Therapeutic management of intracranial internal carotid artery blowout syndrome: an institutional case series and individual participant data meta-analysis

Key Points

• This research aims to evaluate management strategies for intracranial carotid artery blowout syndrome (ICABS), particularly focusing on therapeutic options.
• Analyzed individual participant data from a case series of ICABS cases
• Used endovascular treatment (EVT) as a primary management strategy
• Provided an evidence-based algorithm for guiding further management.
• Conducted a systematic review to support the findings.
• First-line treatment with EVT demonstrated rapid effectiveness in halting hemorrhage.
• Emerging technologies showed potential for vessel-preserving strategies.
• The algorithm developed serves as a guide for clinicians in managing ICABS.

Abstract