Evidence map›Paper›PMID 38910196›Full record

ArticleActa neurochirurgica2024

Open surgical treatment of basilar artery aneurysms in the interventional therapy era.

Meng Zhang, Kaiming Gao, Xiangchen Wu, Xingdong Wang, Zhiqiang Wang, Xiaoguang Tong

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Article in Acta neurochirurgica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Meng ZhangSchool of Medicine, Nankai University, 94 Weijin Road, Tianjin, 300071, China.
Kaiming GaoDepartment of Neurosurgery, Huanhu Hospital Affiliated to Nankai University, Tianjin Huanhu Hospital, NO.6, Jizhao Road, Jinnan District, Tianjin, China.
Xiangchen WuDepartment of Neurosurgery, Huanhu Hospital Affiliated to Nankai University, Tianjin Huanhu Hospital, NO.6, Jizhao Road, Jinnan District, Tianjin, China.
Xingdong WangClinical College of Neurology, Neurosurgery and Neurorehabilitation, Tianjin Medical University, Tianjin, China.
Zhiqiang WangClinical College of Neurology, Neurosurgery and Neurorehabilitation, Tianjin Medical University, Tianjin, China.
Xiaoguang TongSchool of Medicine, Nankai University, 94 Weijin Road, Tianjin, 300071, China. tongxg-doctor@hotmail.com.ORCID 0000-0003-1428-4481

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to describe the effectiveness and evaluation of open surgical treatment of basilar artery aneurysms in the context of interventional therapy era, including surgical clipping and blood reconstruction, by retrospectively analyzing the clinical data of basilar artery aneurysms in our center.

methodsPatients with basilar artery aneurysms who were treated at our center were retrospectively included according to the inclusion and exclusion criteria. The basic clinical data, surgical approach, clinical follow-up and prognosis of the enrolled patients were analyzed in detail. In this study, the mRS score was applied to assess the neurological prognosis of the patients, and the relevant data were statistically analyzed using SPSS.

resultsA total of 104 eligible patients treated at our center from January 2010 to August 2023 were included in this study, of which 67 were treated by open surgery and 37 by bypass. For the 67 patients with open surgical clipping, the mean age was 60.0 (52.0, 65.0) years. The maximum diameter of the aneurysms ranged from 2.0 mm to 54.0 mm, with a mean of 13.9 (10.0, 19.0) mm. The mean follow-up time was 38 (20, 58) months. At the last follow-up, 61 (91.0%) completely obliterated aneurysms and 6 (9.0%) incompletely obliterated aneurysms were found. The prognosis was good in 59 (88.1%) patients and poor in 8 (11.9%). After surgical clipping, the difference between complete and incomplete postoperative aneurysm elimination was statistically significant between the favorable and poor prognosis groups (P < 0.001). For the 37 bypass group patients, the mean age was 52.0 (45.5, 59.0) years. The maximum diameter of the aneurysm ranged from 10.5 mm to 55.0 mm, with a mean of 28.55 ± 12.08 mm. Bypass combined with proximal occlusion was performed in 18 (48.6%) patients, and bypass only was performed in 19 (51.4%) patients. Clinical follow-up was 19.0 (10.5, 43.0) months. There were 19 (51.4%) patients with complete elimination of the aneurysm, 13 (35.1%) with incomplete elimination of the aneurysm, and 5 (13.5%) with aneurysm stabilization. The prognosis was good in 32 (86.5%) patients and poor in 5 (13.5%) patients.

conclusionTreatment of basilar artery aneurysms is challenging. In the context of the rapidly evolving interventional therapy era, open surgery including surgical clipping and bypass is an ideal option for complex basilar artery aneurysms not amenable to intervention.

Indexed as

Intracranial AneurysmAdultAgedBasilar ArteryFemaleFollow-Up StudiesHumansMaleMiddle AgedNeurosurgical ProceduresRetrospective StudiesTreatment OutcomeBasilar artery aneurysmBypassOpen surgerySurgical clipping

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