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2015 ; 58
(3
): 184-91
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Eleven Year s Single Center Experience of Endovascular Treatment of Anterior
Communicating Artery Aneurysms: Focused on Digital Subtraction Angiography
Follow-Up Results
#MMPMID26539259
Hur CW
; Choi CH
; Cha SH
; Lee TH
; Jeong HW
; Lee JI
J Korean Neurosurg Soc
2015[Sep]; 58
(3
): 184-91
PMID26539259
show ga
OBJECTIVE: Anterior communicating artery (AcomA) aneurysms represent the most
common intracranial aneurysms and challenging to treat due to complex
vascularity. The purpose of this study was to report our experience of
endovascular treatment of AcomA aneurysms. METHODS: Between January 2003 and
December 2013, we retrospectively reviewed the medical records of 134 AcomA
aneurysm patients available more than 6 months conventional angiographic and
clinical follow-up results. We focused on aneurismal or AcomA vascular
characters, angiographic and clinical follow-up results, and retreatment.
RESULTS: The rate of ruptured cases was 75.4%, and the small (<10 mm) aneurysms
were 96.3%. Based on the subtypes defined by dominance of A1, 79 patients (59%)
had contralateral A1 hypoplasia or agenesis. The immediate post-procedural
angiography confirmed complete occlusion in 75.4%, partial occlusion in 24.6%.
Procedure related complications were observed in 25 (18.6%) patients. Most of the
adverse events were asymptomatic. Follow-up conventional angiography at ?6 months
was performed in all patients (mean 16.3 months) and major recanalization was
noted in 6.7% and regrowth in one case. The aneurysm size (p=0.016), and initial
treatment results (p=0.00) were statistically significant risk factors related to
aneurysm recurrence. An overall improvement in mRS was observed during the
clinical follow-up period and no rebleeding episode occurred. CONCLUSION: This
study demonstrated that endovascular treatment is an effective treatment modality
for AcomA aneurysms with low morbidity. Patients should take long term clinical
and angiographic follow-up in order to assess the recurrence and warrant
retreatment, especially ruptured, large, and initially incomplete occluded
aneurysms.