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Search Results (1,903)

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Keywords = sustainability paradigms

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22 pages, 1887 KiB  
Article
Knowledge Sharing: Key to Sustainable Building Construction Implementation
by Chijioke Emmanuel Emere, Clinton Ohis Aigbavboa and Olusegun Aanuoluwapo Oguntona
Eng 2025, 6(8), 190; https://doi.org/10.3390/eng6080190 - 6 Aug 2025
Abstract
The successful deployment of sustainable building construction (SBC) is connected to sound knowledge sharing. Concerning SBC, knowledge sharing has been identified to directly and indirectly increase innovation, environmental performance, cost saving, regulatory compliance awareness and so on. The necessity of enhancing SBC practice [...] Read more.
The successful deployment of sustainable building construction (SBC) is connected to sound knowledge sharing. Concerning SBC, knowledge sharing has been identified to directly and indirectly increase innovation, environmental performance, cost saving, regulatory compliance awareness and so on. The necessity of enhancing SBC practice globally has been emphasised by earlier research. Consequently, this study aims to investigate knowledge-sharing elements to enhance SBC in South Africa (SA). Utilising a questionnaire survey, this study elicited data from 281 professionals in the built environment. Data analysis was performed with “descriptive statistics”, the “Kruskal–Wallis H-test”, and “principal component analysis” to determine the principal knowledge-sharing features (KSFs). This study found that “creating public awareness of sustainable practices”, the “content of SBC training, raising awareness of green building products”, “SBC integration in professional certifications”, an “information hub or repository for sustainable construction”, and “mentoring younger professionals in sustainable practices” are the most critical KSFs for SBC deployment. These formed a central cluster, the Green Education Initiative and Eco-Awareness Alliance. The results achieved a reliability test value of 0.956. It was concluded that to embrace the full adoption of SBC, corporate involvement is critical, and all stakeholders must embrace the sustainability paradigm. It is recommended that the principal knowledge-sharing features revealed in this study should be carefully considered to help construction stakeholders in fostering knowledge sharing for a sustainable built environment. Full article
(This article belongs to the Section Chemical, Civil and Environmental Engineering)
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28 pages, 5190 KiB  
Article
Assessing the Coevolution Between Ecosystem Services and Human Well-Being in Ecotourism-Dominated Counties: A Case Study of Chun’an, Zhejiang Province, China
by Weifeng Jiang and Lin Lu
Land 2025, 14(8), 1604; https://doi.org/10.3390/land14081604 - 6 Aug 2025
Abstract
Investigating the coevolution between ecosystem services (ES) and human well-being (HWB) holds significant implications for achieving the sustainable operation of human–environment systems. However, limited research has focused on ES-HWB interactions in ecotourism-dominated counties. To address this gap, this study takes Chun’an County in [...] Read more.
Investigating the coevolution between ecosystem services (ES) and human well-being (HWB) holds significant implications for achieving the sustainable operation of human–environment systems. However, limited research has focused on ES-HWB interactions in ecotourism-dominated counties. To address this gap, this study takes Chun’an County in Zhejiang Province, China, as a case study, with the research objective of exploring the processes, patterns, and mechanisms of the coevolution between ecosystem services (ES) and human well-being (HWB) in ecotourism-dominated counties. By integrating multi-source heterogeneous data, including land use data, the normalized difference vegetation index (NDVI), and statistical records, and employing methods such as the dynamic equivalent factor method, the PLUS model, the coupling coordination degree model, and comprehensive evaluation, we analyzed the synergistic evolution of ES-HWB in Chun’an County from 2000 to 2020. The results indicate that (1) the ecosystem service value (ESV) fluctuated between 30.15 and 36.85 billion CNY, exhibiting a spatial aggregation pattern centered on the Qiandao Lake waterbody, with distance–decay characteristics. The PLUS model confirms ecological conservation policies optimize ES patterns. (2) The HWB index surged from 0.16 to 0.8, driven by tourism-led economic growth, infrastructure investment, and institutional innovation, facilitating a paradigm shift from low to high well-being at the county level. (3) The ES-HWB interaction evolved through three phases—disordered, antagonism, and coordination—revealing tourism as a key mediator driving coupled human–environment system sustainability via a pressure–adaptation–synergy transmission mechanism. This study not only advances the understanding of ES-HWB coevolution in ecotourism-dominated counties, but also provides a transferable methodological framework for sustainable development in similar regions. Full article
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24 pages, 1671 KiB  
Article
Sustainability in Purpose-Driven Businesses Operating in Cultural and Creative Industries: Insights from Consumers’ Perspectives on Società Benefit
by Gesualda Iodice and Francesco Bifulco
Sustainability 2025, 17(15), 7117; https://doi.org/10.3390/su17157117 - 6 Aug 2025
Abstract
This study intends to provide insights and challenges for the shape of the B movement, an emerging paradigm that fosters cross-sectoral partnerships and encourages ethical business practices through so-called purpose-driven businesses. Focusing on Italy, the first European country to adopt this managerial model, [...] Read more.
This study intends to provide insights and challenges for the shape of the B movement, an emerging paradigm that fosters cross-sectoral partnerships and encourages ethical business practices through so-called purpose-driven businesses. Focusing on Italy, the first European country to adopt this managerial model, the research investigates Italian Benefit Corporations, known as Società Benefit (SB), and their most appealing sustainability claims from a consumer perspective. The analysis intends to inform theory development by assuming the cultural and creative industry (CCI) as a field of interest, utilizing a within-subjects experimental design to analyze data from a diverse consumer sample across various contexts. The results indicate that messaging centered on economic sustainability emerged as the most effective in generating positive consumer responses, highlighting a prevailing inclination toward pragmatic factors such as affordability, economic accessibility, and tangible benefits rather than social issues. While sustainable behaviors are not yet widespread, latent ethical sensitivity for authentic, value-driven businesses suggests that economic and ethical dimensions can be strategically synthesized to enhance consumer engagement. This insight highlights the role of BCs in catalyzing a shift in consumption patterns within ethical-based and creative-driven sectors. Full article
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26 pages, 3194 KiB  
Article
Evolution Trends, Spatial Differentiation, and Convergence Characteristics of Urban Ecological Economic Resilience in China
by Xiaofeng Ran, Rui Ding and Bowen Zhang
Systems 2025, 13(8), 666; https://doi.org/10.3390/systems13080666 - 6 Aug 2025
Abstract
Achieving a win-win situation for both economy and ecology is crucial for promoting sustainable social development and shaping new advantages in high-quality developments. This article constructs an ecological economic resilience (EER) analysis framework by integrating both ecological and economic dimensions from a resilience [...] Read more.
Achieving a win-win situation for both economy and ecology is crucial for promoting sustainable social development and shaping new advantages in high-quality developments. This article constructs an ecological economic resilience (EER) analysis framework by integrating both ecological and economic dimensions from a resilience perspective. Based on panel data from 290 cities in China, it explores the dynamic evolution characteristics, regional differences, and convergence trends of EER. The findings indicate that the EER has weakened nationwide and in the four major economic regions, overall tending towards stability. Significant disparities exist in EER, particularly pronounced in the northeast. There is σ convergence in the nation as well as in the northeast and east regions. Additionally, both absolute and conditional β convergence is evident nationwide and in all regions, with conditional convergence occurring at a faster pace. The research findings in this paper provide solid theoretical support for promoting regional coordinated development and constructing a new development paradigm. Full article
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20 pages, 10605 KiB  
Article
Network Analysis of Outcome-Based Education Curriculum System: A Case Study of Environmental Design Programs in Medium-Sized Cities
by Yang Wang, Zixiao Zhan and Honglin Wang
Sustainability 2025, 17(15), 7091; https://doi.org/10.3390/su17157091 - 5 Aug 2025
Abstract
With deepening global higher education reforms, outcome-based education has emerged as the core paradigm for teaching model innovation. This study investigates the structural dependencies and teaching effectiveness of the Environmental Design curriculum at Hubei Engineering University in medium-sized cities, China, addressing challenges of [...] Read more.
With deepening global higher education reforms, outcome-based education has emerged as the core paradigm for teaching model innovation. This study investigates the structural dependencies and teaching effectiveness of the Environmental Design curriculum at Hubei Engineering University in medium-sized cities, China, addressing challenges of enrollment decline and market contraction critical for urban sustainability. Using network analysis, we construct curriculum support and contribution networks and course temporal networks to assess structural dependencies and teaching effectiveness, revealing structural patterns and optimizing the OBE-based Environmental Design curriculum to enhance educational quality and student competencies. Analysis reveals computer basic courses as knowledge transmission hubs, creating a course network with a distinct core–periphery structure. Technical course reforms significantly outperform theoretical course reforms in improving student performance metrics, such as higher average scores, better grade distributions, and reduced performance gaps, while innovative practice courses show peripheral isolation patterns, indicating limited connectivity with core curriculum modules, which reduces their educational impact. These findings provide empirical insights for curriculum optimization, supporting urban sustainable development through enhanced professional talent cultivation equipped to address environmental challenges like sustainable design practices and resource-efficient urban planning. Network analysis applications introduce innovative frameworks for curriculum reform strategies. Future research expansion through larger sample validation will support urban sustainable development goals and enhance professional talent cultivation outcomes. Full article
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23 pages, 930 KiB  
Article
The Principle of Shared Utilization of Benefits Applied to the Development of Artificial Intelligence
by Camilo Vargas-Machado and Andrés Roncancio Bedoya
Philosophies 2025, 10(4), 87; https://doi.org/10.3390/philosophies10040087 - 5 Aug 2025
Viewed by 91
Abstract
This conceptual position is based on the diagnosis that artificial intelligence (AI) accentuates existing economic and geopolitical divides in communities in the Global South, which provide data without receiving rewards. Based on bioethical precedents of fair distribution of genetic resources, it is proposed [...] Read more.
This conceptual position is based on the diagnosis that artificial intelligence (AI) accentuates existing economic and geopolitical divides in communities in the Global South, which provide data without receiving rewards. Based on bioethical precedents of fair distribution of genetic resources, it is proposed to transfer the principle of benefit-sharing to the emerging algorithmic governance in the context of AI. From this discussion, the study reveals an algorithmic concentration in the Global North. This dynamic generates political, cultural, and labor asymmetries. Regarding the methodological design, the research was qualitative, with an interpretive paradigm and an inductive method, applying documentary review and content analysis techniques. In addition, two theoretical and two analytical categories were used. As a result, six emerging categories were identified that serve as pillars of the studied principle and are capable of reversing the gaps: equity, accessibility, transparency, sustainability, participation, and cooperation. At the end of the research, it was confirmed that AI, without a solid ethical framework, concentrates benefits in dominant economies. Therefore, if this trend does not change, the Global South will become dependent, and its data will lack equitable returns. Therefore, benefit-sharing is proposed as a normative basis for fair, transparent, and participatory international governance. Full article
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7 pages, 524 KiB  
Editorial
Biosustainability and Waste Valorization—Advancing the Circular Bioeconomy Paradigm
by Maria Nazaré Coelho Pinheiro and Lyudmyla Symochko
Sustainability 2025, 17(15), 7063; https://doi.org/10.3390/su17157063 - 4 Aug 2025
Viewed by 150
Abstract
The global pursuit of sustainable development requires a paradigm shift towards reduced bioresource consumption and enhanced circularity in resource management [...] Full article
(This article belongs to the Special Issue Biosustainability and Waste Valorization)
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14 pages, 1329 KiB  
Article
Lane-Changing Risk Prediction on Urban Expressways: A Mixed Bayesian Approach for Sustainable Traffic Management
by Quantao Yang, Peikun Li, Fei Yang and Wenbo Lu
Sustainability 2025, 17(15), 7061; https://doi.org/10.3390/su17157061 - 4 Aug 2025
Viewed by 192
Abstract
This study addresses critical safety challenges in sustainable urban mobility by developing a probabilistic framework for lane-change risk prediction on congested expressways. Utilizing unmanned aerial vehicle (UAV)-captured trajectory data from 784 validated lane-change events, we construct a Bayesian network model integrated with an [...] Read more.
This study addresses critical safety challenges in sustainable urban mobility by developing a probabilistic framework for lane-change risk prediction on congested expressways. Utilizing unmanned aerial vehicle (UAV)-captured trajectory data from 784 validated lane-change events, we construct a Bayesian network model integrated with an I-CH scoring-enhanced MMHC algorithm. This approach quantifies risk probabilities while accounting for driver decision dynamics and input data uncertainties—key gaps in conventional methods like time-to-collision metrics. Validation via the Asia network paradigm demonstrates 80.5% reliability in forecasting high-risk maneuvers. Crucially, we identify two sustainability-oriented operational thresholds: (1) optimal lane-change success occurs when trailing-vehicle speeds in target lanes are maintained at 1.0–3.0 m/s (following-gap < 4.0 m) or 3.0–6.0 m/s (gap ≥ 4.0 m), and (2) insertion-angle change rates exceeding 3.0°/unit-time significantly elevate transition probability. These evidence-based parameters enable traffic management systems to proactively mitigate collision risks by 13.26% while optimizing flow continuity. By converting behavioral insights into adaptive control strategies, this research advances resilient transportation infrastructure and low-carbon mobility through congestion reduction. Full article
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24 pages, 48949 KiB  
Article
Co-Construction Mechanisms of Spatial Encoding and Communicability in Culture-Featured Districts—A Case Study of Harbin Central Street
by Hehui Zhu and Chunyu Pang
Sustainability 2025, 17(15), 7059; https://doi.org/10.3390/su17157059 - 4 Aug 2025
Viewed by 170
Abstract
During the transition of culture-featured district planning from static conservation to innovation-driven models, existing research remains constrained by mechanistic paradigms, reducing districts to functional containers and neglecting human perceptual interactions and meaning-production mechanisms. This study explores and quantifies the generative mechanisms of spatial [...] Read more.
During the transition of culture-featured district planning from static conservation to innovation-driven models, existing research remains constrained by mechanistic paradigms, reducing districts to functional containers and neglecting human perceptual interactions and meaning-production mechanisms. This study explores and quantifies the generative mechanisms of spatial communicability and cultural dissemination efficacy within human-centered frameworks. Grounded in humanistic urbanism, we analyze Harbin Central Street as a case study integrating historical heritage with contemporary vitality, developing a tripartite communicability assessment framework comprising perceptual experience, infrastructure utility, and behavioral dynamics. Machine learning-based threshold analysis reveals that spatial encoding elements govern communicability through significant nonlinear mechanisms. The conclusion shows synergies between street view-quantified greenery visibility and pedestrian accessibility establish critical human-centered design thresholds. Spatial data analysis integrating physiologically sensed emotional experiences and topologically analyzed spatial morphology resolves metric fragmentation while examining spatial encoding’s impact on interaction efficacy. This research provides data-driven decision support for sustainable urban renewal and enhanced cultural dissemination, advancing heritage sustainability. Full article
(This article belongs to the Section Sustainable Urban and Rural Development)
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26 pages, 758 KiB  
Article
Writing Is Coding for Sustainable Futures: Reimagining Poetic Expression Through Human–AI Dialogues in Environmental Storytelling and Digital Cultural Heritage
by Hao-Chiang Koong Lin, Ruei-Shan Lu and Tao-Hua Wang
Sustainability 2025, 17(15), 7020; https://doi.org/10.3390/su17157020 - 1 Aug 2025
Viewed by 396
Abstract
In the era of generative artificial intelligence, writing has evolved into a programmable practice capable of generating sustainable narratives and preserving cultural heritage through poetic prompts. This study proposes “Writing Is Coding ” as a paradigm for sustainability education, exploring how students engage [...] Read more.
In the era of generative artificial intelligence, writing has evolved into a programmable practice capable of generating sustainable narratives and preserving cultural heritage through poetic prompts. This study proposes “Writing Is Coding ” as a paradigm for sustainability education, exploring how students engage with AI-mediated multimodal creation to address environmental challenges. Using grounded theory methodology with 57 twelfth-grade students from technology-integrated high schools, we analyzed their experiences creating environmental stories and digital cultural artifacts using MidJourney, Kling, and Sora. Data collection involved classroom observations, semi-structured interviews, and reflective journals, analyzed through systematic coding procedures (κ = 0.82). Five central themes emerged: writing as algorithmic design for sustainability (89.5%), emotional scaffolding for environmental awareness (78.9%), aesthetics of imperfection in cultural preservation (71.9%), collaborative dynamics in sustainable creativity (84.2%), and pedagogical value of prompt literacy (91.2%). Findings indicate that AI deepens environmental consciousness and reframes writing as a computational process for addressing global issues. This research contributes a theoretical framework integrating expressive writing with algorithmic thinking in AI-assisted sustainability education, aligned with SDGs 4, 11, and 13. Full article
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20 pages, 4377 KiB  
Article
The Impact of Energy Communities Virtual Islanding on the Integration of Renewables in Distribution Power Systems
by Andrea Bonfiglio, Sergio Bruno, Alice La Fata, Maria Martino, Renato Procopio and Angelo Velini
Energies 2025, 18(15), 4084; https://doi.org/10.3390/en18154084 - 1 Aug 2025
Viewed by 126
Abstract
In power distribution networks, the growing integration of renewable energy sources (RESs) presents a challenge for the electricity system and its operators, who need to make the energy sector more flexible and resilient. In this context, this paper proposes a novel flexibilization service [...] Read more.
In power distribution networks, the growing integration of renewable energy sources (RESs) presents a challenge for the electricity system and its operators, who need to make the energy sector more flexible and resilient. In this context, this paper proposes a novel flexibilization service for the distribution system leveraging the role of renewable energy communities (RECs), an emerging entity with the potential to facilitate the sustainable energy transition through Virtual Islanding operation. The concept of Virtual Islanding is investigated in the paper and a methodology for its validation is developed. Its effectiveness is then assessed using an IEEE-standard 33-node network with significant penetration of RESs, considering the presence of multiple RECs to prove its benefits on electrical distribution networks. The results showcase the advantages of the VI paradigm both from technical and sustainability viewpoint. Full article
(This article belongs to the Section F1: Electrical Power System)
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25 pages, 894 KiB  
Article
Understanding Deep-Seated Paradigms of Unsustainability to Address Global Challenges: A Pathway to Transformative Education for Sustainability
by Desi Elvera Dewi, Joyo Winoto, Noer Azam Achsani and Suprehatin Suprehatin
World 2025, 6(3), 106; https://doi.org/10.3390/world6030106 - 1 Aug 2025
Viewed by 350
Abstract
This study investigates the foundational causes of unsustainability that obstruct efforts to address global challenges such as climate change, environmental degradation, water crises, and public health deterioration. Using qualitative research with in-depth expert interviews from education, environmental studies, and business, it finds that [...] Read more.
This study investigates the foundational causes of unsustainability that obstruct efforts to address global challenges such as climate change, environmental degradation, water crises, and public health deterioration. Using qualitative research with in-depth expert interviews from education, environmental studies, and business, it finds that these global challenges, while visible on the surface, are deeply rooted in worldviews that shape human behavior, societal structures, and policies. Building on this insight, the thematic analysis manifests three interrelated systemic paradigms as the fundamental drivers of unsustainability: a crisis of wholeness, reflected in fragmented identities and collective disorientation; a disconnection from nature, shaped by human-centered perspectives; and the influence of dominant political-economic systems which prioritize growth logics over ecological and social concerns. These paradigms underlie both structural and cognitive barriers to systemic transformation, which influence the design and implementation of education for sustainability. By clarifying a body of knowledge and systemic paradigms regarding unsustainability, this paper calls for transformative education that promotes a holistic, value-based approach, eco-empathy, and critical thinking, aiming to equip future generations with the tools to challenge and transform unsustainable systems. Full article
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40 pages, 1548 KiB  
Article
Real-Time Service Migration in Edge Networks: A Survey
by Yutong Zhang, Ke Zhao, Yihong Yang and Zhangbing Zhou
J. Sens. Actuator Netw. 2025, 14(4), 79; https://doi.org/10.3390/jsan14040079 - 1 Aug 2025
Viewed by 333
Abstract
With the rapid proliferation of Internet of Things (IoT) devices and mobile applications and the growing demand for low-latency services, edge computing has emerged as a transformative paradigm that brings computation and storage closer to end users. However, [...] Read more.
With the rapid proliferation of Internet of Things (IoT) devices and mobile applications and the growing demand for low-latency services, edge computing has emerged as a transformative paradigm that brings computation and storage closer to end users. However, the dynamic nature and limited resources of edge networks bring challenges such as load imbalance and high latency while satisfying user requests. Service migration, the dynamic redeployment of service instances across distributed edge nodes, has become a key enabler for solving these challenges and optimizing edge network characteristics. Moreover, the low-latency nature of edge computing requires that service migration strategies must be in real time in order to ensure latency requirements. Thus, this paper presents a systematic survey of real-time service migration in edge networks. Specifically, we first introduce four network architectures and four basic models for real-time service migration. We then summarize four research motivations for real-time service migration and the real-time guarantee introduced during the implementation of migration strategies. To support these motivations, we present key techniques for solving the task of real-time service migration and how these algorithms and models facilitate the real-time performance of migration. We also explore latency-sensitive application scenarios, such as smart cities, smart homes, and smart manufacturing, where real-time service migration plays a critical role in sustaining performance and adaptability under dynamic conditions. Finally, we summarize the key challenges and outline promising future research directions for real-time service migration. This survey aims to provide a structured and in-depth theoretical foundation to guide future research on real-time service migration in edge networks. Full article
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27 pages, 1832 KiB  
Review
Breaking the Traffic Code: How MaaS Is Shaping Sustainable Mobility Ecosystems
by Tanweer Alam
Future Transp. 2025, 5(3), 94; https://doi.org/10.3390/futuretransp5030094 - 1 Aug 2025
Viewed by 184
Abstract
Urban areas are facing increasing traffic congestion, pollution, and infrastructure strain. Traditional urban transportation systems are often fragmented. They require users to plan, pay, and travel across multiple disconnected services. Mobility-as-a-Service (MaaS) integrates these services into a single digital platform, simplifying access and [...] Read more.
Urban areas are facing increasing traffic congestion, pollution, and infrastructure strain. Traditional urban transportation systems are often fragmented. They require users to plan, pay, and travel across multiple disconnected services. Mobility-as-a-Service (MaaS) integrates these services into a single digital platform, simplifying access and improving the user experience. This review critically examines the role of MaaS in fostering sustainable mobility ecosystems. MaaS aims to enhance user-friendliness, service variety, and sustainability by adopting a customer-centric approach to transportation. The findings reveal that successful MaaS systems consistently align with multimodal transport infrastructure, equitable access policies, and strong public-private partnerships. MaaS enhances the management of routes and traffic, effectively mitigating delays and congestion while concurrently reducing energy consumption and fuel usage. In this study, the authors examine MaaS as a new mobility paradigm for a sustainable transportation system in smart cities, observing the challenges and opportunities associated with its implementation. To assess the environmental impact, a sustainability index is calculated based on the use of different modes of transportation. Significant findings indicate that MaaS systems are proliferating in both quantity and complexity, increasingly integrating capabilities such as real-time multimodal planning, dynamic pricing, and personalized user profiles. Full article
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20 pages, 1899 KiB  
Case Report
Ruptured Posterior Inferior Cerebellar Artery Aneurysms: Integrating Microsurgical Expertise, Endovascular Challenges, and AI-Driven Risk Assessment
by Matei Șerban, Corneliu Toader and Răzvan-Adrian Covache-Busuioc
J. Clin. Med. 2025, 14(15), 5374; https://doi.org/10.3390/jcm14155374 - 30 Jul 2025
Viewed by 457
Abstract
Background/Objectives: Posterior inferior cerebellar artery (PICA) aneurysms are one of the most difficult cerebrovascular lesions to treat and account for 0.5–3% of all intracranial aneurysms. They have deep anatomical locations, broad-neck configurations, high perforator density, and a close association with the brainstem, which [...] Read more.
Background/Objectives: Posterior inferior cerebellar artery (PICA) aneurysms are one of the most difficult cerebrovascular lesions to treat and account for 0.5–3% of all intracranial aneurysms. They have deep anatomical locations, broad-neck configurations, high perforator density, and a close association with the brainstem, which creates considerable technical challenges for either microsurgical or endovascular treatment. Despite its acceptance as the standard of care for most posterior circulation aneurysms, PICA aneurysms are often associated with flow diversion using a coil or flow diversion due to incomplete occlusions, parent vessel compromise and high rate of recurrence. This case aims to describe the utility of microsurgical clipping as a durable and definitive option demonstrating the value of tailored surgical planning, preservation of anatomy and ancillary technologies for protecting a genuine outcome in ruptured PICA aneurysms. Methods: A 66-year-old male was evaluated for an acute subarachnoid hemorrhage from a ruptured and broad-necked fusiform left PICA aneurysm at the vertebra–PICA junction. Endovascular therapy was not an option due to morphology and the center of the recurrence; therefore, a microsurgical approach was essential. A far-lateral craniotomy with a partial C1 laminectomy was carried out for proximal vascular control, with careful dissection of the perforating arteries and precise clip application for the complete exclusion of the aneurysm whilst preserving distal PICA flow. Results: Post-operative imaging demonstrated the complete obliteration of the aneurysm with unchanged cerebrovascular flow dynamics. The patient had progressive neurological recovery with no new cranial nerve deficits or ischemic complications. Long-term follow-up demonstrated stable aneurysm exclusion and full functional independence emphasizing the sustainability of microsurgical intervention in challenging PICA aneurysms. Conclusions: This case intends to highlight the current and evolving role of microsurgical practice for treating posterior circulation aneurysms, particularly at a time when endovascular alternatives are limited by anatomy and hemodynamics. Advances in artificial intelligence cerebral aneurysm rupture prediction, high-resolution vessel wall imaging, robotic-assisted microsurgery and new generation flow-modifying implants have the potential to revolutionize treatment paradigms by embedding precision medicine principles into aneurysm management. While the discipline of cerebrovascular surgery is expanding, it can be combined together with microsurgery, endovascular technologies and computational knowledge to ensure individualized, durable, and minimally invasive treatment options for high-risk PICA aneurysms. Full article
(This article belongs to the Special Issue Neurovascular Diseases: Clinical Advances and Challenges)
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