scholarly journals A Case of Bilateral Intracavernous Carotid Artery Aneurysms Treated by Using Parent Artery Occlusion with Bypass and Endovascular Therapy

2016 ◽  
Vol 44 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Masanobu OKAUCHI ◽  
Atsushi SHINDO ◽  
Masahiko KAWANISHI ◽  
Nobuyuki KAWAI ◽  
Takashi TAMIYA
Keyword(s):  
Carotid Artery ◽  
Endovascular Therapy ◽  
Artery Occlusion ◽  
Parent Artery ◽  
Parent Artery Occlusion ◽  
Intracavernous Carotid Artery

scholarly journals Rapid Revascularization After Therapeutic Parent Artery Occlusion for a Large Intracavernous Carotid Artery Aneurysm

2007 ◽  
Vol 47 (12) ◽  
pp. 559-563 ◽  
Author(s):  
Kenji KAGAWA ◽  
Hiroaki SHIMIZU ◽  
Yasushi MATSUMOTO ◽  
Mika WATANABE ◽  
Teiji TOMINAGA
Keyword(s):  
Carotid Artery ◽  
Artery Aneurysm ◽  
Artery Occlusion ◽  
Parent Artery ◽  
Carotid Artery Aneurysm ◽  
Parent Artery Occlusion ◽  
Intracavernous Carotid Artery

scholarly journals Opening of unusual vascular collaterals leads to early recanalization of a giant intracavernous carotid artery aneurysm following common carotid artery occlusion: A Case report and literature review

2020 ◽  
Vol 11 ◽  
pp. 62
Author(s):  
Ana M. Castaño-Leon ◽  
Jose F. Alen ◽  
Alfonso Lagares
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Artery Aneurysm ◽  
Artery Occlusion ◽  
Carotid Artery Occlusion ◽  
External Carotid Artery ◽  
External Carotid ◽  
Parent Artery ◽  
Parent Artery Occlusion ◽  
Intracavernous Carotid Artery

Background: Parent artery occlusion (PAO) with or without bypass surgery is a feasible treatment for large intracavernous carotid artery (ICCA) aneurysms. The ideal occlusion site (internal or common carotid artery [CCA]) and ischemic complications after PAO have received special attention since the description of the technique. Unfrequently, some patients can also develop unusual external carotid artery-internal carotid artery collateral pathways distal to the ligation site that can explain the failure to aneurysm size reduction. Case Description: We describe a rare case of delayed refilling of a large ICCA aneurysm partially thrombosed which early recanalized after surgical ligation of the cervical CCA through an unusual collateral pathway. Conclusion: Based on our experience, we recommend periodic long-term follow-up neuroimaging, especially in those cases where potential collateral branches have not been clearly identified in the preoperative studies.

Balloon Migration into a Giant Carotid Aneurysm after Parent Artery Occlusion Using Detachable Balloons

1998 ◽  
Vol 4 (4) ◽  
pp. 323-328 ◽  
Author(s):  
A. Uchino ◽  
P.K. Maurer ◽  
H.S. Brara ◽  
Y. Numaguchi
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Occlusion ◽  
Parent Artery ◽  
Parent Artery Occlusion ◽  
Occlusion Technique ◽  
Large Aneurysm ◽  
The Right

We treated a 70-year-old man with a giant paraophthalmic region aneurysm of the right internal carotid artery using the parent artery occlusion technique with three detachable balloons. Initially, the patient did well, but migration of the distal balloon into the aneurysm was detected seven months later. This report suggests that initial parent artery occlusion using balloons will not always induce permanent thrombosis of a large aneurysm, because the occlusion and thrombosis is strictly dependant on the position of the balloons that are used, and adjunct use of coils may be indicated.

Surgical Distal Outflow Occlusion for the Treatment of Complex Intracranial Aneurysms

2014 ◽  
Vol 11 (1) ◽  
pp. 8-16 ◽  
Author(s):  
Eric S. Nussbaum
Keyword(s):  
Endovascular Therapy ◽  
Intracranial Aneurysms ◽  
Artery Occlusion ◽  
Cranial Neuropathy ◽  
Parent Artery ◽  
Complex Aneurysms ◽  
Parent Artery Occlusion ◽  
Acute Subarachnoid Hemorrhage ◽  
Proximal Occlusion

Abstract BACKGROUND Selected intracranial aneurysms still require parent artery occlusion. Although such occlusion is usually performed proximal to the aneurysm, in rare instances, it may be difficult or impossible to access the proximal parent artery. OBJECTIVE To describe the use of parent artery sacrifice distal to the aneurysm (distal outflow occlusion) in the management of complex aneurysms not amenable to standard microsurgical or endovascular therapy. METHODS We reviewed a comprehensive database of intracranial aneurysms evaluated between 1997 and 2013. Hospital records, neuroimaging studies, operative reports, and outpatient clinic notes were examined for all patients treated with distal outflow occlusion. RESULTS Eighteen patients (11 women, 7 men; ages 28-69 years) underwent surgical distal outflow occlusion. Eight (44%) underwent concomitant distal revascularization. Intraoperative and delayed postoperative angiography was performed in every case. Nine presented with acute subarachnoid hemorrhage, 1 had a remote bleeding episode. The remaining lesions were unruptured; 3 were discovered incidentally, 3 had symptomatic cerebral edema, 1 had transient ischemic attacks, and 1 had cranial neuropathy. The average follow-up period was 6.5 years; no patient was lost to follow-up review. Two aneurysms required delayed endovascular treatment. Overall, 16 patients achieved a good outcome, 1 had moderate disability, and 1 died. CONCLUSION We describe our experience with distal outflow occlusion in the treatment of complex aneurysms not amenable to primary clip reconstruction or endovascular therapy. This technique has been described in very limited fashion in the past and may be particularly useful for patients requiring parent artery occlusion when proximal occlusion is challenging or impossible.

Intravascular Treatment for Cerebral Aneurysms

1998 ◽  
Vol 4 (1_suppl) ◽  
pp. 145-148
Author(s):  
M. Negoro ◽  
T. Okamoto ◽  
S. Miyachi ◽  
I. Takahashi ◽  
K. Fukui ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid ◽  
Cerebral Aneurysms ◽  
Artery Occlusion ◽  
Parent Artery ◽  
Parent Artery Occlusion ◽  
Occlusion Rate ◽  
Treatment For Cerebral Aneurysms ◽  
Intravascular Treatment ◽  
Wide Neck

We have treated 142 aneurysms with intrasaccular or parent artery occlusions. Selective intrasaccular occlusions were attempted on 109 cases. Total or subtotal saccular occlusion was achieved in 93 of 96 cases. Intrasaccular occlusion could not be achieved in 13 cases because of various reasons such as wide neck, branching from aneurysmal dome, difficult to catheterize, and aneurysm too small. Parent artery occlusion was attempted on 33 cases. Twenty-five patients had giant aneurysms of the internal carotid artery (ICA) at the cavernous portion. The rest of this group had dissecting or fusiform aneurysms of the vertebral artery. Parent artery occlusion was achieved in 30 cases with six ischemic symptoms. High percentage of occlusion rate and low morbidity and mortality for metallic coil embolization prove the efficacy of this endovascular treatment.

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