Introduction/Purpose: Endovascular placement of compliant balloon catheters adjacent to the neck of a large or giant aneurysm can be difficult and technically challenging. This is often on account of relatively complex anatomy, adjacent dysplasia or fusiform enlargement of the parent artery as well as the presence of strong aneurysm inflow zones that tend to draw the compliant balloon catheter into the aneurysm lumen. We describe a technique that allows the endovascular surgeon to gain purchase past the neck of a large or giant aneurysm.

Materials and …