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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
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A combined bilateral approach to anterior communicating artery aneurysm

Yong-An Chen1, Rong-Bo Qu, Yu-Song Bian

  • 1Qilu Hospital, Shandong University, Department of Neurosurgery, Jinan, China.

Turkish Neurosurgery
|May 28, 2015
PubMed

Insights

A combined bilateral approach is a feasible and safe endovascular treatment for anterior communicating artery (ACoA) aneurysms. This technique, particularly effective for aneurysms with open ACoA connections, relies on surgeon expertise for successful outcomes.

Area of Science:

  • Neurosurgery
  • Interventional Neurology
  • Vascular Neurology

Background:

  • Anterior communicating artery (ACoA) aneurysms pose significant treatment challenges.
  • Endovascular techniques offer less invasive treatment options for intracranial aneurysms.

Purpose of the Study:

  • To evaluate the features, feasibility, and safety of a combined bilateral approach for endovascularly treating intracranial ACoA aneurysms.
  • To assess the outcomes of this technique in patients with specific ACoA anatomy.

Main Methods:

  • Retrospective analysis of clinical data from patients undergoing endovascular treatment for ACoA aneurysms.
  • Utilizing a combined bilateral approach for aneurysm embolization.

Main Results:

  • Successful embolization of ACoA aneurysms was achieved in all nine treated patients.
  • The combined bilateral approach was feasible and safe in this patient cohort.
  • All patients presented with an open ACoA connecting to bilateral anterior cerebral arteries.

Conclusions:

  • A combined bilateral endovascular approach is a viable treatment for ACoA aneurysms, especially when the ACoA is open.
  • The success of this technique is significantly influenced by the surgeon's experience and technical skill.
Abstract

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