Combined endovascular and surgical treatment of fusiform aneurysms of the basilar artery: technical note

Kızılkılıç, Osman; Kayadibi, Yasemin; Sanuş, Galip Zihni; Koçer, Naci; Işlak, Civan

doi:10.1007/s00701-013-1913-8

Cited by 6 publications

(16 citation statements)

References 53 publications

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“…Perioperative mortality in the deconstructive group and the reconstructive group was 4% versus 5%. Long-term good clinical outcome rates were similar between the reconstructive and deconstructive groups (94% vs. 93.0%),[ 13 ] demonstrating that both deconstructive and reconstructive techniques can effectively treat ruptured and unruptured VBDA. Besides that, deconstructive techniques presented higher rates of complete angiographic occlusion and the reconstructive techniques periprocedural morbidity rates were lower.…”

Section: Resultsmentioning

confidence: 99%

“…Kizilkilic et al . [ 13 ] presented the combined treatment of fusiform BA aneurysms, consisting of a surgical posterior fossa decompressive craniectomy and ventriculoperitoneal shunt operation at the same sitting, before the endovascular procedure with telescopic stenting of the aneurysmatic vessel segment in four cases. The treatment consists in a surgical procedure consisting of ventriculoperitoneal shunt placement for hydrocephalus and an occipital bone craniectomy and C1 vertebrae posterior laminectomy to decompress the posterior fossa in the same session.…”

Section: Resultsmentioning

confidence: 99%

“…The study shows that this technique is a safer endovascular approach to treat symptomatic fusiform BA aneurysms by protecting patients from the hemorrhagic complications of anticoagulant therapy and thrombotic complications due to the interruption of anticoagulant therapy, at the same time treating the hydrocephalus and compression by surgical means. [ 13 ]…”

Section: Resultsmentioning

confidence: 99%

“…The management of intracranial basilar dissecting aneurysms has been controversial and challenging and both surgical and conservative treatments usually have a bad prognosis. [ 13 14 ] Fusiform aneurysms in BA can be treated by many endovascular techniques. Combined treatment of fusiform BA aneurysms, consisting in a surgical posterior fossa decompressive craniectomy and ventriculoperitoneal shunt operation at the same time, before the telescopic stenting of the aneurysmatic BA segment in four cases presented, showed excellent results and seems to be a safer endovascular approach to treat symptomatic fusiform BA aneurysms, once it protects the patients from the hemorrhagic complications of the anticoagulant therapy and from the thrombotic complications owing to the interruption of the anticoagulant therapy, at the same time treating the hydrocephalus and compression by surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

“…Management of intracranial basilar dissecting aneurysms has been controversial and challenging and both surgical and conservative treatments usually have a bad prognosis. [ 13 14 ] There are many endovascular techniques to treat fusiform aneurysms in basilar artery (BA). The stent-assisted coil technique is a choice to treat the lesion.…”

Section: Introductionmentioning

confidence: 99%

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Fusiform aneurysms: A review from its pathogenesis to treatment options

Barletta¹,

Ricci²,

Silva³

et al. 2018

Surg Neurol Int

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Background:This study aims to present the most important considerations when it comes to patients features, clinical presentation, localization, and morphology of the aneurysm and the treatments outcomes of the fusiform aneurysms.Methods:We performed a literature review using PubMed. The search was limited to the studies published in English, from 2003 to 2017.Results:The studies analyzed that showed data about the patient features, clinical presentation, the aneurysm localization, morphology, and pathogenesis didn't present much divergence. The surgical and the endovascular approach showed similar treatments outcomes. The reconstructive techniques seem to be safer than the deconstructive. The flow diversion is a technique that showed great results.Conclusion:Most of the patients are men, younger than 50 years old, pediatric patients are the most affected. Surgical procedures still have an important place in this field. Reconstructive and deconstructive techniques are both effective; the reconstructive techniques are possibly safer than deconstructive techniques. The most important feature of an aneurysm to predict a bad prognose is to determine if the aneurysm is ruptured. The reconstructive EVT accompanied by dual antiplatelet after and before the procedure showed the best results to treat the basilar fusiform aneurysms. Deconstructive treatment including posterior inferior cerebellar artery occlusion should be considered.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Fusiform aneurysms: A review from its pathogenesis to treatment options

Barletta¹,

Ricci²,

Silva³

et al. 2018

Surg Neurol Int

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Posterior Fossa Craniectomy with Endovascular Therapy of Giant Fusiform Basilar Artery Aneurysms: A New Approach to Consider?

et al. 2017

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Risk of subarachnoid haemorrhages and aneurysms in Danish People Living With HIV, a nationwide cohort study

Tetens

Gerstoft

Kronborg

et al. 2022

Aids

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Objective: It remains unclear whether people with HIV (PWH) have increased risk of aneurysms. We aimed to investigate if the risk of subarachnoid haemorrhage, cerebral aneurysm, aortic aneurysm and other arterial aneurysms and dissections is increased in PWH compared with the general population. Design: We performed a nationwide population-based matched cohort study. Methods: We compared PWH with age-matched and sex-matched comparison cohort members to calculate incidence rate ratios (IRR) of subarachnoid haemorrhage, cerebral aneurysm, aortic aneurysm and other arterial aneurysms and dissections as well as surgery for these conditions. Results: We included all PWH, who were Danish residents and treated at a HIV healthcare centre between January 1995 and February 2018 (n = 6935) and an age-matched and sex-matched comparison cohort (n = 55 480). PWH had increased risk of subarachnoid haemorrhage (IRR 1.7, 95% CI, 1.1–2.6), but no increased risk of surgery for this condition. PWH had no increased risk of cerebral aneurysm or aortic aneurysm or surgery for these conditions. The risk of other arterial aneurysms and dissections was increased in PWH (IRR 2.0, 95% CI, 1.4–2.9), but this only applied for PWH who reported intravenous substance use as a route of HIV transmission (IRR 18.4, 95% CI, 9.3–36.6), and not for PWH without reported injection drug use (IRR 1.2, 95% CI, 0.73–1.7). Conclusion: PWH were not at an increased risk of cerebral, aortic or other arterial aneurysms and dissections. Although PWH were at an increased risk of subarachnoid haemorrhage, subarachnoid haemorrhages were rare among PWH.

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Combined endovascular and surgical treatment of fusiform aneurysms of the basilar artery: technical note

Cited by 6 publications

References 53 publications

Fusiform aneurysms: A review from its pathogenesis to treatment options

Fusiform aneurysms: A review from its pathogenesis to treatment options

Posterior Fossa Craniectomy with Endovascular Therapy of Giant Fusiform Basilar Artery Aneurysms: A New Approach to Consider?

Risk of subarachnoid haemorrhages and aneurysms in Danish People Living With HIV, a nationwide cohort study

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