Treatment Modalities and Long-Term Outcomes in Unruptured Vertebrobasilar Fusiform Aneurysms: A Nationwide Observational Cohort Study - PubMed
3 hours ago
- #aneurysm management
- #long-term outcomes
- #neuroradiology
- Study compared conservative management (CM), stent-assisted coiling (SAC), and flow diverters (FDs) for unruptured vertebrobasilar fusiform aneurysms (VBFAs).
- FD was associated with lower risk of poor prognosis compared to CM; no significant difference between CM and SAC.
- FD reduced aneurysm rupture and compression symptoms versus CM.
- FD showed improved outcomes in vertebral artery lesions and Type I-II VBFAs, but not in basilar or vertebrobasilar junction lesions or Type III-IV VBFAs.
- Findings suggest FD may be preferable for specific unruptured VBFAs, though residual confounding possible.