{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T12:23:20Z","timestamp":1791203000361,"version":"4.2.0"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,10,2]]},"abstract":"<jats:p>A patient with a giant symptomatic vertebrobasilar aneurysm was treated by endoscopic third ventriculostomy for obstructive hydrocephalus followed by treatment of the aneurysm by flow diversion using a Pipeline Embolization Device. After an uneventful procedure and initial periprocedural period, the patient experienced an unexpected fatal subarachnoid hemorrhage 1\u2005week later. Autopsy demonstrated extensive subarachnoid hemorrhage and aneurysm rupture (linear whole wall rupture). The patent Pipeline Embolization Device was in its intended location, as was the persistent coil occlusion of the distal left vertebral artery. The aneurysm appeared to rupture in a linear manner and contained a thick large expansile clot that seemed to disrupt or rupture the thin aneurysm wall directly opposite the basilar artery\/Pipeline Embolization Device. We feel the pattern of aneurysm rupture in our patient supports the idea that the combination of flow diversion and the resulting growing intra-aneurysmal thrombus can create a mechanical force with the potential to cause aneurysm rupture.<\/jats:p>","DOI":"10.1136\/bcr-2014-011325","type":"journal-article","created":{"date-parts":[[2014,10,29]],"date-time":"2014-10-29T08:06:12Z","timestamp":1414569972000},"page":"bcr2014011325","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":21,"title":["Rupture of giant vertebrobasilar aneurysm following flow diversion: mechanical stretch as a potential mechanism for early aneurysm rupture"],"prefix":"10.1136","volume":"2014","author":[{"given":"Benjamin","family":"Fox","sequence":"first","affiliation":[{"name":"Semmes-Murphey Neurologic and Spine Institute, Memphis, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William Edward","family":"Humphries","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, UTHSC, Semmes-Murphey, Memphis, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinodh T","family":"Doss","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Tennessee Health Science Center, Memphis, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Hoit","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tennessee, Memphis, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas","family":"Elijovich","sequence":"additional","affiliation":[{"name":"Semmes-Murphey Clinic, Memphis, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam S","family":"Arthur","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Semmes-Murphey Neurologic and Spine Institute, Memphis, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2014,10,29]]},"reference":[{"key":"2025082804204567000_2014.oct29_1.bcr2014011325.1","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2532"},{"key":"2025082804204567000_2014.oct29_1.bcr2014011325.2","doi-asserted-by":"publisher","DOI":"10.1136\/jnis.2010.002873"},{"key":"2025082804204567000_2014.oct29_1.bcr2014011325.3","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e31827060d9"},{"key":"2025082804204567000_2014.oct29_1.bcr2014011325.4","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-011-0948-x"},{"key":"2025082804204567000_2014.oct29_1.bcr2014011325.5","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2370"},{"key":"2025082804204567000_2014.oct29_1.bcr2014011325.6","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-010-0676-7"},{"key":"2025082804204567000_2014.oct29_1.bcr2014011325.7","doi-asserted-by":"publisher","DOI":"10.1159\/000265569"},{"key":"2025082804204567000_2014.oct29_1.bcr2014011325.8","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2421"},{"key":"2025082804204567000_2014.oct29_1.bcr2014011325.9","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2398"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-011325","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:20:53Z","timestamp":1756380053000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-011325"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,10,29]]},"references-count":9,"alternative-id":["10.1136\/bcr-2014-011325"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-011325","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,10,29]]}}}