ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2021
Endovascular electrothrombosis: A promising alternative for basilar artery perforator aneurysm treatment.
Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06189014 (The International PERForator ANeurysm Registry), which is not on this map. Cited by 7 papers.
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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.
The International PERForator ANeurysm Registry (PERFAN) - Natural History, Treatment, and Outcome of Intracranial Perforator Aneurysms
Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- Surgical clipping for a recurrent perforator aneurysm of the A1 segment following endovascular electrocoagulation therapy: a case report.Chinese neurosurgical journal · 2026Article
- Embolization of ruptured flow-related aneurysms arising from basilar artery perforators feeding lateral pontine arteriovenous malformations: a case series.International journal of surgery case reports · 2026Article
- Management of Intracranial Perforator Aneurysms.Stroke (Hoboken, N.J.) · 2025Review
- Ruptured Basilar Artery Perforator Aneurysm: Nightmare of a Treating Neurosurgeon.Asian journal of neurosurgery · 2025Article
- Case Report: Endovascular electrothrombosis treatment for carotid cavernous fistula caused by ruptured primitive trigeminal artery aneurysm.Frontiers in surgery · 2025Article
- An unusual etiology of subarachnoid hemorrhage, basilar artery perforator aneurysms, in Macao: Three case reports and review of literature.World journal of clinical cases · 2024Article
- Spontaneous subarachnoid hemorrhage caused by ruptured aneurysm of basilar trunk perforator: a case report and literature review.Chinese neurosurgical journal · 2022Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBasilar artery perforator aneurysms (BAPAs) are rare. Traditional surgical clipping and endovascular coiling have proven to be challenging. We present three patients treated with endovascular electrothrombosis and describe the characteristics of this new approach.
methodsThree patients presented with subarachnoid hemorrhages (SAHs). Cerebral angiography identified BAPAs. Endovascular electrothrombosis was performed after obtaining informed consent. We placed the microwire into the sac of the aneurysms through the microcatheter and connected its proximal tip to the Solitaire stent detachment system. Electrothrombosis was conducted using 1.0 mA current.
resultsTwo aneurysms were successfully occluded without treatment-related complication. The third one failed and converted to endovascular coiling using a 1.3-F microcatheter. The patient suffered brainstem infarction and finally died of severe SAH. At follow-up, the two patients were neurologically intact and angiography showed total occlusion of both aneurysms.
conclusionEndovascular electrothrombosis might be a potential alternative to traditional treatment for BAPAs. Close follow-up with caution should be mandatory. More research is needed to confirm its safety and efficacy.
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Registered trials
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