Endovascular treatment of basilar apex aneurysms: A bi-institutional case series and exploratory pulsatile computational fluid dynamic analysis

van der Kolk NM, Algra A, Rinkel GJE (2010) Risk of aneurysm rupture at intracranial arterial bifurcations. Cerebrovasc Dis 30(1):29–35. https://doi.org/10.1159/000313441

Article  PubMed  Google Scholar 

Thompson BG, Brown RD, Amin-Hanjani S et al (2015) Guidelines for the management of patients with unruptured intracranial aneurysms: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 46(8):2368–2400. https://doi.org/10.1161/STR.0000000000000070

Article  PubMed  Google Scholar 

Molyneux AJ, Kerr RSC, Yu LM et al (2005) International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion. Lancet 366(9488):809–817. https://doi.org/10.1016/S0140-6736(05)67214-5

Article  PubMed  Google Scholar 

Lawton MT (2002) Basilar apex aneurysms: surgical results and perspectives from an initial experience. Neurosurgery 50(1):1–8. https://doi.org/10.1097/00006123-200201000-00002

Article  PubMed  Google Scholar 

Ramirez-Velandia F, Wadhwa A, Mensah E et al (2024) Endovascular treatment of basilar apex aneurysms: an updated systematic review and meta-analysis in the era of flow diversion. World Neurosurg 190:422-433.e3. https://doi.org/10.1016/j.wneu.2024.07.142

Article  PubMed  Google Scholar 

Raymond J, Guilbert F, Weill A et al (2003) Long-term angiographic recurrences after selective endovascular treatment of aneurysms with detachable coils. Stroke 34(6):1398–1403. https://doi.org/10.1161/01.STR.0000073841.88563.E9

Article  PubMed  Google Scholar 

Kim MJ, Park KY, Kim YB, Chung J (2023) Risk factors for recanalization of basilar tip aneurysm after endovascular treatment: a retrospective cohort study. Neurol Res 45(3):276–282. https://doi.org/10.1080/01616412.2022.2132459

Article  PubMed  Google Scholar 

Chalouhi N, Jabbour P, Gonzalez LF et al (2012) Safety and efficacy of endovascular treatment of basilar tip aneurysms by coiling with and without stent assistance: a review of 235 cases. Neurosurgery 71(4):785–794. https://doi.org/10.1227/NEU.0b013e318265a416

Article  PubMed  Google Scholar 

Rho MH, Park HJ, Chung EC et al (2013) Various techniques of stent-assisted coil embolization of wide-necked or fusiform artherosclerotic and dissecting unruptured vertebrobasilar artery aneurysms for reducing recanalization: mid-term results. Acta Neurochir (Wien) 155(11):2009–2017. https://doi.org/10.1007/s00701-013-1866-y

Article  PubMed  Google Scholar 

Kim T, Oh CW, Bang JS et al (2021) Higher oscillatory shear index is related to aneurysm recanalization after coil embolization in posterior communicating artery aneurysms. Acta Neurochir (Wien) 163(8):2327–2337. https://doi.org/10.1007/s00701-020-04607-z

Article  PubMed  Google Scholar 

Park W, Song Y, Park KJ, Koo HW, Yang K, Suh DC (2016) Hemodynamic characteristics regarding recanalization of completely coiled aneurysms: computational fluid dynamic analysis using virtual models comparison. Neurointervention 11(1):30–36. https://doi.org/10.5469/neuroint.2016.11.1.30

Article  PubMed  PubMed Central  Google Scholar 

Sugiyama SI, Niizuma K, Sato K et al (2016) Blood Flow Into Basilar Tip Aneurysms: A Predictor for Recanalization After Coil Embolization. Stroke 47(10):2541–2547. https://doi.org/10.1161/STROKEAHA.116.013555

Article  PubMed  Google Scholar 

Mascitelli JR, Moyle H, Oermann EK et al (2015) An update to the Raymond-Roy Occlusion Classification of intracranial aneurysms treated with coil embolization. J Neurointerv Surg 7(7):496–502. https://doi.org/10.1136/neurintsurg-2014-011258

Article  PubMed  Google Scholar 

Hendricks BK, Yoon JS, Yaeger K et al (2020) Wide-neck aneurysms: systematic review of the neurosurgical literature with a focus on definition and clinical implications. J Neurosurg 133(1):159–165. https://doi.org/10.3171/2019.3.JNS183160

Article  PubMed  Google Scholar 

Huang ZQ, Meng ZH, Hou ZJ et al (2016) Geometric parameter analysis of ruptured and unruptured aneurysms in patients with symmetric bilateral intracranial aneurysms: a multicenter CT angiography study. AJNR Am J Neuroradiol 37(8):1413–1417. https://doi.org/10.3174/ajnr.A4764

Article  PubMed  PubMed Central  Google Scholar 

Leng B, Zheng Y, Ren J, Xu Q, Tian Y, Xu F (2014) Endovascular treatment of intracranial aneurysms with detachable coils: correlation between aneurysm volume, packing, and angiographic recurrence. J Neurointerv Surg 6(8):595–599. https://doi.org/10.1136/neurintsurg-2013-010920

Article  PubMed  Google Scholar 

Piccinelli M, Veneziani A, Steinman DA, Remuzzi A, Antiga L (2009) A framework for geometric analysis of vascular structures: application to cerebral aneurysms. IEEE Trans Med Imaging 28(8):1141–1155. https://doi.org/10.1109/TMI.2009.2021652

Article  PubMed  Google Scholar 

Hoi Y, Wasserman BA, Xie YJ et al (2010) Characterization of volumetric flow rate waveforms at the carotid bifurcations of older adults. Physiol Meas 31(3):291–302. https://doi.org/10.1088/0967-3334/31/3/002

Article  PubMed  PubMed Central  Google Scholar 

Ford MD, Alperin N, Lee SH, Holdsworth DW, Steinman DA (2005) Characterization of volumetric flow rate waveforms in the normal internal carotid and vertebral arteries. Physiol Meas 26(4):477–488. https://doi.org/10.1088/0967-3334/26/4/013

Article  PubMed  Google Scholar 

Chueh JY, Vedantham S, Wakhloo AK et al (2015) Aneurysm permeability following coil embolization: packing density and coil distribution. J Neurointerv Surg 7(9):676–681. https://doi.org/10.1136/neurintsurg-2014-011289

Article  PubMed  Google Scholar 

Ogilvy CS, Chua MH, Fusco MR et al (2015) Validation of a system to predict recanalization after endovascular treatment of intracranial aneurysms. Neurosurgery 77(2):168–173. https://doi.org/10.1227/NEU.0000000000000744

Article  PubMed  Google Scholar 

Dandurand C, Prakash S, Sepehry AA et al (2020) Basilar apex aneurysm: case series, systematic review, and meta-analysis. World Neurosurg 138:e183–e190. https://doi.org/10.1016/j.wneu.2020.02.064

Article  PubMed  Google Scholar 

Gao BL, Hao H, Hao W, Ren CF, Yang L, Han Y (2022) Cerebral aneurysms at major arterial bifurcations are associated with the arterial branch forming a smaller angle with the parent artery. Sci Rep 12(1):5106. https://doi.org/10.1038/s41598-022-09000-7

Article  CAS  PubMed  PubMed Central  Google Scholar 

Gao B, Baharoglu MI, Cohen AD, Malek AM (2012) Stent-assisted coiling of intracranial bifurcation aneurysms leads to immediate and delayed intracranial vascular angle remodeling. AJNR Am J Neuroradiol 33(4):649–654. https://doi.org/10.3174/ajnr.A2841

Article  CAS  PubMed  Google Scholar 

Gao B, Baharoglu MI, Malek AM (2013) Angular remodeling in single stent-assisted coiling displaces and attenuates the flow impingement zone at the neck of intracranial bifurcation aneurysms. Neurosurgery 72(5):739–748. https://doi.org/10.1227/NEU.0b013e318286fab3

Article  PubMed  Google Scholar 

Sağlam M, Kızılkılıç O, Anagnostakou V, Yıldız B, Koçer N, Işlak C (2015) Geometrical characteristics after Y-stenting of the basilar bifurcation. Diagn Interv Radiol 21(6):483–487. https://doi.org/10.5152/dir.2015.14523

Article  PubMed  PubMed Central  Google Scholar 

Spiotta AM, Gupta R, Fiorella D et al (2011) Mid-term results of endovascular coiling of wide-necked aneurysms using double stents in a Y configuration. Neurosurgery 69(2):421–429. https://doi.org/10.1227/NEU.0b013e318214abbd

Article  PubMed  Google Scholar 

Jeon P, Kim BM, Kim DJ, Kim DIK, Park KY (2014) Y-configuration double-stent-assisted coiling using two closed-cell stents for wide-neck basilar tip aneurysms. Acta Neurochir (Wien) 156(9):1677–1686. https://doi.org/10.1007/s00701-014-2163-0

Article  PubMed  Google Scholar 

Pierot L, Rouchaud A, Chabert E, et al. (2025) Endovascular treatment of unruptured intracranial aneurysms: Rate of thromboembolic events depicted by diffusion-weighted imaging in relation to different techniques. J Neurointerv Surg. Published online January 26, 2025:jnis-2024–022051. https://doi.org/10.1136/jnis-2024-022051

Celik E, Goertz L, Ozpeynirci Y et al (2023) Comparative assessment of woven endobridge embolization and standard coil occlusion for the treatment of ruptured basilar tip aneurysms. Neuroradiology 65(4):765–773. https://doi.org/10.1007/s00234-022-03096-4

Article  PubMed  Google Scholar 

Comments (0)

No login
gif