Evidence map›Paper›PMID 42857339›Full record

ArticleCureus2026

Surgical Deconstruction of Recurrent Basilar Apex Aneurysms Refractory to Endovascular Treatment.

Nicholas P Derrico, Madhav Sankhyan, Thomas R Hemphill, Alessio Iacoangeli, Gustavo Luzardo

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nicholas P DerricoNeurosurgery, University of Mississippi Medical Center, Jackson, USA.
Madhav SankhyanNeurosurgery, University of Mississippi Medical Center, Jackson, USA.
Thomas R HemphillNeurosurgery, University of Mississippi Medical Center, Jackson, USA.
Alessio IacoangeliNeurological Surgery, Azienda Ospedaliero Universitaria delle Marche, Torrette, ITA.
Gustavo LuzardoNeurosurgery, University of Mississippi Medical Center, Jackson, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treating aneurysms of the basilar apex that have recurred despite endovascular treatment presents a difficult clinical situation. Retreatment by endovascular means carries a high risk of requiring complicated endovascular constructs, incomplete results and recurrence, and worsening symptoms of mass effect, whereas surgical disconnection presents an opportunity for a safe, immediate, and durable resolution. We present two cases of microsurgical interruption of the basilar artery immediately below the apex as a treatment for these refractory aneurysms. The angiographic presence of a posterior communicating artery and the intraoperative identification of the perforator-free zone are described, highlighting this intervention as a safe and durable treatment strategy for recurrent aneurysms of the basilar apex.

Indexed as

endovascular aneurysm repairintracranial aneurysmmicrosurgical aneurysm clippingneuro interventionalposterior circulation aneurysm

Identifiers

PMID42857339
PMCPMC13652288

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.