients). The complications among bifurcation and sidewall aneurysms compared between single- and double-lumen balloons showed a greater number of symptomatic thromboembolic complications in sidewall aneurysms with the use of single lumen balloons.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n There are significant symptomatic thromboembolic complications in sidewall aneurysms with the use of single-lumen balloons which decreased as interventionalist experience evolved and better hardware developed.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/0028-3886.344626","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T04:05:56Z","timestamp":1692849956000},"page":"643-651","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Balloon-Assisted Coiling of Intracranial Aneurysms: Technical Details and Evaluation of Local Complications"],"prefix":"10.4103","volume":"70","author":[{"given":"S","family":"Vignesh","sequence":"first","affiliation":[{"name":"Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surya N.","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, All India Institute of Medical Sciences, Patna, Bihar, 801507, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivek","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajendra V.","family":"Phadke","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis and Interventional Radiology, Apollomedics Superspeciality Hospitals; Former Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madan M.","family":"Balaguruswamy","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Royal Care Super Speciality Hospital, Coimbatore, India, Former Neuroradiology Fellow; Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alok","family":"Udiya","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, CHL Hospital, Indore, India, Former Neuroradiology Fellow; Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gurucharan S","family":"Shetty","sequence":"additional","affiliation":[{"name":"Interventional Radiologist, Fortis Hospital and Cancer Institute, Bengaluru, Karnataka, India, Former Neuroradiology Fellow; Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vedita","family":"Dhull","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis (Former Neuroradiology Fellow), Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,5,3]]},"reference":[{"key":"R1-20260803","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1177\/0003319717700503","article-title":"Current treatment strategies for intracranial aneurysms: An overview","volume":"69","author":"Zhao","year":"2018","journal-title":"Angiology"},{"key":"R2-20260803","doi-asserted-by":"crossref","first-page":"515","DOI":"10.3171\/jns.1992.77.4.0515","article-title":"Endovascular treatment of posterior circulation aneurysms by electrothrombosis using electrically detachable coils","volume":"77","author":"Guglielmi","year":"1992","journal-title":"J Neurosurg"},{"key":"R3-20260803","first-page":"345","article-title":"Utility of balloon-assisted Guglielmi detachable coiling in the treatment of 49 cerebral aneurysms: A retrospective, multicenter study","volume":"2","author":"Cottier","year":"2001","journal-title":"AJNR Am J Neuroradiol"},{"key":"R4-20260803","doi-asserted-by":"crossref","first-page":"1397","DOI":"10.1097\/00006123-200006000-00022","article-title":"Balloon-assist technique for endovascular coil embolization of geometrically difficult intracranial aneurysms","volume":"46","author":"Malek","year":"2000","journal-title":"Neurosurgery"},{"key":"R5-20260803","doi-asserted-by":"crossref","first-page":"1777","DOI":"10.3174\/ajnr.A1216","article-title":"Safety and efficacy of adjunctive balloon remodeling during endovascular treatment of intracranial aneurysms: A literature review","volume":"29","author":"Shapiro","year":"2008","journal-title":"AJNR Am J Neuroradiol"},{"key":"R6-20260803","first-page":"19","article-title":"Balloon-assisted coil embolization of wide-necked aneurysms of the internal carotid artery: Medium-term angiographic and clinical follow-up in 22 patients","volume":"22","author":"Nelson","year":"2001","journal-title":"AJNR Am J Neuroradiol"},{"key":"R7-20260803","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1177\/159101999700300103","article-title":"The \u201cRemodelling Technique\u201d in the treatment of wide neck intracranial aneurysms. 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