Safety and Efficacy of Balloon Remodeling Technique for Treating Cerebrovascular Aneurysms

Abstract

Objective: To assess the safety and efficacy of Balloon remodeling technique (BRT) for coil placement in
Pakistani patients with wide neck cerebral aneurysms.
Method: This study included a total of 39 patients (23 females and 16 males) treated with BRT for 44 cerebral
aneurysms over a period of six years, at Hameed Latif Hospital, Lahore. Characteristics of aneurysms were
analyzed, and complications, occlusion rates, and outcomes were ascertained for relevant comparisons with
the available literature on Balloon Remodeling Technique.
Results: Overall, 35 (79.5%) patients presented with ruptured aneurysms and 37 of the 44 aneurysms
(84.1%) were located within the anterior circulation. The remodeling technique was successful in achieving
complete or near complete occlusion of 39 of total 42 treated aneurysms (92.9%). Two procedures were
aborted due to intraoperative complications. The rate of technical success achieved was 95.4%. Treatment
related complications were seen in four cases (9.5%) and included intra-procedural aneurysmal ruptures and
thromboembolic phenomena.
Conclusion: Balloon Remodeling Technique can achieve high rates of aneurysm occlusion with low rates of
complications and is a good option for treatment of both ruptured and unruptured wide neck cerebral
aneurysms in our population.

How to cite: Bashir Q, Farooq F, Ishfaq A, Iqbal J. Safety and Efficacy of Balloon Remodeling Technique for Treating
Cerebrovascular Aneurysms. Esculapio - JSIMS 2022;18(02):108-113
DOI:https://doi.org/10.51273/esc22.251821