ArticleNeuroradiology2013
Carotid and vertebral artery sacrifice with a combination of Onyx and coils: technical note and case series.
Article in Neuroradiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 25 citations in OpenAlex.
- Cavernous Sinus Right Internal Carotid Artery Aneurysm With Ipsilateral Oculomotor Nerve Palsy: A Case Report.Cureus · 2024Article
- The DERIVO 2heal embolisation device: A technical report using single antiplatelet therapy for intracranial pseudoaneurysm treatment.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024Article
- Chimney Graft Technique Combined With Embolization for Treating Ruptured Aortic Arch Lesions.Frontiers in cardiovascular medicine · 2021Article
- Permanent endovascular balloon occlusion of the vertebral artery as an adjunct to the surgical resection of selected cervical spine tumors: A single center experience.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2015Article
- Management of head and neck pseudoaneurysms: a review of 33 consecutive cases.TheScientificWorldJournal · 2014Article
- Endovascular treatment of cerebral mycotic aneurysm: a review of the literature and single center experience.BioMed research international · 2013Review
- Parent Vessel Occlusion via the Balloon-Assisted, Dual Microcatheter Technique.Asian journal of neurosurgeryArticle
- Therapeutic occlusion of the vertebral artery using a new penumbra occlusion device system and ruby coils (penumbra): A technical note.Brain circulationArticle
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
Abstract
introductionPermanent vessel sacrifice has become a routine for the management of aneurysms, pseudoaneurysms, tumors, and carotid blowouts. The purpose of this study is to describe a new technique for carotid and vertebral artery sacrifice using a combination of Onyx and coils and to assess its feasibility, safety, and efficacy.
methodsThe technique consists of deploying a few coils in the parent vessel under proximal flow arrest followed by Onyx embolization directly into the coil mass. A total of 41 patients underwent carotid/vertebral artery sacrifice using this technique in our institution.
resultsA total of 26 internal carotid arteries and 15 vertebral arteries were treated. In all but one patient, a balloon test occlusion was performed prior to permanent arterial sacrifice. The mean number of coils used was 6.8 (range, 2-19). The total volume of Onyx used was 1.3 ml on average (range, 0.2-5.2 ml). All 41 (100%) parent arteries were successfully occluded. No distal migration of Onyx or coils was noted. Periprocedural complications occurred in 14.6% (6/41) of cases causing permanent morbidity in 7.3% (3/41). No patient developed a recurrence during the follow-up period (mean, 14 months).
conclusionParent vessel sacrifice with a combination of Onyx and coils appears to be feasible, safe, and effective and may be an alternative to the traditional deconstruction technique with coils alone. The risk of thromboembolism exists with this technique, but there were no instances of Onyx migration.
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