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@article{1679133,
author = {Navrátil, Ondřej and Ďuriš, Kamil and Juráň, Vilém and Svoboda, Karel and Hustý, Jakub and Hovorka, Evžen and Neuman, Eduard and Mrlian, Andrej and Smrčka, Martin},
article_location = {ST ALBAN-ANLAGE},
article_number = {8},
doi = {http://dx.doi.org/10.3390/brainsci10080501},
keywords = {intracranial aneurysms; subarachnoid hemorrhage; anterior communicating artery; outcome; treatment},
language = {eng},
issn = {2076-3425},
journal = {Brain Sciences},
title = {Current Treatment of Anterior Communicating Artery Aneurysms: Single Center Study},
url = {https://www.mdpi.com/2076-3425/10/8/501},
volume = {10},
year = {2020}
}
TY - JOUR
ID - 1679133
AU - Navrátil, Ondřej - Ďuriš, Kamil - Juráň, Vilém - Svoboda, Karel - Hustý, Jakub - Hovorka, Evžen - Neuman, Eduard - Mrlian, Andrej - Smrčka, Martin
PY - 2020
TI - Current Treatment of Anterior Communicating Artery Aneurysms: Single Center Study
JF - Brain Sciences
VL - 10
IS - 8
SP - 1-11
EP - 1-11
PB - MDPI
SN - 20763425
KW - intracranial aneurysms
KW - subarachnoid hemorrhage
KW - anterior communicating artery
KW - outcome
KW - treatment
UR - https://www.mdpi.com/2076-3425/10/8/501
L2 - https://www.mdpi.com/2076-3425/10/8/501
N2 - 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.
ER -
NAVRÁTIL, Ondřej, Kamil ĎURIŠ, Vilém JURÁŇ, Karel SVOBODA, Jakub HUSTÝ, Evžen HOVORKA, Eduard NEUMAN, Andrej MRLIAN and Martin SMRČKA. Current Treatment of Anterior Communicating Artery Aneurysms: Single Center Study. \textit{Brain Sciences}. ST ALBAN-ANLAGE: MDPI, 2020, vol.~10, No~8, p.~1-11. ISSN~2076-3425. Available from: https://dx.doi.org/10.3390/brainsci10080501.
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