Publication details

Current Treatment of Anterior Communicating Artery Aneurysms: Single Center Study

Authors

NAVRÁTIL Ondřej ĎURIŠ Kamil JURÁŇ Vilém SVOBODA Karel HUSTÝ Jakub HOVORKA Evžen NEUMAN Eduard MRLIAN Andrej SMRČKA Martin

Year of publication 2020
Type Article in Periodical
Magazine / Source Behavioral and Brain Sciences
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.mdpi.com/2076-3425/10/8/501
Doi http://dx.doi.org/10.3390/brainsci10080501
Keywords intracranial aneurysms; subarachnoid hemorrhage; anterior communicating artery; outcome; treatment
Description Introduction: Anterior communicating artery aneurysms (ACoAAs) are the most frequent intracranial aneurysms treated at neurosurgical departments with a vascular program. Material and methods: We reviewed patients with ACoAAs in a single institution over ten years (2008-2017). The focus was on the final outcome; complications, age, and clinical condition with respect to modalities were analyzed. Results: A total of 198 patients treated during this period was included in the study: 176 patients had a ruptured ACoAA and 22 had an unruptured ACoAA. Then, 127 (71%) were treated surgically and 51 (29%) by endovascular means. Out of the whole series, a good recovery occurred in 123 patients (62%), moderate disability in 11 (5.5%), severe disability in 19 (10%), vegetative state in 11 (5.5%), and death in 34 (17%). In the 157 patients (72.5%) with a subarachnoid hemorrhage (SAH), both modalities had a favorable outcome: 27.5% had an unfavorable outcome, 12% had complications in surgery versus 17.6% during endovascular treatment. No statistical difference in outcome, complications, and age was noted between modalities. Surgical treatment was more frequently adopted for patients in a better clinical condition (p <= 0.05). Conclusion: More than two thirds of the patients (72.5%) reached a favorable outcome. There was no difference in age between the treatment modalities. Risks of complications are present and specific for both modalities.