{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T08:39:03Z","timestamp":1793263143274,"version":"4.5.0"},"reference-count":10,"publisher":"BMJ","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J NeuroIntervent Surg"],"accepted":{"date-parts":[[2012,5,24]]},"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The Pipeline embolization device has been used successfully to treat intracranial aneurysms with difficult morphologies. However, the need for dual antiplatelet therapy has limited its use after subarachnoid hemorrhage.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case report<\/jats:title>\n                  <jats:p>A 42-year-old woman with a ruptured dissecting aneurysm of her dominant vertebral artery (V4) was successfully treated by Pipeline embolization with preservation of flow through a covered posterior inferior cerebellar artery. This strategy preserved endovascular access for the treatment of severe posterior circulation vasospasm. She was a non-responder to thienopyridine agents and was thus maintained on aspirin and heparin, which was transitioned to warfarin following ventricular drain removal. The aneurysm remains angiographically obliterated at 6\u2005months. Despite a moribund presentation and an extended hospitalization, she has made a remarkable neurological recovery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Pipeline embolization may be used to treat a ruptured dissecting aneurysm in selected cases where parent vessel preservation is paramount.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/neurintsurg-2012-010358","type":"journal-article","created":{"date-parts":[[2012,6,21]],"date-time":"2012-06-21T09:19:03Z","timestamp":1340270343000},"page":"e20-e20","source":"Crossref","is-referenced-by-count":46,"title":["Reconstructive endovascular treatment of a ruptured vertebral artery dissecting aneurysm using the Pipeline embolization device"],"prefix":"10.1136","volume":"5","author":[{"given":"Andrew F","family":"Ducruet","sequence":"first","affiliation":[{"name":"Division of Neurological Surgery, Barrow Neurological Institute, St Joseph's Hospital and Medical Center, Phoenix, Arizona, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R Webster","family":"Crowley","sequence":"additional","affiliation":[{"name":"Division of Neurological Surgery, Barrow Neurological Institute, St Joseph's Hospital and Medical Center, Phoenix, Arizona, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe C","family":"Albuquerque","sequence":"additional","affiliation":[{"name":"Division of Neurological Surgery, Barrow Neurological Institute, St Joseph's Hospital and Medical Center, Phoenix, Arizona, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron G","family":"McDougall","sequence":"additional","affiliation":[{"name":"Division of Neurological Surgery, Barrow Neurological Institute, St Joseph's Hospital and Medical Center, Phoenix, Arizona, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2012,6,20]]},"reference":[{"key":"2025092912092271000_5.4.e20.1","doi-asserted-by":"publisher","DOI":"10.1136\/jnis.2009.000083"},{"key":"2025092912092271000_5.4.e20.2","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000339109.98070.65"},{"key":"2025092912092271000_5.4.e20.3","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A1561"},{"key":"2025092912092271000_5.4.e20.4","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199505000-00003"},{"key":"2025092912092271000_5.4.e20.5","doi-asserted-by":"crossref","first-page":"1074","DOI":"10.3171\/2010.5.JNS091435","article-title":"Vertebral artery-posterior inferior cerebellar artery bypass using a radial artery graft for hemorrhagic dissecting vertebral artery aneurysms: surgical technique and report of 2 cases","volume":"114","author":"Czabanka","year":"2011","journal-title":"J Neurosurg"},{"key":"2025092912092271000_5.4.e20.6","doi-asserted-by":"publisher","DOI":"10.3171\/2011.12.JNS111514"},{"key":"2025092912092271000_5.4.e20.7","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2671"},{"key":"2025092912092271000_5.4.e20.8","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2797"},{"key":"2025092912092271000_5.4.e20.9","doi-asserted-by":"publisher","DOI":"10.1227\/01.neu.0000410938.46452.b6"},{"key":"2025092912092271000_5.4.e20.10","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e318236715e"}],"container-title":["Journal of NeuroInterventional Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/neurintsurg-2012-010358","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T19:09:27Z","timestamp":1759172967000},"score":1,"resource":{"primary":{"URL":"https:\/\/jnis.bmj.com\/lookup\/doi\/10.1136\/neurintsurg-2012-010358"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,6,20]]},"references-count":10,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2013,6,11]]},"published-print":{"date-parts":[[2013,7]]}},"alternative-id":["10.1136\/neurintsurg-2012-010358"],"URL":"https:\/\/doi.org\/10.1136\/neurintsurg-2012-010358","relation":{},"ISSN":["1759-8478","1759-8486"],"issn-type":[{"value":"1759-8478","type":"print"},{"value":"1759-8486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,6,20]]}}}