Towards a new treatment paradigm for ruptured blood blister-like aneurysms of the internal carotid artery? A rapid systematic review

Journal of Neurointerventional Surgery
Tomasz SzmudaMarta Szmuda

Abstract

Owing to their peculiar features and rare occurrence, ruptured blood blister-like aneurysms (BBAs) of the internal carotid artery are challenging by both surgical and endovascular approaches and their proper management is uncertain. We therefore aimed to define the currently optimal treatment of ruptured BBAs in terms of mortality, outcome, rebleeding, and recurrence. An in-depth search of electronic databases, gray literature and internet resources for ruptured BBAs was performed and complemented by data retrieval during neurosurgical congresses. Clinical and radiological characteristics, intervention details, outcomes, and the impact factor of the source journal were pooled. The pooled cohort comprised 311 patients. Neither surgical nor endovascular methods had an impact on clinical outcome, aneurysm regrowth, remote bleeding, or complication rate. By contrast, aneurysm clipping was a predictor of intraoperative bleeding (OR 6.5; 95% CI 1.2 to 34.3), and stent-assisted coiling increased the likelihood of a second treatment (OR 4.1; 95% CI 1.3 to 13.1), its conversion to another modality (OR 4.7; 95% CI 1.4 to 16.0), and incomplete aneurysm obliteration (OR 2.6; 95% CI 1.0 to 6.6). Higher impact journals were more likely to pu...Continue Reading

References

Mar 1, 1975·Lancet·B Jennett, M Bond
Aug 1, 1993·Neurologia Medico-chirurgica·A DirazM Ohsawa
Sep 2, 1998·Journal of Neurosurgery·M AbeA Uchino
Sep 7, 2000·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·P D McNeelyI Mendez
Feb 22, 2001·Annals of Internal Medicine·J P Vandenbroucke
Sep 15, 2005·Neurocritical Care·David S Rosen, R Loch Macdonald
Jul 22, 2009·PLoS Medicine·David MoherUNKNOWN PRISMA Group
Feb 9, 2010·BMJ : British Medical Journal·Richard D RileyGhada Abo-Zaid
Mar 11, 2010·JAMA : the Journal of the American Medical Association·Michael Hochman, Danny McCormick
Jul 27, 2010·Neurosurgery·Zsolt KulcsárDaniel Andre Rüfenacht
Apr 16, 2011·World Neurosurgery·Nancy McLaughlinMichel W Bojanowski
Dec 5, 2012·Neurosurgery·Ketan R BulsaraJoshua Pepper
Nov 16, 2013·European Journal of Radiology·Ana Marcos GonzalezVitor Mendes Pereira
Feb 5, 2014·Journal of Neurointerventional Surgery·Kubilay AydinNail İzgi
Feb 21, 2014·Neurosurgery·Nohra ChalouhiPascal Jabbour
Mar 1, 2014·Journal of Neurointerventional Surgery·Joshua A HirschLaxmaiah Manchikanti
Mar 13, 2014·Neurological Research·Ryan A GrantKetan R Bulsara
Jul 6, 2014·Neurosurgery·Jang W YoonUNKNOWN Endovascular Neurosurgery Research Group
Jul 12, 2014·Clinical Neurology and Neurosurgery·Yi-Bin FangJian-Min Liu
Nov 8, 2014·Journal of Neurointerventional Surgery·Ramsey AshourM Ali Aziz-Sultan

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Citations

Mar 5, 2016·AJNR. American Journal of Neuroradiology·L YangH X Bai
Mar 7, 2018·The British Journal of Radiology·Rajsrinivas ParthasarathyAditya Gupta
Oct 20, 2017·Neuroradiology·Russell CerejoGabor Toth
Aug 2, 2017·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Cunli YangIstván Szikora
Nov 1, 2016·Journal of Neurointerventional Surgery·Chun FangFei Teng
Aug 2, 2017·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Jeremy J HeitMichael P Marks
Sep 6, 2019·Neurosurgical Review·Torstein R Meling, Gildas Patet
Aug 19, 2017·Neurosurgical Review·Torstein R Meling
Mar 31, 2017·Angiology·Junjie ZhaoJanice Tsui
Apr 23, 2020·Neurosurgical Review·Torstein R Meling, Gildas Patet
Jul 20, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Jiwei ZhangXianli Lv
Jul 6, 2021·World Neurosurgery·Victoria E SanchezJeremiah N Johnson
Nov 16, 2021·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Xiao-Dong ZhaiHong-Qi Zhang

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