Trial reportAJNR. American journal of neuroradiology2008
Endovascular treatment of symptomatic intradural vertebral dissecting aneurysms.
Trial report in AJNR. American journal of neuroradiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.
What it found
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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
37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 93 citations in OpenAlex.
- Clinical outcomes of patients with vertebral artery dissection treated endovascularly: a meta-analysis.Neurosurgical review · 2014Pooled it
- Clinical characteristics of symptomatic vertebral artery dissection: a systematic review.The neurologist · 2012Pooled it
- Flow-diverting stents allow efficient treatment of unruptured, intradural dissecting aneurysms of the vertebral artery: An explanatory approach using in vivo flow analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2016Trial
- Trial
- Long-term clinical and radiological results of endovascular internal trapping in vertebral artery dissection.Neuroradiology · 2013Trial
- Endovascular strategies for vertebrobasilar dissecting aneurysms.AJNR. American journal of neuroradiology · 2009Trial
- Clinical and angiographic follow-up of stent-only therapy for acute intracranial vertebrobasilar dissecting aneurysms.AJNR. American journal of neuroradiology · 2009Trial
- Treatment of ruptured vertebral artery dissecting aneurysms. A short report.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciencesTrial
- Reconstructive treatment of symptomatic vertebral artery dissecting aneurysms with Willis covered stent: Initial experience.Journal of interventional medicine · 2020Article
- Clinical Efficacy and Quality of Life Follow-Up of Reconstructive Endovascular Therapy for Acute Intracranial Vertebral Artery Dissection Aneurysms.Frontiers in surgery · 2020Article
- Endovascular reconstructive treatment using a fill-and-tunnel technique for a fusiform vertebral artery dissecting aneurysm with ipsilateral dominance.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2019Article
- Current Hospital Demographics of Subarachnoid Hemorrhage Based on CT Angiography and 3D Rotational Angiography in a Neurosurgical Center.AJNR. American journal of neuroradiology · 2019Observational
- Treatment of intracranial vertebral artery dissecting aneurysms involving the posterior inferior cerebellar artery origin.Surgical neurology international · 2019Article
- Segment Occlusion vs. Reconstruction-A Single Center Experience With Endovascular Strategies for Ruptured Vertebrobasilar Dissecting Aneurysms.Frontiers in neurology · 2019Article
- Flow Alteration Therapy for Ruptured Vertebral Artery Dissecting Aneurysms Involving the Posterior Inferior Cerebellar Artery.Neurologia medico-chirurgica · 2018Article
- State-of-art in surgical treatment of dissecting posterior circulation intracranial aneurysms.Neurosurgical review · 2018Review
- Efficacy of high-resolution cone-beam CT in the evaluation of perforators in vertebral artery dissection.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2017Article
- Successful Retreatment of Recurrent Intracranial Vertebral Artery Dissecting Aneurysms After Stent-Assisted Coil Embolization: A Self-Controlled Hemodynamic Analysis.World neurosurgery · 2017Article
- Surgical Management of Intracranial Artery Dissection.Neurologia medico-chirurgica · 2016Review
- Endovascular Treatment of Symptomatic Vertebral Artery Dissecting Aneurysms.Journal of cerebrovascular and endovascular neurosurgery · 2016Article
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 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeThe purpose of this study was to report our experience with endovascular treatment of 14 patients with symptomatic intradural vertebral dissecting aneurysms. MATERIALS AND
methodsBetween January 2000 and January 2006, 14 patients with symptomatic intradural dissecting vertebral aneurysms were treated. A total of 756 (568 ruptured, 188 unruptured) endovascular treated aneurysms (incidence, 1.9%) were treated during this period. There were 7 female and 7 male patients with a mean age of 48 years (age range, 10-64 years). Thirteen patients (93%) presented with subarachnoid hemorrhage (SAH) and 1 (7%) presented with acute symptoms of mass effect on the brain stem.
resultsTreatment consisted of coil occlusion of the dissected arterial segment including the aneurysm (internal coil trapping) in 13 of 14 patients and stent placement over the aneurysm as the only therapy in 1 patient. All aneurysms and occluded arterial segments remained occluded on follow-up imaging at 6 to 13 months, and none of the patients had infarctions in the medulla or territory of the posterior inferior cerebellar artery. Clinical outcome was excellent in 11 patients; 3 had cognitive impairment after SAH but were independent in daily activities. There were no episodes of recurrent hemorrhage.
conclusionIntradural vertebral dissecting aneurysms presenting with SAH should be treated promptly because of the high risk of recurrent hemorrhage. In our experience, trapping of the dissected segment with coils was straightforward, could be done in most patients, and was effective in preventing rebleeding. In our opinion, only in exceptional circumstances are more sophisticated techniques aimed at preservation of the parent artery necessary.
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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.