ArticleNeuroradiology2011
Parent artery occlusion is not obsolete in giant aneurysms of the ICA. Experience with very-long-term follow-up.
Article in Neuroradiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- Endovascular Treatment of Very Large and Giant Intracranial Aneurysms: Comparison between Reconstructive and Deconstructive Techniques-A Meta-Analysis.AJNR. American journal of neuroradiology · 2018Pooled it
- Flow diversion versus traditional endovascular coiling therapy: design of the prospective LARGE aneurysm randomized trial.AJNR. American journal of neuroradiology · 2014Trial
- Flow-diverter silk stent for the treatment of intracranial aneurysms: 1-year follow-up in a multicenter study.AJNR. American journal of neuroradiology · 2012Trial
- Beyond endovascular limits: open surgical management of bilateral giant petrocavernous internal carotid artery aneurysms in a pediatric patient.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Article
- Perioperative and long-term complications following therapeutic internal carotid artery occlusion.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023Article
- The Role of Bypass Surgery for the Management of Complex Intracranial Aneurysms in the Anterior Circulation in the Flow-Diverter Era: A Single-Center Series.Brain sciences · 2022Article
- Giant internal carotid aneurysm: endovascular parent artery occlusion after failed treatment using a flow diverter-case report.Journal of surgical case reports · 2021Article
- Parent Artery Occlusion for Unruptured Cerebral Aneurysms: Results of the Japanese Registry of Neuroendovascular Therapy 3.Neurologia medico-chirurgica · 2019Article
- Aneurysm Study of Pipeline in an Observational Registry (ASPIRe).Interventional neurology · 2016Article
- Parent artery occlusion in large, giant, or fusiform aneurysms of the carotid siphon: clinical and imaging results.AJNR. American journal of neuroradiology · 2015Article
- Technical failure of giant supraclinoid aneurysm after internal carotid artery occlusion. A report of three cases.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2014Article
- Parent artery occlusion for unruptured cerebral aneurysms: the Japanese Registry of Neuroendovascular Therapy (JR-NET) 1 and 2.Neurologia medico-chirurgica · 2014Article
- Occlusion of M1 segment after superficial temporal artery-middle cerebral artery bypass in a giant M1 aneurysm with Onyx-34 injected via a double-lumen balloon under balloon inflation.BMJ case reports · 2013Article
- Pipeline embolization device in aneurysmal subarachnoid hemorrhage.AJNR. American journal of neuroradiology · 2013Article
- Long-term clinical and imaging follow-up of complex intracranial aneurysms treated by endovascular parent vessel occlusion.AJNR. American journal of neuroradiology · 2012Article
- Giant extracranial aneurysm of the internal carotid artery in neurofibromatosis type 1. A case report and review of the literature.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2012Review
- Treatment of intracranial aneurysms using the pipeline flow-diverter embolization device: a single-center experience with long-term follow-up results.AJNR. American journal of neuroradiology · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe purpose of this study was to present the long-term clinical and angiographic follow-up (FU) in 26 consecutive patients with giant/large aneurysms (G/LAs) of the internal carotid artery (ICA) treated by parent artery occlusion (PAO).
methodsTwenty-two of 26 G/LAs of the ICA were treated by PAO when a balloon test occlusion prior to occlusion of the ICA was tolerated. Clinical and angiographic FU were available in, respectively, 20 and 18 patients with a mean delay of 6.1 years (range 1.5-11).
resultsAt long-term FU, clinical symptoms had disappeared in 75% of the patients, partially regressed in 10%, and remained unchanged in 15% of cases. No patient presented worsening of clinical symptoms or intracranial bleeding. Fifteen patients presented a modified Rankin scale score of 0 and five patients a score of 1. On imaging FU, persistent occlusion of the PA was observed in 17/18 cases. One case of aneurysmal recanalization was observed at long-term FU. PAO was well tolerated in all patients. On angiographic FU, no new lesion was detected, except the growing of a pre-existing aneurysm located on the carotid siphon contralateral to the occluded vessel.
conclusionOur study demonstrates that occlusion of the parent artery for giant/large ICA aneurysms remains a safe and effective technique with good clinical and angiographic outcome at long-term FU.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.