Abstract 167: Surgical treatment for unruptured Anterior communicating artery aneurysm
Introduction We report the results of endovascular surgery as the first‐line treatment for unruptured anterior communicating artery aneurysms. Methods Fifty‐seven patients (F:M, 30:27; mean age, 65.5 years) underwent surgery for unruptured anterior communicating artery aneurysms in our hospital betw...
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| Format: | Article |
| Language: | English |
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Wiley
2023-11-01
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| Series: | Stroke: Vascular and Interventional Neurology |
| Online Access: | https://www.ahajournals.org/doi/10.1161/SVIN.03.suppl_2.167 |
| _version_ | 1797221215543230464 |
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| author | Masaur Hirohata |
| author_facet | Masaur Hirohata |
| author_sort | Masaur Hirohata |
| collection | DOAJ |
| description | Introduction We report the results of endovascular surgery as the first‐line treatment for unruptured anterior communicating artery aneurysms. Methods Fifty‐seven patients (F:M, 30:27; mean age, 65.5 years) underwent surgery for unruptured anterior communicating artery aneurysms in our hospital between January 2018 and January 2023. Results The mean aneurysm dome size was 5.29 mm (2–22 mm), and the mean aneurysm neck size was 3.2 mm (1.5–7 mm). Coil embolization was performed for fifty‐four patients using various adjunctive techniques (simple, 7; double catheter, 15; balloon neck remodeling, 7; stent‐assisted, 26 (LVIS Jr., 12; ATLAS, 14). Neck clipping was performed in 3 cases. The surgical results revealed complete coil embolization in 27, neck remnant in 26, and dome filling in 1 patient(s). The reason for 3 patients treated with neck clipping are patient's preference in one, associated with severe Middle cerebral artery stenosis needed TSA MCA anastomosis on one, and difficulty of embolization in one patient. Postoperative thrombotic complications were observed in 1 patient. The modified Rankin scale scores were 0 in 32 (96.5%) patients, 3 in 1 (1.7%) patients, and 6 in 1 (1.7%) patient. Follow‐up was performed in 55 patients, averaging 29.5 months (3–45 months). However, one patient underwent re‐aneurysm embolization for major recanalization of the aneurysm dome, and none of them suffered from rupture of the treated aneurysm. Conclusion Endovascular surgery may be the first choice of treatment for unruptured anterior communicating artery aneurysms. |
| first_indexed | 2024-03-07T15:38:43Z |
| format | Article |
| id | doaj.art-775746160d614a629c8f4bcc000cb543 |
| institution | Directory Open Access Journal |
| issn | 2694-5746 |
| language | English |
| last_indexed | 2024-04-24T13:01:54Z |
| publishDate | 2023-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke: Vascular and Interventional Neurology |
| spelling | doaj.art-775746160d614a629c8f4bcc000cb5432024-04-05T10:51:56ZengWileyStroke: Vascular and Interventional Neurology2694-57462023-11-013S210.1161/SVIN.03.suppl_2.167Abstract 167: Surgical treatment for unruptured Anterior communicating artery aneurysmMasaur Hirohata0Kurume University Hospital Fukuoka JapanIntroduction We report the results of endovascular surgery as the first‐line treatment for unruptured anterior communicating artery aneurysms. Methods Fifty‐seven patients (F:M, 30:27; mean age, 65.5 years) underwent surgery for unruptured anterior communicating artery aneurysms in our hospital between January 2018 and January 2023. Results The mean aneurysm dome size was 5.29 mm (2–22 mm), and the mean aneurysm neck size was 3.2 mm (1.5–7 mm). Coil embolization was performed for fifty‐four patients using various adjunctive techniques (simple, 7; double catheter, 15; balloon neck remodeling, 7; stent‐assisted, 26 (LVIS Jr., 12; ATLAS, 14). Neck clipping was performed in 3 cases. The surgical results revealed complete coil embolization in 27, neck remnant in 26, and dome filling in 1 patient(s). The reason for 3 patients treated with neck clipping are patient's preference in one, associated with severe Middle cerebral artery stenosis needed TSA MCA anastomosis on one, and difficulty of embolization in one patient. Postoperative thrombotic complications were observed in 1 patient. The modified Rankin scale scores were 0 in 32 (96.5%) patients, 3 in 1 (1.7%) patients, and 6 in 1 (1.7%) patient. Follow‐up was performed in 55 patients, averaging 29.5 months (3–45 months). However, one patient underwent re‐aneurysm embolization for major recanalization of the aneurysm dome, and none of them suffered from rupture of the treated aneurysm. Conclusion Endovascular surgery may be the first choice of treatment for unruptured anterior communicating artery aneurysms.https://www.ahajournals.org/doi/10.1161/SVIN.03.suppl_2.167 |
| spellingShingle | Masaur Hirohata Abstract 167: Surgical treatment for unruptured Anterior communicating artery aneurysm Stroke: Vascular and Interventional Neurology |
| title | Abstract 167: Surgical treatment for unruptured Anterior communicating artery aneurysm |
| title_full | Abstract 167: Surgical treatment for unruptured Anterior communicating artery aneurysm |
| title_fullStr | Abstract 167: Surgical treatment for unruptured Anterior communicating artery aneurysm |
| title_full_unstemmed | Abstract 167: Surgical treatment for unruptured Anterior communicating artery aneurysm |
| title_short | Abstract 167: Surgical treatment for unruptured Anterior communicating artery aneurysm |
| title_sort | abstract 167 surgical treatment for unruptured anterior communicating artery aneurysm |
| url | https://www.ahajournals.org/doi/10.1161/SVIN.03.suppl_2.167 |
| work_keys_str_mv | AT masaurhirohata abstract167surgicaltreatmentforunrupturedanteriorcommunicatingarteryaneurysm |