Abstract：
The detachable balloon catheter (DBC) was a revolutionary technique for the treatment of cerebrovascular pathologies. It was used to treat carotid cavernous fistulas (CCFs), vertebro-jugular fistulas, arteriovenous malformations (AVMs), and aneurysms. The DBC became the foundation for neurointerventional techniques, leading to the development of coil embolization and bioactives. Our team selected relevant articles from PubMed published between 1974 and 2023. Articles were excluded if they did not discuss the use or development of the detachable balloon catheter or subsequent technologies. The DBC was used to occlude vessels, either temporarily or permanently. Dr Gerard Debrun implemented findings from Dr Fedor Serbinenko\'s research to develop an intravascular detachable balloon technique. He developed many variations using type I and type II balloon catheters that differed in size, length, and material, allowing for the personalization of treatment based on the lesion. This revolutionary thinking showed that every pathology has a different shape and anatomy that require a unique approach. The DBC would offer the first alternative to the conventional practice of carotid occlusion in CCF treatment at the time. The DBC would later be used in aneurysm occlusion and the embolization of AVMs, with additional benefit in traumatic vascular sacrifice. Although the DBC has largely been replaced, it is still useful in a small subset of patients, and has financial incentive as it is more affordable than coils. This technique was a monumental stride in the history of neurointervention and helped propel the specialty to the current era of patient-specific interventions.
摘要：
可拆卸球囊导管（DBC）是治疗脑血管疾病的革命性技术。它被用于治疗颈动脉海绵窦瘘（CCF），椎颈静脉瘘,动静脉畸形（AVM），和动脉瘤。DBC成为神经介入技术的基础，导致线圈栓塞和生物活性的发展。我们的团队选择了1974年至2023年出版的PubMed的相关文章。如果文章没有讨论可拆卸球囊导管的使用或开发或后续技术，则将其排除在外。DBC用于闭塞血管，暂时或永久。GerardDebrun博士实施了FedorSerbinenko博士的研究结果，开发了一种血管内可拆卸的球囊技术。他使用尺寸不同的I型和II型球囊导管开发了许多变体，长度,和材料，允许基于病变的个性化治疗。这种革命性的思想表明，每种病理都有不同的形状和解剖结构，需要独特的方法。DBC将为当时CCF治疗中颈动脉闭塞的常规做法提供第一个替代方案。DBC以后将用于动脉瘤闭塞和AVM的栓塞，在创伤性血管牺牲中具有额外的益处。尽管DBC已被取代，它对一小部分患者仍然有用，并且有经济激励，因为它比线圈更实惠。这种技术在神经干预史上是一个巨大的进步，并有助于将该专业推进到当前的患者特定干预时代。
