ArticleJournal of neurointerventional surgery2023
Reconstructive endovascular treatment for basilar artery trunk aneurysms: complications and clinical and angiography outcomes.
Article in Journal of neurointerventional surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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13 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Management strategies and outcomes of basilar trunk aneurysms: a systematic review and meta-analysis.Langenbeck's archives of surgery · 2026Pooled it
- Telescoping leo+ stents for basilar artery trunk aneurysms: a systematic review of endovascular strategies.Neuroradiology · 2026Article
- Endovascular treatment for basilar trunk artery aneurysm in the flow diverter era: a consecutive series and review of literature.Chinese neurosurgical journal · 2026Article
- Dissecting and partially thrombosed basilar artery aneurysm simultaneously treated with 2 different types of endovascular stents.Radiology case reports · 2026Article
- Microsurgical treatment of saccular basilar artery trunk aneurysms: Results and case illustrations.Journal of cerebrovascular and endovascular neurosurgery · 2026Article
- The similarities and differences among the cerebral perforating arteries, and their clinical implications.Surgical and radiologic anatomy : SRA · 2026Article
- Flow diversion versus conventional endovascular treatment for ruptured basilar artery dissecting aneurysms: a single-center cohort study.Frontiers in neurology · 2026Article
- Complications and long-term outcomes after endovascular treatment of basilar trunk aneurysms.Frontiers in neurology · 2025Article
- Eleven-Year Follow-Up of a Ruptured Basilar Artery Trunk Dissecting Aneurysm Treated with Coiling and Multiple Overlapping Stents.Journal of neuroendovascular therapy · 2025Article
- Reconstructive endovascular treatment of patients with ruptured distal intracranial aneurysms in posterior circulation: a retrospective cohort study.Quantitative imaging in medicine and surgery · 2024Article
- Outcome study of the Pipeline Vantage Embolization Device (second version) in unruptured (and ruptured) aneurysms (PEDVU(R) study).Journal of neurointerventional surgery · 2024Article
- Current research status and future of endovascular treatment for basilar artery aneurysms.The neuroradiology journal · 2024Review
- Open surgical treatment of basilar artery aneurysms in the interventional therapy era.Acta neurochirurgica · 2024Article
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12 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundBasilar artery trunk aneurysms (BTAs) are rare intracranial aneurysms. We aim to investigate the procedural complications and clinical and angiographic outcomes of BTAs treated with reconstructive endovascular treatment (EVT).
methodsWe retrospectively reviewed the data of 111 patients with BTAs who underwent reconstructive EVT during 2013-2022. The factors associated with procedural complications and clinical and angiographic outcomes were analyzed.
resultsThe study included 81 men and 30 women (median age 60 years). Overall, 26 (23.4%) cases presented with subarachnoid hemorrhage and 85 (76.6%) presented with unruptured aneurysms. Periprocedural ischemic and hemorrhagic complications occurred in 29 (26.1%) and 4 (3.6%) cases, respectively. The rate of favorable clinical outcomes was 83.8% (92/111) and the mortality rate was 14.4% (16/111). Angiographic follow-up data were available for 77/95 (81.1%) survivors; 57 (74.0%) and 20 (26%) aneurysms exhibited complete and incomplete obliteration, respectively. Old age, high Hunt and Hess grades (IV-V), hemorrhagic complications, and increased aneurysm size were independent risk factors for unfavorable clinical outcomes (p
conclusionReconstructive EVTs are a feasible and effective treatment for BTAs but are associated with a high risk of ischemic and hemorrhagic complications and a high mortality rate. Larger aneurysms may predict unfavorable clinical outcomes and aneurysm recurrence during follow-up. Hemorrhagic complications may predict unfavorable clinical outcomes, whereas immediate complete aneurysm occlusion may predict total occlusion during follow-up.
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