The optimal management of ruptured basilar artery dissecting aneurysms: a case series and scoping review.
Basilar artery
Dissecting aneurysm
Natural history
Pseudoaneurysm
Subarachnoid hemorrhage
Treatment
Journal
Neurosurgical review
ISSN: 1437-2320
Titre abrégé: Neurosurg Rev
Pays: Germany
ID NLM: 7908181
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
received:
27
05
2022
accepted:
01
09
2022
revised:
22
08
2022
pubmed:
8
9
2022
medline:
24
9
2022
entrez:
7
9
2022
Statut:
ppublish
Résumé
The natural history of ruptured basilar artery dissecting aneurysms (BADAs) remains unclear compared to that of ruptured vertebral artery dissecting aneurysms (VADAs). In this study, we investigated the natural history and optimal management of ruptured BADAs. We identified 17 patients with ruptured BADA among 4586 patients with aneurysmal subarachnoid hemorrhage (SAH) treated in seven participating hospitals. A scoping literature review was undertaken to investigate prognostic factors. Six patients among the profiled patients (35.3%) died, all with poor SAH grades (World Federation of Neurological Societies Grade IV and V). Rebleeding after admission was observed in three patients (17.6%) with poor SAH grades. Aggressive treatment and conservative management were initiated in seven and ten patients, respectively. Patients with good SAH grades had significantly higher favorable treatment outcomes than those with poor grades (83.3% vs. 9.1%, P = 0.005). Moreover, based on a scoping review of 158 cases with ruptured BADA, including the patients from our series, approximately 90% of patients with good SAH grades had favorable outcomes. A good SAH grade and no rebleeding after admission were favorable prognostic factors (P < 0.0001 and P = 0.002, respectively). The rebleeding rates were 20.2%, 13.3%, and 6.3% for dilated, pearl and string, and stenotic lesions, respectively. We concluded that the natural history of isolated ruptured BADAs may be better than that of VADAs. Although definitive treatment, if possible, is undoubtedly important, conservative management with careful radiological follow-up for morphological changes might be a viable option for patients in good clinical condition and with non-dilated lesions.
Identifiants
pubmed: 36069955
doi: 10.1007/s10143-022-01857-6
pii: 10.1007/s10143-022-01857-6
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
3427-3436Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Aydin K, Arat A, Sencer S, Hakyemez B, Barburoglu M, Sencer A, İzgi N (2015) Treatment of ruptured blood blister-like aneurysms with flow diverter SILK stents. J Neurointerv Surg 7:202–209. https://doi.org/10.1136/neurintsurg-2013-011090
doi: 10.1136/neurintsurg-2013-011090
pubmed: 24491271
Ciceri E (2008) Conservative treatment of ruptured vertebrobasilar dissecting aneurysm: a controversial issue in therapeutical management. Neurol Sci 29:201. https://doi.org/10.1007/s10072-008-0967-5
doi: 10.1007/s10072-008-0967-5
pubmed: 18810591
Connolly ES, Rabinstein AA, Carhuapoma JR, Derdeyn CP, Dion J, Higashida RT, Hoh BL, Kirkness CJ, Naidech AM, Ogilvy CS, Patel AB, Thompson BG, Vespa P, American Heart Association Stroke Council, Council on Cardiovascular Radiology and Intervention, Council on Cardiovascular Nursing, Council on Cardiovascular Surgery and Anesthesia, Council on Clinical Cardiology (2012) Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 43:1711–1737. https://doi.org/10.1161/STR.0b013e3182587839
doi: 10.1161/STR.0b013e3182587839
pubmed: 22556195
Debette S, Compter A, Labeyrie MA, Uyttenboogaart M, Metso TM, Majersik JJ, Goeggel-Simonetti B, Engelter ST, Pezzini A, Bijlenga P, Southerland AM, Naggara O, Béjot Y, Cole JW, Ducros A, Giacalone G, Schilling S, Reiner P, Sarikaya H, Welleweerd JC, Kappelle LJ, de Borst GJ, Bonati LH, Jung S, Thijs V, Martin JJ, Brandt T, Grond-Ginsbach C, Kloss M, Mizutani T, Minematsu K, Meschia JF, Pereira VM, Bersano A, Touzé E, Lyrer PA, Leys D, Chabriat H, Markus HS, Worrall BB, Chabrier S, Baumgartner R, Stapf C, Tatlisumak T, Arnold M, Bousser MG (2015) Epidemiology, pathophysiology, diagnosis, and management of intracranial artery dissection. Lancet Neurol 14:640–654. https://doi.org/10.1016/S1474-4422(15)00009-5
doi: 10.1016/S1474-4422(15)00009-5
pubmed: 25987283
de Barros FM, Castro RN, Lundquist J, Scrivano E, Ceratto R, Ferrario A, Lylyk P (2011) The role of the pipeline embolization device for the treatment of dissecting intracranial aneurysms. AJNR Am J Neuroradiol 32:2192–2195. https://doi.org/10.3174/ajnr.A2671
doi: 10.3174/ajnr.A2671
Fischer S, Perez MA, Kurre W, Albes G, Bäzner H, Henkes H (2014) Pipeline embolization device for the treatment of intra- and extracranial fusiform and dissecting aneurysms: initial experience and long-term follow-up. Neurosurgery 75:364–374. https://doi.org/10.1227/NEU.0000000000000431 (discussion 374)
doi: 10.1227/NEU.0000000000000431
pubmed: 24871140
Giordan E, Brinjikji W, Lanzino G (2018) Spontaneous healing of a symptomatic basilar artery dissection. J Neuroradiol 45:154–155. https://doi.org/10.1016/j.neurad.2017.11.009
doi: 10.1016/j.neurad.2017.11.009
pubmed: 29273533
Griessenauer CJ, Ogilvy CS, Adeeb N, Dmytriw AA, Foreman PM, Shallwani H, Limbucci N, Mangiafico S, Kumar A, Michelozzi C, Krings T, Pereira VM, Matouk CC, Harrigan MR, Shakir HJ, Siddiqui AH, Levy EI, Renieri L, Marotta TR, Cognard C, Thomas AJ (2018) Pipeline embolization of posterior circulation aneurysms: a multicenter study of 131 aneurysms. J Neurosurg 130:923–935. https://doi.org/10.3171/2017.9.JNS171376
doi: 10.3171/2017.9.JNS171376
pubmed: 29726768
Griessenauer CJ, Enriquez-Marulanda A, Taussky P, Biswas A, Grandhi R, Xiang S, Hong T, Rinaldo L, Lanzino G, Brinjikji W, Burkhardt JK, Kan P, Ghuman M, Yang VXD, Chen K, Aziz-Sultan MA, Ghorbani M, Schirmer CM, Goren O, Dalal SS, Killer-Oberpfalzer M, Müller-Thies-Broussalis E, Koch MJ, Stapleton CJ, Patel AB, Foreman PM, Cress MC, Hirschl RA, Krings T, Zhang H, Dmytriw AA (2020) Experience with the pipeline embolization device for posterior circulations aneurysms: a multicenter cohort study. Neurosurgery 87:1252–1261. https://doi.org/10.1093/neuros/nyaa277
doi: 10.1093/neuros/nyaa277
pubmed: 32629474
Han DH, Kwon OK, Oh CW (1998) Clinical characteristics of vertebrobasilar artery dissection. Neurol Med-chir 38:107–113. https://doi.org/10.2176/nmc.38.suppl_107
doi: 10.2176/nmc.38.suppl_107
Hirano Y, Ono H, Inoue T, Aono T, Tanishima T, Tamura A, Saito I (2020) Superficial temporal artery-superior cerebellar artery bypass and proximal occlusion through anterior petrosal approach for subarachnoid hemorrhage due to basilar artery dissection. Surg Neurol Int 11:256. https://doi.org/10.25259/SNI_402_2020
Jiang C, Li Q, Liu JM, Huang QH (2014) Endovascular treatment for the basilar artery dissection. Cardiovasc Intervent Radiol 37:646–656. https://doi.org/10.1007/s00270-013-0737-5
doi: 10.1007/s00270-013-0737-5
pubmed: 24042961
Kim BM, Suh SH, Park SI, Shin YS, Chung EC, Lee MH, Kim EJ, Koh JS, Kang HS, Roh HG, Won YS, Chung PW, Kim YB, Suh BC (2008) Management and clinical outcome of acute basilar artery dissection. AJNR Am J Neuroradiol 29:1937–1941. https://doi.org/10.3174/ajnr.A1243
doi: 10.3174/ajnr.A1243
pubmed: 18687744
pmcid: 8118943
Koizumi S, Shojima M, Iijima A, Oya S, Matsui T, Yoshikawa G, Tsutsumi K, Nakatomi H, Saito N (2016) Stent-assisted coiling for ruptured basilar artery dissecting aneurysms: an initial experience of four cases. Neurol Med Chir (Tokyo) 56:43–48. https://doi.org/10.2176/nmc.cr.2015-0233
doi: 10.2176/nmc.cr.2015-0233
Lopes DK, Jang DK, Cekirge S, Fiorella D, Hanel RA, Kallmes DF, Levy EI, Lylyk P (2018) Morbidity and mortality in patients with posterior circulation aneurysms treated with the pipeline embolization device: a subgroup analysis of the international retrospective study of the pipeline embolization device. Neurosurg 83:488–500. https://doi.org/10.1093/neuros/nyx467
Martin AR, Cruz JP, Matouk CC, Spears J, Marotta TR (2012) The pipeline flow-diverting stent for exclusion of ruptured intracranial aneurysms with difficult morphologies. Neurosurg 70(1)(suppl Operative):21–28; discussion 28. https://doi.org/10.1227/NEU.0b013e3182315ee3
Maus V, Mpotsaris A, Dorn F, Möhlenbruch M, Borggrefe J, Stavrinou P, Abdullayev N, Barnikol UB, Liebig T, Kabbasch C (2018) The use of flow diverter in ruptured, dissecting intracranial aneurysms of the posterior circulation. World Neurosurg 111:e424–e433. https://doi.org/10.1016/j.wneu.2017.12.095
doi: 10.1016/j.wneu.2017.12.095
pubmed: 29277587
McAuliffe W, Wenderoth JD (2012) Immediate and midterm results following treatment of recently ruptured intracranial aneurysms with the pipeline embolization device. AJNR Am J Neuroradiol 33:487–493. https://doi.org/10.3174/ajnr.A2797
doi: 10.3174/ajnr.A2797
pubmed: 22135131
pmcid: 7966421
Mizutani T (2011) Natural course of intracranial arterial dissections. J Neurosurg 114:1037–1044. https://doi.org/10.3171/2010.9.JNS10668
doi: 10.3171/2010.9.JNS10668
pubmed: 20950090
Mizutani T, Aruga T, Kirino T, Miki Y, Saito I, Tsuchida T (1995) Recurrent subarachnoid hemorrhage from untreated ruptured vertebrobasilar dissecting aneurysms. Neurosurg 36:905–11; discussion 912. https://doi.org/10.1227/00006123-199505000-00003
Mizutani T, Miki Y, Kojima H, Suzuki H (1999) Proposed classification of nonatherosclerotic cerebral fusiform and dissecting aneurysms. Neurosurg 45:253–9; discussion 259. https://doi.org/10.1097/00006123-199908000-00010
Nakajima H, Ishiguro T, Komiyama M (2015) Basilar artery dissection presenting with subarachnoid hemorrhage: report of two cases. NMC Case Rep J 2:97–100. https://doi.org/10.2176/nmccrj.2014-0450
doi: 10.2176/nmccrj.2014-0450
pubmed: 28663975
pmcid: 5364892
Ono H, Nakatomi H, Tsutsumi K, Inoue T, Teraoka A, Yoshimoto Y, Ide T, Kitanaka C, Ueki K, Imai H, Saito N (2013) Symptomatic recurrence of intracranial arterial dissections:follow-up study of 143 consecutive cases and pathological investigation. Stroke 44:126–131. https://doi.org/10.1161/strokeaha.112.670745
doi: 10.1161/strokeaha.112.670745
pubmed: 23204054
Pozzati E, Andreoli A, Padovani R, Nuzzo G (1995) Dissecting aneurysms of the basilar artery. Neurosurgery 36:254–258. https://doi.org/10.1227/00006123-199502000-00003
doi: 10.1227/00006123-199502000-00003
pubmed: 7731504
Ruecker M, Furtner M, Knoflach M, Werner P, Gotwald T, Chemelli A, Zangerle A, Prantl B, Matosević B, Schmidauer C, Schmutzhard E, Willeit J, Kiechl S (2010) Basilar artery dissection: series of 12 consecutive cases and review of the literature. Cerebrovasc Dis 30:267–276. https://doi.org/10.1159/000319069
doi: 10.1159/000319069
pubmed: 20664260
Saliou G, Sacho RH, Power S, Kostynskyy A, Willinsky RA, Tymianski M, terBrugge KG, Rawal S, Krings T (2015) Natural history and management of basilar trunk artery aneurysms. Stroke 46:948–953. https://doi.org/10.1161/STROKEAHA.114.006909
doi: 10.1161/STROKEAHA.114.006909
pubmed: 25712945
Saliou G, Power S, Krings T (2016) Flow diverter placement for management of dissecting ruptured aneurysm in a non-fused basilar artery. Interv Neuroradiol 22:58–61. https://doi.org/10.1177/1591019915617324
doi: 10.1177/1591019915617324
pubmed: 26628453
pmcid: 4757385
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, Moher D, Peters MDJ, Horsley T, Weeks L, Hempel S, Akl EA, Chang C, McGowan J, Stewart L, Hartling L, Aldcroft A, Wilson MG, Garritty C, Lewin S, Godfrey CM, Macdonald MT, Langlois EV, Soares-Weiser K, Moriarty J, Clifford T, Tunçalp Ö, Straus SE (2018) PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med 169:467–473. https://doi.org/10.7326/M18-0850
doi: 10.7326/M18-0850
pubmed: 30178033
Urasyanandana K, Songsang D, Aurboonyawat T, Chankaew E, Withayasuk P, Churojana A (2018) Treatment outcomes in cerebral artery dissection and literature review. Interv Neuroradiol 24:254–262. https://doi.org/10.1177/1591019918755692
doi: 10.1177/1591019918755692
pubmed: 29433365
pmcid: 5967189
van Oel LI, van Rooij WJ, Sluzewski M, Beute GN, Lohle PN, Peluso JP (2013) Reconstructive endovascular treatment of fusiform and dissecting basilar trunk aneurysms with flow diverters, stents, and coils. AJNR Am J Neuroradiol 34:589–595. https://doi.org/10.3174/ajnr.A3255
doi: 10.3174/ajnr.A3255
pubmed: 22918431
pmcid: 7964923
Wang Y, Xu K, Song J, Yu J (2021) Endovascular therapy for basilar arterial trunk aneurysms. Front Neurol 12:625909. https://doi.org/10.3389/fneur.2021.625909
doi: 10.3389/fneur.2021.625909
pubmed: 33658978
pmcid: 7917204
Yamaura A, Ono J, Hirai S (2000) Clinical picture of intracranial non-traumatic dissecting aneurysm. Neuropathology 20:85–90. https://doi.org/10.1046/j.1440-1789.2000.00276.x
doi: 10.1046/j.1440-1789.2000.00276.x
pubmed: 10935444
Yonekawa Y, Zumofen D, Imhof HG, Roth P, Khan N (2008) Hemorrhagic cerebral dissecting aneurysms: surgical treatments and results. Acta Neurochir Suppl 103:61–69. https://doi.org/10.1007/978-3-211-76589-0_12
doi: 10.1007/978-3-211-76589-0_12
pubmed: 18496947
Yoshimoto Y, Hoya K, Tanaka Y, Uchida T (2005) Basilar artery dissection. J Neurosurg 102:476–481. https://doi.org/10.3171/jns.2005.102.3.0476
doi: 10.3171/jns.2005.102.3.0476
pubmed: 15796382