Cerebral Aneurysm with Tortuous Access: Distal Access Catheter Placement Using Coaxial Technique

  • Rajsrinivas Parthasarathy
  • Vipul Gupta


A 56-year-old lady presented with a sudden onset of headache and loss of consciousness. Plain CT brain scan on admission revealed diffuse SAH with intraventricular extension. Cerebral angiography revealed a saccular wide-neck paraclinoid aneurysm of left ICA measuring 4.2 × 3.6 mm. Left ICA was tortuous with a loop in the cervical segment. Balloon-assisted coiling was planned.

Suggested Reading

  1. Hauck EF, et al. Use of the outreach distal access catheter as an intracranial platform facilitates coil embolization of select intracranial aneurysms: technical note. J Neurointerv Surg. 2011;3(2):172–6.CrossRefGoogle Scholar
  2. Lin L-M, et al. Pentaxial access platform for ultra-distal intracranial delivery of a large-bore hyperflexible DIC (distal intracranial catheter): a technical note. Neurosurgery. 2016;6:29–34.Google Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  • Rajsrinivas Parthasarathy
    • 1
  • Vipul Gupta
    • 2
  1. 1.Vascular Neurology and Neurointerventional SurgeryArtemis Agrim Institute of NeuroscienceGurgaonIndia
  2. 2.Neurointerventional Surgery, Stroke unitArtemis Agrim Institute of NeuroscienceGurgaonIndia

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