{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T02:32:42Z","timestamp":1777429962634,"version":"3.51.4"},"reference-count":31,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1999,5]]},"abstract":"<jats:p content-type=\"fine-print\"><jats:italic>Object.<\/jats:italic> Surgical or endovascular occlusion of the parent artery proximal to an aneurysm has been recommended for treatment of dissecting aneurysms of the intracranial posterior circulation. However, dissecting aneurysms may rupture even after proximal occlusion because distal progression of thrombus is necessary to occlude the dissecting aneurysm completely, and this may be delayed by the presence of retrograde flow. In this article the authors present their experience in treating six patients with ruptured dissecting aneurysms.<\/jats:p><jats:p content-type=\"fine-print\"><jats:italic>Methods.<\/jats:italic> The authors report on six patients with a ruptured dissecting aneurysm in the posterior fossa who were successfully treated by endovascular occlusion of the aneurysm by using Guglielmi detachable coils. The procedure was particularly aimed at occluding the dissected site.<\/jats:p><jats:p content-type=\"fine-print\"><jats:italic>Conclusions.<\/jats:italic> At the present time, endovascular occlusion of the dissected site is a safe, minimally invasive, and reliable treatment for dissecting aneurysms when a test occlusion is tolerated and adequate collateral circulation is present.<\/jats:p>","DOI":"10.3171\/jns.1999.90.5.0853","type":"journal-article","created":{"date-parts":[[2009,5,13]],"date-time":"2009-05-13T17:21:50Z","timestamp":1242235310000},"page":"853-856","source":"Crossref","is-referenced-by-count":143,"title":["Endovascular treatment of ruptured dissecting aneurysms aimed at occlusion of the dissected site by using Guglielmi detachable coils"],"prefix":"10.3171","volume":"90","author":[{"given":"Ikuya","family":"Yamaura","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiichi","family":"Tani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masayuki","family":"Yokota","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsuhisa","family":"Nakano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Fukami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keizo","family":"Kaba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsuyoshi","family":"Matsumoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Neurosurgery","first-page":"987","article-title":"Clinical analysis of a series of vertebral aneurysm cases.","volume":"31","author":"Andoh","year":"1992"},{"key":"b2","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"1628","DOI":"10.1161\/01.STR.21.11.1628","article-title":"Rebleeding from intracranial dissecting aneurysm in the vertebral artery.","volume":"21","author":"Aoki","year":"1990"},{"key":"b3","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"393","DOI":"10.3171\/jns.1991.74.3.0393","article-title":"Endovascular occlusion of vertebral arteries in the treatment of unclippable vertebrobasilar aneurysms.","volume":"74","author":"Aymard","year":"1991"},{"key":"b4","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"882","DOI":"10.3171\/jns.1984.61.5.0882","article-title":"Intracranial dissecting aneurysms of the posterior circulation. Report of six cases and review of the literature.","volume":"61","author":"Berger","year":"1984"},{"key":"b5","series-title":"Surg Cereb Stroke","doi-asserted-by":"publisher","first-page":"355","DOI":"10.2335\/scs1987.21.5_355","article-title":"[Intravascular neurosurgery for ruptured dissecting vertebral artery aneurysms\u2014angiographical classification and selection of the site of embolization.]","volume":"21","author":"Ezura","year":"1993"},{"key":"b6","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"40","DOI":"10.3171\/jns.1987.66.1.0040","article-title":"Use of detachable balloons for proximal artery occlusion in the treatment of unclippable cerebral aneurysms.","volume":"66","author":"Fox","year":"1987"},{"key":"b7","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"325","DOI":"10.3171\/jns.1984.60.2.0325","article-title":"Subarachnoid hemorrhage from intracranial dissecting aneurysm.","volume":"60","author":"Friedman","year":"1984"},{"key":"b8","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"55","DOI":"10.3171\/jns.1996.84.1.0055","article-title":"Treatment of large and giant fusiform intracranial aneurysms with Guglielmi detachable coils.","volume":"84","author":"Gobin","year":"1996"},{"key":"b9","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"8","DOI":"10.3171\/jns.1991.75.1.0008","article-title":"Electrothrombosis of saccular aneurysms via endovascular approach. Part 2: Preliminary clinical experience.","volume":"75","author":"Guglielmi","year":"1991"},{"key":"b10","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3171\/jns.1991.75.1.0001","article-title":"Electrothrombosis of saccular aneurysms via endovascular approach. Part 1: Electrochemical basis, technique, and experimental results.","volume":"75","author":"Guglielmi","year":"1991"},{"key":"b11","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"183","DOI":"10.3171\/jns.1993.79.2.0183","article-title":"Endovascular treatment of vertebral artery dissections and pseudoaneurysms.","volume":"79","author":"Halbach","year":"1993"},{"key":"b12","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"694","DOI":"10.3171\/jns.1991.75.5.0694","article-title":"Endovascular occlusion of intracranial vesseles for curative treatment of unclippable aneurysms: report of 16 cases.","volume":"75","author":"Hodes","year":"1991"},{"key":"b13","series-title":"Clin Neurosurg","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1093\/neurosurgery\/21.CN_suppl_1.79","article-title":"Timing and perioperative care in intracranial aneurysm surgery.","volume":"21","author":"Hunt","year":"1974"},{"key":"b14","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"466","DOI":"10.3171\/jns.1992.77.3.0466","article-title":"Rebleeding from vertebral artery dissection after proximal clipping. Case report.","volume":"77","author":"Kitanaka","year":"1992"},{"key":"b15","series-title":"Neurosurgery","first-page":"620","article-title":"Intracranial vertebral artery dissections: clinical, radiological features, and surgical considerations.","volume":"34","author":"Kitanaka","year":"1994"},{"key":"b16","series-title":"Neurosurgery","first-page":"1036","article-title":"Endovascular treatment of a dissecting posteroinferior cerebellar artery aneurysm: case report.","volume":"39","author":"Lefkowitz","year":"1996"},{"key":"b17","series-title":"Neurosurgery","first-page":"169","article-title":"Clinical experience with motor and cerebellar evoked potential monitoring.","volume":"20","author":"Levy","year":"1987"},{"key":"b18","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1227\/00006123-198703000-00011","article-title":"Electrophysiological monitoring during basilar aneurysm operation.","volume":"20","author":"Little","year":"1987"},{"key":"b19","series-title":"J Neurol","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1007\/BF00313594","article-title":"Dissecting aneurysm of intracranial vertebral artery: case report and review of the literature.","volume":"230","author":"Manz","year":"1983"},{"key":"b20","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"880","DOI":"10.1212\/WNL.38.6.880","article-title":"Spontaneous dissections of the vertebral arteries.","volume":"38","author":"Mokri","year":"1988"},{"key":"b21","series-title":"No Shinkei Geka","first-page":"57","article-title":"[Usefulness of the interlocking detachable coil for the repeatedly ruptured dissecting aneurysm of the vertebral artery in the acute stage.]","volume":"25","author":"Nakata","year":"1997"},{"key":"b22","series-title":"Neurol Med Chir","doi-asserted-by":"publisher","first-page":"893","DOI":"10.2176\/nmc.30.893","article-title":"[Angiographic findings of vertebral dissecting aneurysms. Report of two cases and review of literature.]","volume":"30","author":"Nishizawa","year":"1990"},{"key":"b23","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"874","DOI":"10.3171\/jns.1991.75.6.0874","article-title":"A clinicopathological study of dissecting aneurysms of the intracranial vertebral artery.","volume":"75","author":"Sasaki","year":"1991"},{"key":"b24","series-title":"J Neurosurg","first-page":"128","article-title":"Nontraumatic dissecting aneurysm of the vertebral artery. Case report.","volume":"56","author":"Senter","year":"1984"},{"key":"b25","series-title":"Surg Cereb Stroke","doi-asserted-by":"publisher","first-page":"44","DOI":"10.2335\/scs1987.17.1_44","article-title":"[Detachable balloon treatment of dissecting vertebral aneurysms in its acute stage of subarachnoid hemorrhage.]","volume":"17","author":"Takahashi","year":"1989"},{"key":"b26","series-title":"No Shinkei Geka","first-page":"639","article-title":"[Detachable balloon treatment of vertebral fusiform aneurysms.]","volume":"16","author":"Takahashi","year":"1988"},{"key":"b27","series-title":"AJNR","first-page":"936","article-title":"Isolated dissecting aneurysm of the left posterior inferior cerebellar artery: endovascular treatment with a Guglielmi detachable coil.","volume":"18","author":"Tikkakoski","year":"1997"},{"key":"b28","series-title":"Surg Neurol","first-page":"237","article-title":"Dissecting aneurysm of the vertebral artery.","volume":"10","author":"Waga","year":"1978"},{"key":"b29","series-title":"Arch Neurol","doi-asserted-by":"publisher","first-page":"392","DOI":"10.1001\/archneur.1972.00490170024004","article-title":"The vertebral artery. Extracranial and intracranial structure.","volume":"27","author":"Wilkinson","year":"1972"},{"key":"b30","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"345","DOI":"10.3171\/jns.1988.69.3.0345","article-title":"Diagnosis and treatment of vertebral aneurysms.","volume":"69","author":"Yamaura","year":"1988"},{"key":"b31","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"183","DOI":"10.3171\/jns.1990.72.2.0183","article-title":"Dissecting aneurysms of the intracranial vertebral artery.","volume":"72","author":"Yamaura","year":"1990"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/90\/5\/article-p853.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/90\/5\/article-p853.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/90\/5\/article-p853.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T11:15:28Z","timestamp":1679915728000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/90\/5\/article-p853.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,5]]},"references-count":31,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/jns.1999.90.5.0853","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1999,5]]}}}