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Updated: May 19, 2026
14:58
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
[Endovascular treatment for basilar tip aneurysms].
Kenji Sugiu1, Koji Tokunaga, Tomohito Hishikawa
1Department of Neurological Surgery, Okayama University Graduate School of Medicine, Japan
No Shinkei Geka. Neurological Surgery
|August 24, 2012
Summary
Endovascular coil embolization is a safe and effective treatment for basilar artery tip aneurysms, with improving outcomes due to technical advances. Long-term stability remains a concern requiring further investigation.
Area of Science:
- Neurosurgery
- Interventional Neuroradiology
- Vascular Neurology
Background:
- Basilar artery tip aneurysms pose significant treatment challenges.
- Endovascular coil embolization has become a primary treatment modality.
Observation:
- A retrospective analysis of 79 basilar artery tip aneurysms treated over 11 years.
- Patient demographics included 56 women and 23 men, with an average age of 63.7 years.
- Aneurysm sizes ranged from 2-30 mm, with 60% presenting as acute subarachnoid hemorrhage.
Findings:
- Complete occlusion was achieved in 67% of cases, with residual neck in 28% and residual aneurysm in 5%.
- One early rebleeding event occurred, and one late rebleeding event was successfully retreated.
- Technical advancements, including balloon remodeling microcatheters and 3D angiography, correlated with improved outcomes.
Implications:
- Endovascular treatment of basilar artery tip aneurysms is deemed safe and effective.
- Long-term durability of coil embolization requires continued monitoring and research.
- Ongoing technical innovations are expected to further enhance treatment efficacy and patient outcomes.
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