{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:51:01Z","timestamp":1786125061526,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2017,10]]},"abstract":"Abstract<\/jats:title>\n \n BACKGROUND:<\/jats:bold>\n Fusiform intracranial aneurysms are challenging due to the circumferential nature of the disease. Endovascular parent vessel sacrifice with coils may be a treatment option, but typically requires a long vessel segment to induce complete cessation of flow.\n <\/jats:p>\n \n OBJECTIVE:<\/jats:bold>\n \u2009 We evaluate early clinical experience with the intracranial use of the microvascular plug (MVP; Medtronic, Dublin, Ireland) device and to compare to previous coil-only techniques for vertebral artery sacrifice for fusiform vertebral aneurysm.\n <\/jats:p>\n \n METHODS:<\/jats:bold>\n We reviewed patients treated with the MVP for intracranial aneurysms at our institution. As a case-control study, we located 6 control patients who underwent coiling alone for vertebral artery sacrifice. The number of implants, fluoroscopy time, and procedural charges were compared using unpaired\n t<\/jats:italic>\n -tests.\n <\/jats:p>\n \n RESULTS:<\/jats:bold>\n Twelve patients underwent vessel sacrifices with MVP. Eight were for vertebral artery dissecting aneurysms. Comparing only vertebral aneurysms, the mean implants was 7 in the MVP group (n = 8) and 19.5 in the coiling group (n = 6;\n P<\/jats:italic>\n = .0015). Mean fluoroscopy time was 17.62 min in the MVP group compared to 24.2 min in the coiling group (\n P<\/jats:italic>\n = .07). Procedural costs were less in the MVP group ($19 667.38) compared to coiling ($44 909.50,\n P<\/jats:italic>\n = .05). There were no technical failures and no cases with persistent flow in the parent vessel at the end of the procedure.\n <\/jats:p>\n \n CONCLUSION:<\/jats:bold>\n The MVP is a cost-effective device for focal intracranial vessel occlusion in select patients. This is an important tool for cerebrovascular surgeons, particularly in cases of ruptured dissecting vertebral aneurysms.\n <\/jats:p>","DOI":"10.1093\/ons\/opx006","type":"journal-article","created":{"date-parts":[[2017,4,5]],"date-time":"2017-04-05T20:14:00Z","timestamp":1491423240000},"page":"596-602","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Use of a Polytetrafluoroethylene-Coated Vascular Plug for Focal Intracranial Parent Vessel Sacrifice for Fusiform Aneurysm Treatment"],"prefix":"10.1227","volume":"13","author":[{"given":"Andrew P","family":"Carlson","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of New Mexico School of Medicine, Albuquerque, New Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Abbas","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of New Mexico School of Medicine, Albuquerque, New Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Hall","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of New Mexico School of Medicine, Albuquerque, New Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of New Mexico School of Medicine, Albuquerque, New Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,10]]},"reference":[{"issue":"2","key":"bib1-20240909","doi-asserted-by":"crossref","first-page":"E21","DOI":"10.3171\/FOC.2008.25.2.E21","article-title":"Revascularization for complex intracranial aneurysms","volume":"24","author":"Surdell","year":"2008","journal-title":"Neurosurg Focus"},{"issue":"7","key":"bib2-20240909","first-page":"1421","article-title":"Endovascular management of 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stenting or trapping?","volume":"38","author":"Fang","year":"2015","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"2","key":"bib6-20240909","doi-asserted-by":"crossref","first-page":"e275","DOI":"10.1055\/s-0035-1564607","article-title":"Tailored PICA revascularization for unusual ruptured fusiform vertebro-pica origin aneurysms: rationale and case illustrations","volume":"76","author":"Carlson","year":"2015","journal-title":"J Neurol Surg Rep"},{"issue":"4","key":"bib7-20240909","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1055\/s-0031-1280685","article-title":"Treatment strategies for complex intracranial aneurysms: review of a 12-year experience at the university of cincinnati","volume":"21","author":"Andaluz","year":"2011","journal-title":"Skull Base"},{"issue":"2","key":"bib8-20240909","doi-asserted-by":"crossref","first-page":"259","DOI":"10.3171\/jns.2002.97.2.0259","article-title":"Dissecting aneurysms of the vertebral artery: a management 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Neurol"},{"key":"bib12-20240909","doi-asserted-by":"crossref","first-page":"S163","DOI":"10.1227\/NEU.0000000000000220","article-title":"Balloons in endovascular neurosurgery: history and current applications","volume":"74","author":"Alaraj","year":"2014","journal-title":"Neurosurgery"},{"issue":"10","key":"bib13-20240909","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1136\/neurintsurg-2014-011306","article-title":"Micro Vascular Plug (MVP)-assisted vessel occlusion in neurovascular pathologies: technical results and initial clinical experience","volume":"7","author":"Beaty","year":"2015","journal-title":"J Neurointerv Surg"},{"issue":"11","key":"bib14-20240909","doi-asserted-by":"crossref","first-page":"1735","DOI":"10.1016\/j.jvir.2015.08.005","article-title":"Intraprocedural safety and technical success of the MVP micro vascular plug for embolization of pulmonary arteriovenous malformations","volume":"26","author":"Conrad","year":"2015","journal-title":"J Vasc Interv 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