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Innovative endovascular strategies for challenging accesses, tiny aneurysms treatment and MMA embolization

Last update on November 20, 2025

Discover three cases illustrating how innovation in microcatheters, coiling, and embolic agents is redefining the management of complex aneurysms and subdural hematomas, enhancing precision, safety, and long-term efficacy in neurointervention.

 

One&Done coiling for tiny aneurysms

In this challenging case of ruptured Acom and AchoA aneurysms, simple coiling with larger-volume, ultrasoft coils enabled stable occlusion in a single step, avoiding the risks of antiplatelet therapy and offering an elegant, efficient solution. [...]
By Carmine SICIGNANO

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Middle meningeal artery embolization for recurrent chronic subdural hematoma

After initial evacuation of a large chronic subdural hematoma in a 67-year-old patient, recurrence led to targeted MMA embolization via radial access using SquidTM 12 (Balt extrusion), ensuring deep membrane penetration and durable treatment. [...]
By Ángela H. Schmolling

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Microcatheter control in the management of a wide-neck Acom aneurysm

The Microchap™ microcatheter ease navigability and provides stability during intracranial procedures. Its design can be useful for accessing or securing recurrent branches located at the aneurysm neck. By enabling rapid catheterization, it may help reduce the risk of vessel injury or aneurysm perforation. This innovation may contribute to improving the endovascular management of complex intracranial aneurysms.​ [...]
By Jean-Christophe GENTRIC

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Supported by Balt

 

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