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.
摘要：
在分流器时代，大型或巨大颈内动脉瘤的父母动脉闭塞仍然是必要的程序。目前使用可拆卸的球囊或线圈进行血管内父动脉闭塞，很难获得或昂贵。在我们的机构，我们设计了一种将正丁基-2-氰基丙烯酸酯和盘管与流量控制相结合的技术来解决这个问题。包括因大型或巨大颈内动脉动脉瘤而接受母体动脉闭塞且随访时间超过12个月的患者。评估完整或不完全动脉瘤闭塞以及有无动脉瘤收缩的成像结果。临床结果基于改良Rankin量表的变化。包括10名患者(10个动脉瘤)。平均年龄68.4岁,平均随访36个月,分别。在所有病例中均观察到完全闭塞和良好的临床结果。使用线圈和2-氰基丙烯酸正丁酯的组合以及流量控制技术对成像和临床结果均有效。
