{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:37:12Z","timestamp":1789605432594,"version":"build-2803163510"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neurosurg Rev"],"DOI":"10.1007\/s10143-025-03694-9","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:13:57Z","timestamp":1751328837000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Evolving strategies in the management of vertebral artery dissecting aneurysms involving the posterior inferior cerebellar artery: a systematic review and meta-analysis"],"prefix":"10.1007","volume":"48","author":[{"given":"Mustafa","family":"Ismail","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norito","family":"Kinjo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rania H.","family":"Al-Taie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro M.","family":"Spiotta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,1]]},"reference":[{"issue":"5","key":"3694_CR1","doi-asserted-by":"publisher","first-page":"905","DOI":"10.1227\/00006123-199505000-00003","volume":"36","author":"T Mizutani","year":"1995","unstructured":"Mizutani T, Aruga T, Kirino T, Miki Y, Saito I, Tsuchida T (1995) Recurrent subarachnoid hemorrhage from untreated ruptured vertebrobasilar dissecting aneurysms. Neurosurgery 36(5):905\u2013913","journal-title":"Neurosurgery"},{"issue":"6","key":"3694_CR2","doi-asserted-by":"publisher","first-page":"874","DOI":"10.3171\/jns.1991.75.6.0874","volume":"75","author":"O Sasaki","year":"1991","unstructured":"Sasaki O, Ogawa H, Koike T, Koizumi T, Tanaka R (1991) A clinicopathological study of dissecting aneurysms of the intracranial vertebral artery. J Neurosurg 75(6):874\u2013882","journal-title":"J Neurosurg"},{"issue":"1","key":"3694_CR3","doi-asserted-by":"publisher","first-page":"221","DOI":"10.3171\/2013.2.JNS121586","volume":"119","author":"A Ro","year":"2013","unstructured":"Ro A, Kageyama N (2013) Pathomorphometry of ruptured intracranial vertebral arterial dissection: adventitial rupture, dilated lesion, intimal tear, and medial defect. J Neurosurg 119(1):221\u2013227","journal-title":"J Neurosurg"},{"issue":"12","key":"3694_CR4","doi-asserted-by":"publisher","first-page":"629","DOI":"10.2176\/nmc.44.629","volume":"44","author":"T Sato","year":"2004","unstructured":"Sato T, Sasaki T, Suzuki K, Matsumoto M, Kodama N, Hiraiwa K (2004) Histological study of the normal vertebral Artery\u2014Etiology of dissecting Aneurysms\u2014. Neurologia medico-chirurgica 44(12):629\u2013636","journal-title":"Neurologia medico-chirurgica"},{"issue":"11","key":"3694_CR5","doi-asserted-by":"publisher","first-page":"1628","DOI":"10.1161\/01.STR.21.11.1628","volume":"21","author":"N Aoki","year":"1990","unstructured":"Aoki N, Sakai T (1990) Rebleeding from intracranial dissecting aneurysm in the vertebral artery. Stroke 21(11):1628\u20131631","journal-title":"Stroke"},{"issue":"8","key":"3694_CR6","doi-asserted-by":"publisher","first-page":"796","DOI":"10.1136\/neurintsurg-2015-011732","volume":"8","author":"TP Madaelil","year":"2016","unstructured":"Madaelil TP, Wallace AN, Chatterjee AN, Zipfel GJ, Dacey RG, Cross DT, Moran CJ, Derdeyn CP (2016) Endovascular parent vessel sacrifice in ruptured dissecting vertebral and posterior inferior cerebellar artery aneurysms: clinical outcomes and review of the literature. J Neurointerventional Surg 8(8):796\u2013801","journal-title":"J Neurointerventional Surg"},{"issue":"4","key":"3694_CR7","doi-asserted-by":"publisher","first-page":"982","DOI":"10.1227\/NEU.0b013e318236715e","volume":"70","author":"AP Narata","year":"2012","unstructured":"Narata AP, Yilmaz H, Schaller K, Lovblad KO, Pereira VM (2012) Flow-diverting stent for ruptured intracranial dissecting aneurysm of vertebral artery. Neurosurgery 70(4):982\u2013989","journal-title":"Neurosurgery"},{"key":"3694_CR8","doi-asserted-by":"publisher","first-page":"1455","DOI":"10.1007\/s00701-010-0683-9","volume":"152","author":"JM Lee","year":"2010","unstructured":"Lee JM, Kim TS, Joo SP, Yoon W, Choi HY (2010) Endovascular treatment of ruptured dissecting vertebral artery aneurysms\u2014long-term follow-up results, benefits of early embolization, and predictors of outcome. Acta Neurochir 152:1455\u20131465","journal-title":"Acta Neurochir"},{"key":"3694_CR9","doi-asserted-by":"publisher","first-page":"569","DOI":"10.1007\/s10143-014-0541-y","volume":"37","author":"S Hern\u00e1ndez-Dur\u00e1n","year":"2014","unstructured":"Hern\u00e1ndez-Dur\u00e1n S, Ogilvy CS (2014) Clinical outcomes of patients with vertebral artery dissection treated endovascularly: a meta-analysis. Neurosurg Rev 37:569\u2013577","journal-title":"Neurosurg Rev"},{"issue":"6","key":"3694_CR10","doi-asserted-by":"publisher","first-page":"598","DOI":"10.1016\/S0090-3019(97)00022-0","volume":"48","author":"H Sano","year":"1997","unstructured":"Sano H, Kato Y, Okuma I, Yamaguchi S, Ninomiya T, Arunkumar R, Kanno T (1997) Classification and treatment of vertebral dissecting aneurysm. Surg Neurol 48(6):598\u2013605","journal-title":"Surg Neurol"},{"issue":"7","key":"3694_CR11","doi-asserted-by":"publisher","first-page":"540","DOI":"10.7150\/ijms.15233","volume":"13","author":"L Shi","year":"2016","unstructured":"Shi L, Xu K, Sun X, Yu J (2016) Therapeutic progress in treating vertebral dissecting aneurysms involving the posterior inferior cerebellar artery. Int J Med Sci 13(7):540","journal-title":"Int J Med Sci"},{"key":"3694_CR12","doi-asserted-by":"crossref","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 372","DOI":"10.1136\/bmj.n71"},{"issue":"1","key":"3694_CR13","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1016\/j.jclinepi.2013.08.003","volume":"67","author":"JJ Gagnier","year":"2014","unstructured":"Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, Riley D (2014) The CARE guidelines: Consensus-based clinical case reporting guideline development. J Clin Epidemiol 67(1):46\u201357. https:\/\/doi.org\/10.1016\/j.jclinepi.2013.08.003","journal-title":"J Clin Epidemiol"},{"key":"3694_CR14","doi-asserted-by":"publisher","first-page":"i4919","DOI":"10.1136\/bmj.i4919","volume":"355","author":"JA Sterne","year":"2016","unstructured":"Sterne JA, Hern\u00e1n MA, Reeves BC, Savovi\u0107 J, Berkman ND, Viswanathan M et al (2016) ROBINS-I: A tool for assessing risk of bias in non-randomised studies of interventions. BMJ 355:i4919. https:\/\/doi.org\/10.1136\/bmj.i4919","journal-title":"BMJ"},{"key":"3694_CR15","doi-asserted-by":"publisher","first-page":"506","DOI":"10.25259\/SNI_576_2021","volume":"12","author":"WC Merritt","year":"2021","unstructured":"Merritt WC, Berns HF, Ducruet AF, Becker TA (2021) Definitions of intracranial aneurysm size and morphology: a call for standardization. Surg Neurol Int 12:506","journal-title":"Surg Neurol Int"},{"key":"3694_CR16","doi-asserted-by":"crossref","unstructured":"Koh JS, Ryu CW, Lee SH, Bang JS, Kim GK (2009) Bilateral vertebral-artery-dissecting aneurysm causing subarachnoid hemorrhage cured by staged endovascular reconstruction after occlusion. Cerebrovasc Dis. 27(2)","DOI":"10.1159\/000193464"},{"issue":"7","key":"3694_CR17","doi-asserted-by":"publisher","first-page":"1232","DOI":"10.3174\/ajnr.A2087","volume":"31","author":"X Lv","year":"2010","unstructured":"Lv X, Jiang C, Li Y, Wu Z (2010) Clinical outcomes of ruptured and unruptured vertebral artery-posterior inferior cerebellar artery complex dissecting aneurysms after endovascular embolization. Am J Neuroradiol 31(7):1232\u20131235","journal-title":"Am J Neuroradiol"},{"key":"3694_CR18","doi-asserted-by":"publisher","first-page":"ons75","DOI":"10.1227\/NEU.0b013e31822ed1f0","volume":"70","author":"YS Shin","year":"2012","unstructured":"Shin YS, Kim BM, Kim SH, Suh SH, Ryu CW, Koh JS, Kim DI, Kim DJ (2012) Endovascular treatment of bilateral intracranial vertebral artery dissecting aneurysms presenting with subarachnoid hemorrhage. Operative Neurosurg 70:ons75\u201381","journal-title":"Operative Neurosurg"},{"issue":"12","key":"3694_CR19","doi-asserted-by":"publisher","first-page":"1639","DOI":"10.1016\/j.jocn.2011.03.034","volume":"18","author":"W Su","year":"2011","unstructured":"Su W, Gou S, Ni S, Li G, Liu Y, Zhu S, Li X (2011) Management of ruptured and unruptured intracranial vertebral artery dissecting aneurysms. J Clin Neurosci 18(12):1639\u20131644","journal-title":"J Clin Neurosci"},{"issue":"1","key":"3694_CR20","doi-asserted-by":"publisher","first-page":"36","DOI":"10.3340\/jkns.2014.55.1.36","volume":"55","author":"SY Chung","year":"2014","unstructured":"Chung SY, Yoon BH, Park MS, Kim SM (2014) A case of endovascular treatment for followed by side to side bypass for vertebral artery dissecting aneurysms involved posterior inferior cerebellar artery. J Korean Neurosurg Soc 55(1):36\u201339","journal-title":"J Korean Neurosurg Soc"},{"issue":"2","key":"3694_CR21","doi-asserted-by":"publisher","first-page":"674","DOI":"10.1097\/SCS.0000000000000484","volume":"25","author":"L Guo","year":"2014","unstructured":"Guo L, Wan J, Qiu Y, Zhang X (2014) Management of hemorrhagic dissecting vertebral artery aneurysms involving posterior inferior artery. J Craniofac Surg 25(2):674\u2013676","journal-title":"J Craniofac Surg"},{"issue":"3","key":"3694_CR22","doi-asserted-by":"publisher","first-page":"304","DOI":"10.15274\/INR-2014-10024","volume":"20","author":"O Hamasaki","year":"2014","unstructured":"Hamasaki O, Ikawa F, Hidaka T, Kurokawa Y, Yonezawa U (2014) Treatment of ruptured vertebral artery dissecting aneurysms: a short report. Interventional Neuroradiol 20(3):304\u2013311","journal-title":"Interventional Neuroradiol"},{"issue":"2","key":"3694_CR23","doi-asserted-by":"publisher","first-page":"98","DOI":"10.2176\/nmc.oa.2013-0184","volume":"54","author":"T SaTow","year":"2014","unstructured":"SaTow T, IShII D, IIhara K, SaKaI N (2014) Endovascular treatment for ruptured vertebral artery dissecting aneurysms: results from Japanese registry of neuroendovascular therapy (JR-NET) 1 and 2. Neurologia medico-chirurgica 54(2):98\u2013106","journal-title":"Neurologia medico-chirurgica"},{"issue":"3","key":"3694_CR24","doi-asserted-by":"publisher","first-page":"175","DOI":"10.3340\/jkns.2015.58.3.175","volume":"58","author":"SH Lim","year":"2015","unstructured":"Lim SH, Shin HS, Lee SH, Koh JS (2015) Endovascular treatment of vertebral artery dissecting aneurysms that cause subarachnoid hemorrhage: consideration of therapeutic approaches relevant to the angioarchitecture. J Korean Neurosurg Soc 58(3):175\u2013183","journal-title":"J Korean Neurosurg Soc"},{"issue":"1","key":"3694_CR25","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1177\/1591019915618168","volume":"22","author":"Y Kawabata","year":"2016","unstructured":"Kawabata Y, Tsukahara T, Fukuda S, Kawarazaki S, Aoki T (2016) Successful endovascular treatment of a dissecting aneurysm of vertebral artery associated with double origin of the posterior inferior cerebellar artery. Interventional Neuroradiol 22(1):62\u201366","journal-title":"Interventional Neuroradiol"},{"key":"3694_CR26","doi-asserted-by":"publisher","first-page":"1329","DOI":"10.1007\/s00701-017-3204-2","volume":"159","author":"N Kidani","year":"2017","unstructured":"Kidani N, Sugiu K, Hishikawa T, Hiramatsu M, Haruma J, Nishihiro S, Takahashi Y, Date I (2017) De Novo vertebral artery dissecting aneurysm after internal trapping of the contralateral vertebral artery. Acta Neurochir 159:1329\u20131333","journal-title":"Acta Neurochir"},{"issue":"4","key":"3694_CR27","doi-asserted-by":"publisher","first-page":"268","DOI":"10.7461\/jcen.2017.19.4.268","volume":"19","author":"M Lee","year":"2017","unstructured":"Lee M, Park IS, Lee KH, Park H, Lee CH, Han JW (2017) Endovascular treatments for ruptured intracranial vertebral artery dissecting aneurysms: experience in 16 patients. J Cerebrovasc Endovascular Neurosurg 19(4):268\u2013275","journal-title":"J Cerebrovasc Endovascular Neurosurg"},{"key":"3694_CR28","doi-asserted-by":"publisher","first-page":"e22","DOI":"10.1016\/j.wneu.2018.08.184","volume":"121","author":"DY Cho","year":"2019","unstructured":"Cho DY, Choi JH, Kim BS, Shin YS (2019) Comparison of clinical and radiologic outcomes of diverse endovascular treatments in vertebral artery dissecting aneurysm involving the origin of PICA. World Neurosurg 121:e22\u201331","journal-title":"World Neurosurg"},{"key":"3694_CR29","doi-asserted-by":"publisher","first-page":"116","DOI":"10.25259\/SNI-281-2019","volume":"10","author":"JA Chen","year":"2019","unstructured":"Chen JA, Garrett MC, Mlikotic A, Ausman JI (2019) Treatment of intracranial vertebral artery dissecting aneurysms involving the posterior inferior cerebellar artery origin. Surg Neurol Int 10:116","journal-title":"Surg Neurol Int"},{"issue":"3","key":"3694_CR30","doi-asserted-by":"publisher","first-page":"113","DOI":"10.2176\/nmccrj.cr.2019-0127","volume":"7","author":"K Horikoshi","year":"2020","unstructured":"Horikoshi K, Oishi H, Mitsuhashi T, Inokuchi S, Kudo K, Tokugawa J, Teranishi K, Hishii M (2020) A case of vertebral artery dissecting aneurysm with double origin of the posterior inferior cerebellar artery causing subarachnoid hemorrhage. NMC Case Rep J 7(3):113\u2013116","journal-title":"NMC Case Rep J"},{"issue":"5","key":"3694_CR31","doi-asserted-by":"publisher","first-page":"548","DOI":"10.1177\/1591019918824413","volume":"25","author":"S Xiang","year":"2019","unstructured":"Xiang S, Li G, He C, Ren J, Zhang H (2019) Reconstructive endovascular treatment of the V4 segment of a vertebral artery dissecting aneurysm with the Willis covered stent: a retrospective study. Interventional Neuroradiol 25(5):548\u2013555","journal-title":"Interventional Neuroradiol"},{"issue":"2","key":"3694_CR32","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1177\/1591019920970030","volume":"27","author":"X Kong","year":"2021","unstructured":"Kong X, Sun Z, Ling C, Xu L, Qian C, Yu J, Xu J (2021) Endovascular treatment for ruptured vertebral dissecting aneurysms involving PICA: reconstruction or deconstruction? Experience from 16 patients. Interventional Neuroradiol 27(2):163\u2013171","journal-title":"Interventional Neuroradiol"},{"key":"3694_CR33","doi-asserted-by":"publisher","first-page":"e86","DOI":"10.1016\/j.wneu.2021.05.018","volume":"152","author":"M Korai","year":"2021","unstructured":"Korai M, Kanematsu Y, Yamaguchi I, Yamaguchi T, Yamamoto Y, Yamamoto N, Miyamoto T, Shimada K, Satomi J, Hanaoka M, Matsuzaki K (2021) Subarachnoid hemorrhage due to rupture of vertebral artery dissecting aneurysms: treatments, outcomes, and prognostic factors. World Neurosurg 152:e86\u201393","journal-title":"World Neurosurg"},{"issue":"3","key":"3694_CR34","doi-asserted-by":"publisher","first-page":"159","DOI":"10.4103\/bc.bc_67_20","volume":"7","author":"T Scullen","year":"2021","unstructured":"Scullen T, Mathkour M, Werner C, Zeoli T, Amenta PS (2021) Vertebral artery dissection and associated ruptured intracranial pseudoaneurysm successfully treated with coil assisted flow diversion: A case report and review of the literature. Brain Circulation 7(3):159\u2013166","journal-title":"Brain Circulation"},{"issue":"9","key":"3694_CR35","doi-asserted-by":"publisher","first-page":"565","DOI":"10.5797\/jnet.oa.2020-0157","volume":"15","author":"K Shindo","year":"2021","unstructured":"Shindo K, Ogino T, Endo H, Fukuda M, Matsuda M, Yamashita D, Yamaguchi D, Yoshihara R, Morishita M, Tatsuta Y, Sakurai S (2021) Target embolization of dilated Post-PICA segment for ruptured PICA-Involved type vertebral artery dissecting aneurysm. J Neuroendovascular Therapy 15(9):565\u2013573","journal-title":"J Neuroendovascular Therapy"},{"issue":"5","key":"3694_CR36","doi-asserted-by":"publisher","first-page":"137","DOI":"10.5797\/jnet.cr.2023-0091","volume":"18","author":"S Kimura","year":"2024","unstructured":"Kimura S, Komiyama M, Yagi R, Kishi F, Ogawa D, Kuroiwa T, Yamada K, Taniguchi H, Wanibuchi M (2024) Successful internal trapping of vertebral artery dissecting aneurysm located between double origin of the posterior inferior cerebellar artery, resulting in antegrade blood flow: A case report. J Neuroendovascular Therapy 18(5):137\u2013141","journal-title":"J Neuroendovascular Therapy"},{"issue":"4","key":"3694_CR37","doi-asserted-by":"publisher","first-page":"1074","DOI":"10.3171\/2010.5.JNS091435","volume":"114","author":"M Czabanka","year":"2011","unstructured":"Czabanka M, Ali M, Schmiedek P, Vajkoczy P, Lawton MT (2011) Vertebral artery\u2013posterior inferior cerebellar artery bypass using a radial artery graft for hemorrhagic dissecting vertebral artery aneurysms: surgical technique and report of 2 cases. J Neurosurg 114(4):1074\u20131079","journal-title":"J Neurosurg"},{"issue":"5","key":"3694_CR38","doi-asserted-by":"publisher","first-page":"867","DOI":"10.3171\/jns.2002.96.5.0867","volume":"96","author":"JI Hamada","year":"2002","unstructured":"Hamada JI, Todaka T, Yano S, Kai Y, Morioka M, Ushio Y (2002) Vertebral artery\u2014posterior inferior cerebellar artery bypass with a superficial Temporal artery graft to treat aneurysms involving the posterior inferior cerebellar artery. J Neurosurg 96(5):867\u2013871","journal-title":"J Neurosurg"}],"container-title":["Neurosurgical Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10143-025-03694-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10143-025-03694-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10143-025-03694-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T04:18:56Z","timestamp":1772079536000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10143-025-03694-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,1]]},"references-count":38,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3694"],"URL":"https:\/\/doi.org\/10.1007\/s10143-025-03694-9","relation":{},"ISSN":["1437-2320"],"issn-type":[{"value":"1437-2320","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,1]]},"assertion":[{"value":"12 May 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 June 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 June 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 July 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval was not required for this systematic review and meta-analysis, as all data were obtained from previously published studies.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate and consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"534"}}