Table 3.
Published results for the endovascular treatment of dolichoectatic basilar trunk aneurysms.
| First author | Last author | Year, journal | Total # of fusiform BA/VBJ aneurysms |
# of
Basilar Trunk aneurysms |
Vertebro-basilar junction aneurysms |
Devices used | Deaths | Ischemic Complications |
Hemorrhagic or Mass Effect Complications |
Complications not
otherwise specified |
Angiographic Cures |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Byrne, J | Kamran, M | 2010, PlosOne | 10 | 3 | 7 | SILK | 2 | 0 | 1 (mass effect from aneurysm thrombosis – led to death) | NA | |
| Lubicz, B | Leclerc, X | 2010, Stroke | 3 | 3 | 0 | SILK | 0 | 1 (branch occlusion) | 0 | 1 | |
| Raphaeli G | Lubicz B | 2011, Neurosurgery | 10 [16 purely vertebral artery aneurysms not included] |
8 | 2 | SILK ENTERPRISE LEO SOLITAIRE COILS |
3 | NA | NA | 1 treatment failure (died before
treatment) 1 with transient hemiparesis at 2 weeks |
1 |
| Ertl L | Fesl G | 2014, AJNR | 6 | 2 | 4 | PIPELINE SILK, LEO |
4 (two addt’l with mRS 5) | 3 | 1 – brainstem compression (following pneumonia) | 0 | 1 |
| Monteith S | Jabbour P | 2014, JNS | 7 | 4 | 3 | PIPELINE | 1 | 1 | 0 | 0 | 2 |
| Meckel S | Klisch J | 2013, Neurosurgery | 6 | 0 | 6 | PIPELINE (n=9) SILK (n=1) |
4 | 3 ischemic strokes | 1 mass effect 1 hemorrhage |
1 flow diverter construct thrombosis | 2 |
| Siddiqui A | Levy E | 2012, JNS | 7 | 7 | 0 | SILK (n=1) PIPELINE (n=6) |
4 | 5 | 1 (SAH) | NA | 2 |
| Van Oel L | Peluso J | 2013, AJNR | 13 | NA | NA | Mix: Neuroform, Enterprise, LEO, SILK, and coiling | 3 | 3 | 0 | 1 – MI during anesthesia | 9 |
| Fischer, S | Henkes, H | 2014, Neurosurgery | 37 | 17 | 20 | PIPELINE | NA | NA | NA | NA | 16 of 25 with DSA |
| Toth, G | Hui F | 2014, JNIS | 2 | 2 | 0 | PIPELINE | 1 | 2 strokes (1 died, 1 mRS of 5) |
0 | NA | 1 (secondary to construct thrombosis and occlusion) |
| Munich S | Lopes D | 2014, JNS | 12 | NA | NA | PIPELINE | 1 | 2 strokes | 0 | 2 patients with new hemiparesis 1 patient with new nystagmus/dizziness (ambulatory at 2 mos.) |
9 |
| Total | BA trunk aneurysms | Deaths (in all aneurysms treated) | Ischemic Complications (in all aneurysms treated) | Hemorrhagic or Mass Effect Complications (in all aneurysms treated) | Complications not otherwise specified | ||||||
| 46 | 23 | 20 | 5 | 7 | 38 of 123 total aneurysms cured |
FD = flow diversion
SILK = SILK FLOW DIVERSION DEVICE
PIPELINE = PIPELINE EMBOLIZATION DEVICE (FLOW DIVERTER)