AI Article Synopsis
- Parent artery occlusion remains a vital treatment for large or giant internal carotid artery aneurysms, even with the availability of flow diverters.
- A new technique combining n-butyl-2-cyanoacrylate and coils with flow control has been developed to reduce the costs and accessibility issues of current methods.
- In a study of ten patients with an average follow-up of 36 months, complete occlusion and favorable clinical outcomes were achieved in all cases, demonstrating the effectiveness of this approach.
Article Abstract
Parent artery occlusion for large or giant internal carotid artery aneurysms remains a necessary procedure in the era of flow diverters. Endovascular parent artery occlusion is currently performed using detachable balloons or coils, which are difficult to obtain or costly. At our institution, we have devised a technique for combining n-butyl-2-cyanoacrylate and coils with flow control to solve this problem. Patients who underwent parent artery occlusion for large or giant internal carotid artery aneurysms with a follow-up period of more than 12 months were included. Imaging outcomes were evaluated for complete or incomplete aneurysmal occlusion and with or without aneurysmal shrinkage. The clinical outcome was based on changes in the modified Rankin Scale. Ten patients (ten aneurysms) were included. Their average age and average follow-up period were 68.4 years and 36 months, respectively. Complete occlusion and favorable clinical outcome were observed in all cases. The parent artery occlusion using a combination of coils and n-butyl-2-cyanoacrylate with flow control technique is effective for both imaging and clinical outcomes.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11461183 | PMC |
| http://dx.doi.org/10.2176/jns-nmc.2024-0046 | DOI Listing |
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