Trial reportAJNR. American journal of neuroradiology2009
Endovascular strategies for vertebrobasilar dissecting aneurysms.
Trial report in AJNR. American journal of neuroradiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06134557 (Analysis of the Therapeutic Effect of Blood Flow Reconstruction in the Treatment of Intracranial Dissection Aneurysm of Vertebral Artery), which is not on this map. Cited by 40 papers, 3 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.
Analysis of the Therapeutic Effect of Blood Flow Reconstruction in the Treatment of Intracranial Dissection Aneurysm of Vertebral Artery
Who cites it
40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- Endovascular treatments of intracranial vertebral and internal carotid arteries dissections: An interactive systematic review and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024Pooled it
- Deconstructive and Reconstructive Techniques in Treatment of Vertebrobasilar Dissecting Aneurysms: A Systematic Review and Meta-Analysis.AJNR. American journal of neuroradiology · 2015Pooled it
- Clinical outcomes of patients with vertebral artery dissection treated endovascularly: a meta-analysis.Neurosurgical review · 2014Pooled it
- Trial
- Posterior Circulation Aneurysmal Subarachnoid Hemorrhage: A Comparison Between Saccular and Dissecting Aneurysms.Brain and behavior · 2026Article
- LEO or LEO baby within enterprise overlapping stents combined with coil embolization treatment for ruptured vertebrobasilar artery dissecting aneurysms.Scientific reports · 2025Article
- Growth and regression of an intracranial vertebral artery dissecting aneurysm.Frontiers in neurology · 2025Review
- Analysis of the efficacy and factors affecting the prognosis of intracranial dissecting aneurysm treated with multi-stent overlap technique.BMC neurology · 2024Article
- Delayed fatal rupture of vertebral artery after treated with flow-diverter in fibromuscular dysplasia patient: A case report and review of the literature.Journal of cerebrovascular and endovascular neurosurgery · 2024Article
- Coil embolization of recurrent ruptured vertebral artery dissection through a marathon microcatheter: A case report.Radiology case reports · 2024Article
- Review
- Flow diverters in the treatment of unruptured vertebral artery dissecting aneurysm: A single-center experience.Frontiers in neurology · 2023Article
- Stent implantation in a patient with non-hemorrhagic vertebral artery dissection associated with severe, continuously progressive stenosis in the posterior inferior cerebellar artery bifurcation region: A case report.Radiology case reports · 2022Article
- Overlapping Stents-Assisted Coiling for Vertebral Artery Dissecting Aneurysm : LVIS Stent within Neuroform EZ Stent.Journal of Korean Neurosurgical Society · 2022Article
- Symptomatic ischemic complications following endovascular treatment of vertebral artery dissecting aneurysms.Acta neurochirurgica · 2022Article
- Angiographic characteristics of ruptured versus unruptured vertebral artery dissecting aneurysm.Journal of cerebrovascular and endovascular neurosurgery · 2022Article
- Endovascular treatment of vertebral and basilar artery aneurysms with low-profile visualized intraluminal support device.BMC neurology · 2021Article
- Pipeline Embolization Device for the Treatment of Unruptured Intracranial Dissecting Aneurysms.Frontiers in neurology · 2021Article
- Endovascular treatment of vertebral artery dissecting aneurysm: A single-center experience.Experimental and therapeutic medicine · 2019Article
- Dissecting basilar artery aneurysm manifesting as sudden sensorineural hearing loss: a case report and literature review.The Journal of international medical research · 2019Article
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 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeDissecting vertebrobasilar aneurysms are challenging to treat, and standard treatment modalities remain controversial. We retrospectively evaluated our experience using endovascular techniques to treat these aneurysms. MATERIALS AND
methodsFrom February 1997 to December 2007, 42 patients with intradural vertebrobasilar dissecting aneurysms underwent endovascular treatment. Twenty-nine patients had ruptured aneurysms, and 13 patients had unruptured dissecting aneurysms. The endovascular modalities for vertebrobasilar dissecting aneurysms were the following: 1) trapping (n = 30), 2) proximal occlusion (n = 3), 3) stent with coil (n = 6), and 4) stent alone (n = 3).
resultsSeventeen of the 29 patients with ruptured vertebrobasilar dissecting aneurysms had successful outcomes without procedural complications following endovascular treatment. Procedure-related complications were the following: 1) rebleeding (n = 3), 2) posterior inferior cerebellar artery (PICA) territory infarction (n = 6), 3) brain stem infarction (n = 2), and 4) thromboembolism-related multiple infarctions (n = 1). Clinical outcomes were favorable in 32 patients (76.1%). There were 3 (7.1%) procedure-related mortalities due to rebleeding, and 1 (2.4%) non-procedure-related mortality due to pneumonia sepsis. All 13 patients with unruptured vertebrobasilar dissecting aneurysms had favorable clinical and radiologic outcomes without procedure-related complications.
conclusionsEndovascular procedures for treatment of unruptured symptomatic dissecting aneurysms resulted in favorable outcomes. Ruptured vertebrobasilar dissecting aneurysms are associated with a high risk of periprocedural complications. Risks can be managed by using appropriate endovascular techniques according to aneurysm location, configuration, and relationship with the PICA.
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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.