The authors describe a case of fusiform basilar artery aneurysm not amenable to surgical clipping or balloon occlusion with preservation of the parent artery. The aneurysm was treated by balloon occlusion (proximal basilar artery) after test occlusion was well-tolerated; 7-year follow-up showed good results.

lutembacher syndrome refers to the rare combination of a congenital atrial septal defect and acquired mitral stenosis. traditionally, lutembacher syndrome has been corrected by surgical treatment. we describe two patients treated percutaneouly with a combined inoue balloon valvuloplasty and septal defect closure using the amplatzer septal occlusion device.

PURPOSE To determine the clinical effectiveness of parent artery occlusion of the carotid or vertebral artery by means of temporary proximal flow arrest and microcoils. METHODS Nineteen parent artery occlusions (15 carotid, four vertebral) were performed in 19 patients who successfully passed a balloon test occlusion. In these patients, endovascular occlusion of the carotid or vertebral arter...

PURPOSE Our objective was to evaluate the sensitivity of transcranial Doppler (TCD) sonographic monitoring during permanent balloon occlusion of the internal carotid artery (ICA) in predicting hemodynamic ischemia. METHODS Thirty-two consecutive patients underwent controlled therapeutic balloon occlusion of the ICA. Selection criteria included assessment of the circle of Willis by compression...

BACKGROUND AND PURPOSE Balloon occlusion of the parent vessel and endosaccular coiling are both frequently used for treatment of intracavernous aneurysms of the carotid artery. We performed a systematic review of studies reporting on these two treatment modalities to assess the rate of complications, rate of successful aneurysm occlusion, and clinical condition after treatment. METHODS We per...

BACKGROUND The resuscitative endovascular balloon occlusion of the aorta, because of its efficacy and feasibility, has been widely used in treating patients with severe torso trauma. However, complications developing around the site proximal to the occlusion by resuscitative endovascular balloon occlusion of the aorta have almost never been studied. CASE PRESENTATION A 50-year-old Japanese wo...

BACKGROUND Esophageal pressure, used as a surrogate for pleural pressure, is commonly measured by air-filled balloon, and the accuracy of measurement depends on the proper balloon volume. It has been found that larger filling volume is required at higher surrounding pressure. In the present study, we determined the balloon pressure-volume relationship in a bench model simulating the pleural cav...

BACKGROUND Because optical coherence tomography (OCT) requires balloon-occlusion to overcome image attenuation by blood, the present study investigated the safety and usefulness of a new non-occlusive technique. METHODS AND RESULTS The 40 angina patients were assigned to the continuous-flushing method or the balloon-occlusion method group. The continuous-flushing method was superior for obser...

BACKGROUND The incretin hormone glucagon-like peptide-1 (GLP-1) has been shown to have cardioprotective properties in animal models of ischemia and infarction due to promotion of myocardial glucose uptake and suppression of apoptosis. We investigated whether GLP-1 protected the heart from dysfunction caused by supply ischemia during percutaneous coronary intervention (PCI). METHODS AND RESULT...

BACKGROUND AND PURPOSE Measuring blood pressure (stump pressure) in the distal internal carotid artery during occlusion of the internal carotid artery is reportedly a reliable safety index with which to predict ischemia following permanent occlusion of the internal carotid artery. We compared the stump pressure during occlusion of the internal carotid artery with single-photon emission CT (SPEC...