A low profile, tailored stiffness intravascular balloon catheter is disclosed for use especially in treatment of intracranial aneurysm. Treatment utilizing the device can be performed without the need for a guide wire during delivery of embolic implants. A profiled metal hyptotube that is machine-cut or laser cut in a dual, off-set helical pattern, is the foundation for the device. A polymer jacket may be disposed upon the hypotube. A thin wall elastomeric balloon is bonded to the distal end of the system in fluid communication with the hypotube. The system may have one or more delivery ports for the release of embolic implants.