{"title":"在经静脉进入时，使用一个大的柔性球囊放置在皮质静脉中进行微导管导航。","authors":"Ryuichi Noda, Mohamad Izzat Arslan Che Ros, Suzana Saleme, Aymeric Rouchaud, Charbel Mounayer","doi":"10.1136/jnis-2025-023596","DOIUrl":null,"url":null,"abstract":"<p><p>Transvenous embolization (TVE) has emerged as the new approach for the curative treatment of brain arteriovenous malformations (bAVMs), though challenges persist in navigating microcatheters through dural venous sinuses. This video article demonstrates a novel balloon-assisted technique to facilitate microcatheter navigation in a complex case of bAVM. A large compliant Copernic RC balloon was temporarily placed in a cortical vein, serving as a buttress to guide the microcatheter into the draining vein. This method enabled the successful cannulation and advancement of a microcatheter in a draining cortical vein using a large compliant balloon without complications. The case highlights the technical feasibility and safety of this approach in TVE for challenging bAVM cases.neurintsurg;jnis-2025-023596v1/V1F1V1Video 1 Microcatheter navigation using a large compliant balloon placed in a cortical vein during a transvenous access.</p>","PeriodicalId":16411,"journal":{"name":"Journal of NeuroInterventional Surgery","volume":" ","pages":""},"PeriodicalIF":4.5000,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Microcatheter navigation using a large compliant balloon placed in a cortical vein during transvenous access.\",\"authors\":\"Ryuichi Noda, Mohamad Izzat Arslan Che Ros, Suzana Saleme, Aymeric Rouchaud, Charbel Mounayer\",\"doi\":\"10.1136/jnis-2025-023596\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Transvenous embolization (TVE) has emerged as the new approach for the curative treatment of brain arteriovenous malformations (bAVMs), though challenges persist in navigating microcatheters through dural venous sinuses. This video article demonstrates a novel balloon-assisted technique to facilitate microcatheter navigation in a complex case of bAVM. A large compliant Copernic RC balloon was temporarily placed in a cortical vein, serving as a buttress to guide the microcatheter into the draining vein. This method enabled the successful cannulation and advancement of a microcatheter in a draining cortical vein using a large compliant balloon without complications. The case highlights the technical feasibility and safety of this approach in TVE for challenging bAVM cases.neurintsurg;jnis-2025-023596v1/V1F1V1Video 1 Microcatheter navigation using a large compliant balloon placed in a cortical vein during a transvenous access.</p>\",\"PeriodicalId\":16411,\"journal\":{\"name\":\"Journal of NeuroInterventional Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":4.5000,\"publicationDate\":\"2025-06-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of NeuroInterventional Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1136/jnis-2025-023596\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NEUROIMAGING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of NeuroInterventional Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/jnis-2025-023596","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NEUROIMAGING","Score":null,"Total":0}
Microcatheter navigation using a large compliant balloon placed in a cortical vein during transvenous access.
Transvenous embolization (TVE) has emerged as the new approach for the curative treatment of brain arteriovenous malformations (bAVMs), though challenges persist in navigating microcatheters through dural venous sinuses. This video article demonstrates a novel balloon-assisted technique to facilitate microcatheter navigation in a complex case of bAVM. A large compliant Copernic RC balloon was temporarily placed in a cortical vein, serving as a buttress to guide the microcatheter into the draining vein. This method enabled the successful cannulation and advancement of a microcatheter in a draining cortical vein using a large compliant balloon without complications. The case highlights the technical feasibility and safety of this approach in TVE for challenging bAVM cases.neurintsurg;jnis-2025-023596v1/V1F1V1Video 1 Microcatheter navigation using a large compliant balloon placed in a cortical vein during a transvenous access.
期刊介绍：
The Journal of NeuroInterventional Surgery (JNIS) is a leading peer review journal for scientific research and literature pertaining to the field of neurointerventional surgery. The journal launch follows growing professional interest in neurointerventional techniques for the treatment of a range of neurological and vascular problems including stroke, aneurysms, brain tumors, and spinal compression.The journal is owned by SNIS and is also the official journal of the Interventional Chapter of the Australian and New Zealand Society of Neuroradiology (ANZSNR), the Canadian Interventional Neuro Group, the Hong Kong Neurological Society (HKNS) and the Neuroradiological Society of Taiwan.
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