Your browser doesn't support javascript.
loading
Endovascular treatment of pediatric basilar artery aneurysms: case series and literature review.
Peters, David R; Parish, Jonathan M; Starnoni, Daniele; Giammattei, Lorenzo; Stetler, William R; Wait, Scott D; Bernard, Joe D.
Afiliación
  • Peters DR; Carolina Neurosurgery & Spine Associates, Charlotte, NC, USA. davidrpeters23@gmail.com.
  • Parish JM; Department of Neurosurgery, Atrium Health, Charlotte, NC, USA. davidrpeters23@gmail.com.
  • Starnoni D; Department of Neurosurgery, Lausanne University Hospital, Lausanne, Switzerland. davidrpeters23@gmail.com.
  • Giammattei L; Carolina Neurosurgery & Spine Associates, Charlotte, NC, USA.
  • Stetler WR; Department of Neurosurgery, Atrium Health, Charlotte, NC, USA.
  • Wait SD; Department of Neurosurgery, Lausanne University Hospital, Lausanne, Switzerland.
  • Bernard JD; Department of Neurosurgery, Lausanne University Hospital, Lausanne, Switzerland.
Childs Nerv Syst ; 39(1): 25-34, 2023 01.
Article en En | MEDLINE | ID: mdl-36318284
PURPOSE: Pediatric basilar artery aneurysms are rare and challenging to treat. Microsurgical options and standard endovascular coiling are often undesirable choices for treatment of this pathology. Additional endovascular strategies are needed. METHODS: Presentation, diagnosis, and management of pediatric basilar aneurysms were reviewed, with an emphasis on endovascular treatment strategies. Our case series of 2 patients was presented in detail, one treated with flow diversion and vessel sacrifice and one treated with stent-assisted coiling. An extensive review of the literation was performed to find other examples of pediatric basilar artery aneurysms treated with endovascular techniques. RESULTS: Twenty-nine studies met inclusion criteria. Fifty-nine aneurysms in 58 patients were treated using endovascular techniques. Mortality rate was 10.3% (6/58) and a poor outcome (GOS 1-3) occurred in 15.5% (9/58). There were 4 reported recurrences requiring retreatment; however, only 46.5% of patients had reported follow-up of at least 1 year. 71.1% (42/59) were dissecting aneurysms. CONCLUSION: Basilar artery aneurysms in the pediatric population are rare, commonly giant and fusiform, and often not amenable to microsurgical or coiling techniques. The surrounding vasculature, location, size, and morphology of the aneurysm along with the durability of treatment must be considered in treatment decisions. With proper patient selection, stent-assisted coiling and flow diversion may increase the durability and safety of endovascular treatment in this population.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma Intracraneal / Embolización Terapéutica / Procedimientos Endovasculares Tipo de estudio: Prognostic_studies / Systematic_reviews Límite: Child / Humans Idioma: En Revista: Childs Nerv Syst Asunto de la revista: NEUROLOGIA / PEDIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma Intracraneal / Embolización Terapéutica / Procedimientos Endovasculares Tipo de estudio: Prognostic_studies / Systematic_reviews Límite: Child / Humans Idioma: En Revista: Childs Nerv Syst Asunto de la revista: NEUROLOGIA / PEDIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania