Table 1.
Review of the 56 ruptured basilar artery dissections including our two cases
| Baseline characteristics | ||
|---|---|---|
| General | Mean age (years old) | 48.2 (17–78) |
| Woman | 34/56 (63%) | |
| H&K grade | 1 | 6 (11%) |
| 2 | 21 (38%) | |
| 3 | 11 (20%) | |
| 4 | 7 (13%) | |
| 5 | 6 (11%) | |
| n.s. | 5 (9%) | |
| Radiological finding | Dilatation | 44 (79%) |
| Pearl-and-string | 12 (21%) | |
| *Stenotic lesions and complete occluded lesions are excluded in this review. | ||
| Treatment | ||
| Acute stage | None | 2 (5%) |
| Conservative therapy | 21 (38%) | |
| Surgical wrapping | 4 (7%) | |
| Endovascular flow reverse therapy | 4 (7%) | |
| Endovascular coiling | 8 (14%) | |
| RET with stents with or without coiling | 17 (30%) | |
| Chronic stage | Surgical flow reverse therapy | 4 (7%) |
| Surgical clipping | 1 (2%) | |
| Endovascular coiling | 1 (2%) | |
| RET with stents with or without coiling | 1 (2%) | |
| Results | ||
| Rebleeding | Conservative treatment | |
| (dilated lesions) | 3/13 (23%) | |
| (pearl-and-string lesions) | 2/8 (25%) | |
| (total) | 5/21 (24%) | |
| Acute surgical or endovascular treatment | 2/33 (6%) | |
| GOS | Good recovery | 39 (70%) |
| Mild disability | 3 (5%) | |
| Severe disability | 4 (7%) | |
| Vegetative state | 0 (0%) | |
| Death | 9 (16%) | |
| n.s. | 1 (2%) | |
GOS: Glasgow Outcome Scale, H&K: Hunt & Kosnik, n.s.: not specified, RET: reconstructive endovascular treatment, SAH: subarachnoid hemorrhage, VRD: vascular reconstruction device.