Trial reportAJNR. American journal of neuroradiology2007
Coiling of very large and giant basilar tip aneurysms: midterm clinical and angiographic results.
Trial report in AJNR. American journal of neuroradiology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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Who cites it
12 citing papers in PubMed, 165 citations in OpenAlex.
- Delayed posterior tilting of a giant basilar tip aneurysm following stent-assisted coiling with therapeutic P1 occlusion: A case report.Surgical neurology international · 2026Article
- Review of current treatment modalities and clinical outcome of giant saccular aneurysms of the basilar apex.Brain & spine · 2024Review
- A Case Report of a Giant Basilar Artery Aneurysm.Cureus · 2023Article
- Large, Wide-Neck, Side-Wall Aneurysm Treatment in Canines Using NeuroCURE: A Novel Liquid Embolic.Stroke (Hoboken, N.J.) · 2023Article
- Photomodulated Extrusion as a Localized Endovascular Hydrogel Deposition Method.Advanced healthcare materials · 2023Article
- Treatment of experimental aneurysms with a GPX embolic agent prototype: preliminary angiographic and histological results.Journal of neurointerventional surgery · 2022Article
- Application of a rabbit-elastase aneurysm model for preliminary histology assessment of the PPODA-QT liquid embolic.Surgical neurology international · 2021Article
- Recurrence of endovascularly and microsurgically treated intracranial aneurysms-review of the putative role of aneurysm wall biology.Neurosurgical review · 2019Review
- Combined surgical and endovascular management of a giant fusiform PCA aneurysm in a pediatric patient. A case report.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2013Article
- Parent artery occlusion is not obsolete in giant aneurysms of the ICA. Experience with very-long-term follow-up.Neuroradiology · 2011Article
- Endovascular treatment of large and giant aneurysms.AJNR. American journal of neuroradiology · 2009Review
- Unruptured large and giant carotid artery aneurysms presenting with cranial nerve palsy: comparison of clinical recovery after selective aneurysm coiling and therapeutic carotid artery occlusion.AJNR. American journal of neuroradiology · 2008Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeThe purpose of this study was to report the midterm clinical and angiographic results of coiling of very large (>15 mm) and giant basilar tip aneurysms. MATERIALS AND
methodsBetween January 1995 and October 2005, 44 very large and giant basilar tip aneurysms in 44 patients were coiled. There were 13 men (30%) and 31 women (70%) with a mean age of 51.4 years (median, 51 years; range, 34-72 years). Mean aneurysm size was 19.6 mm (range, 15-30 mm). Of 44 aneurysms, 33 (75%) had ruptured. Of 11 unruptured basilar tip aneurysms, 7 were incidentally discovered, 1 was additional to another ruptured aneurysm, and 3 were symptomatic by mass effect.
resultsProcedural mortality was 2/44 (4.6%, 95% confidence interval (CI), 0.4%-16%) and morbidity 1/44 (2.3%, 95% CI, 0.01%-13%). Of 33 patients with ruptured aneurysms, mean clinical follow-up was 5.2 years (range, 0.5-11.5 years). Two patients had a rebleeding from the coiled basilar tip aneurysm leading to death in 1 patient and to dependency in the other patient (annual rebleeding rate, 1.1%) One other patient died 2 years later of progressive brain stem compression. Mean angiographic follow-up in 41 of 42 surviving patients was 3.1 years. Nineteen aneurysms reopened and were coiled for a second time. Of these, 9 repeatedly reopened with time and were repeatedly coiled up to 6 times. Additional treatments were without complications.
conclusionCoiling of very large and giant basilar tip aneurysms is associated with reasonably low morbidity. Although additional treatment during follow-up is frequently necessary, rebleeding is uncommon.
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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.