%0 Journal Article
%T Balloon
%A Adam N Wallace
%A Anna M Milner
%A Colin P Derdeyn
%A Edgar Samaniego
%A Jennifer L Fease
%A Jill M Scholz
%A Josser E Delgado Almandoz
%A Mary Thomas
%A Santiago Ortega-Guti¨¦rrez
%A Sudeepta Dandapat
%A Yasha Kayan
%J Interventional Neuroradiology
%@ 2385-2011
%D 2019
%R 10.1177/1591019919828677
%X The Scepter XC is a dual-lumen balloon catheter that accommodates a 0.014-inch microwire and can be used for balloon-assisted coiling of cerebral aneurysms. We describe our experience with the use of this device. Two high-volume institution neurointerventional databases were retrospectively reviewed for cerebral aneurysms treated with balloon-assisted coiling using the Scepter XC balloon catheter. Patient demographics, aneurysm characteristics, and procedural details were recorded. Major procedure-related neurologic complications were defined as events that caused an increase in modified Rankin Scale that persisted for more than 1 week after the procedure. Follow-up aneurysm occlusion was assessed using the Raymond-Roy classification. During the study period, 231 aneurysms were treated in 219 patients (152 women, 67 men) with a mean age of 58.4£¿¡À£¿12.2 years. Mean aneurysm size was 6.1£¿¡À£¿3.1£¿mm, with a mean neck diameter of 3.1£¿¡À£¿1.3£¿mm. In total, 77.5% of aneurysms were wide necked, and 39.8% were treated in the setting of subarachnoid hemorrhage. The major complication rate was 0.9% (2/231) per treated aneurysm, including one stroke and one death related to intraoperative aneurysm rupture. Excluding patients who died, angiographic follow up was available for 85.3% (191/224) of aneurysms. During a mean follow up of 17.4£¿¡À£¿13.0 months (range, 1.7¨C66.5 months), Raymond-Roy 1 and 2 occlusion rates were 56.5% (108/191) and 35.6% (68/191), respectively. The retreatment rate was 12.6% (24/191). Our experience using the coaxial dual-lumen Scepter XC for balloon-assisted coiling demonstrates acceptable aneurysm occlusion and complication rates
%K Aneurysm
%K angiography
%K balloon
%K coiling
%K subarachnoid hemorrhage
%U https://journals.sagepub.com/doi/full/10.1177/1591019919828677