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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleNeurointervention

Temporary Endovascular Balloon Occlusion of the Internal Carotid Artery with a Nondetachable Silicone Balloon Catheter: Analysis of Technique and Cost

Philip M. Meyers, Gautam A. Thakur and Thomas A. Tomsick
American Journal of Neuroradiology April 1999, 20 (4) 559-564;
Philip M. Meyers
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Gautam A. Thakur
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Thomas A. Tomsick
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    fig 1.

    58-year-old woman with left planum sphenoidal meningioma undergoing preoperative temporary balloon occlusion test with the NDSB system.

    A, Digital radiograph, arterial phase, during left CCA injection, shows neovascular tumor blush above planum sphenoidal and mild depression and narrowing of the supraclinoid ICA segment, indicating partial vessel encasement by tumor, also apparent by MR imaging.

    B, Digital radiograph, arterial phase, during left CCA injection after inflation of NDSB (arrows) in cavernous ICA segment, shows prominent retrograde collateral opacification of the ophthalmic artery, supraclinoid ICA, and contribution to MCA flow.

    C and D, Sequential digital radiographs, mid and late arterial phase, during left CCA injection after inflation of NDSB (arrows, C) in ophthalmic segment of left ICA, show successful exclusion of retrograde ophthalmic artery contribution (arrows, D) to the left ICA circulation.

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    TABLE 1:

    NDSB system marginal cost of $543.50 (NDSB and 0.010 guidewire vs least expensive system at various complication rates)

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    TABLE 2:

    NDSB system marginal cost of $670.00 (NDSB, 0.010 guidewire, and guidecatheter vs least expensive system at various complication rates

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    TABLE 3:

    MIS Zeppelin system marginal cost of $280.00 (balloon catheter only vs least expensive system at various complication rates)

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American Journal of Neuroradiology
Vol. 20, Issue 4
1 Apr 1999
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Cite this article
Philip M. Meyers, Gautam A. Thakur, Thomas A. Tomsick
Temporary Endovascular Balloon Occlusion of the Internal Carotid Artery with a Nondetachable Silicone Balloon Catheter: Analysis of Technique and Cost
American Journal of Neuroradiology Apr 1999, 20 (4) 559-564;

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Temporary Endovascular Balloon Occlusion of the Internal Carotid Artery with a Nondetachable Silicone Balloon Catheter: Analysis of Technique and Cost
Philip M. Meyers, Gautam A. Thakur, Thomas A. Tomsick
American Journal of Neuroradiology Apr 1999, 20 (4) 559-564;
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