Balloons in Endovascular Neurosurgery: History and Current Applications
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The use of balloons in the field of neurosurgery is currently an essential part of our clinical practice. The field has evolved over the last 40 years since Serbinenko used balloons to test the feasibility of occluding cervical vessels for intracranial pathologies. Since that time, indications have expanded to include sacrificing cervical and intracranial vessels with detachable balloons, supporting the coil mass in wide-necked aneurysms (balloon remodeling technique), and performing intracranial and cervical angioplasty for atherosclerotic disease, as well as an adjunct to treat arteriovenous malformations. With the rapid expansion of endovascular technologies, it appears that the indications and uses for balloons will continue to expand. In this article, we review the history of balloons, the initial applications, the types of balloons available, and the current applications available for endovascular neurosurgeons. ABBREVIATIONS: BRT, balloon remodeling technique BTO, balloon test occlusion CAS, carotid artery stenting CCF, carotid cavernous fistulas CEA, carotid endarterectomy CPD, cerebral protection device DMSO, dimethyl sulfoxide FDA, Food and Drug Administration ICA, internal carotid artery MCA, middle cerebral artery PTA, percutaneous transluminal angioplasty SAMMPRIS, Stenting vs Aggressive Medical Management for the Prevention of Recurrent Stroke TBA, transluminal balloon angioplastyOriginal Article: http://journals.lww.com/neurosurgery/Fulltext/2014/02001/Balloons_in_Endovascular_Neurosurgery___History.19.aspx
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