Current Treatment of Anterior Communicating Artery Aneurysms:
Single Center Study

J 2020

Current Treatment of Anterior Communicating Artery Aneurysms: Single Center Study

NAVRÁTIL, Ondřej, Kamil ĎURIŠ, Vilém JURÁŇ, Karel SVOBODA, Jakub HUSTÝ et. al.

Základní údaje

Originální název

Current Treatment of Anterior Communicating Artery Aneurysms: Single Center Study

Autoři

NAVRÁTIL, Ondřej (203 Česká republika, garant, domácí), Kamil ĎURIŠ (203 Česká republika, domácí), Vilém JURÁŇ (203 Česká republika, domácí), Karel SVOBODA (203 Česká republika), Jakub HUSTÝ (203 Česká republika, domácí), Evžen HOVORKA (203 Česká republika, domácí), Eduard NEUMAN (203 Česká republika, domácí), Andrej MRLIAN (703 Slovensko, domácí) a Martin SMRČKA (203 Česká republika, domácí)

Vydání

Brain Sciences, ST ALBAN-ANLAGE, MDPI, 2020, 2076-3425

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30103 Neurosciences

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 3.394

Kód RIV

RIV/00216224:14110/20:00116430

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.3390/brainsci10080501

UT WoS

000564572000001

Klíčová slova anglicky

intracranial aneurysms; subarachnoid hemorrhage; anterior communicating artery; outcome; treatment

Štítky

14110216, 14110224, 14110518, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 26. 1. 2021 10:31, Mgr. Tereza Miškechová

Anotace

V originále

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.

Citovat

NAVRÁTIL, Ondřej, Kamil ĎURIŠ, Vilém JURÁŇ, Karel SVOBODA, Jakub HUSTÝ, Evžen HOVORKA, Eduard NEUMAN, Andrej MRLIAN a Martin SMRČKA. Current Treatment of Anterior Communicating Artery Aneurysms: Single Center Study. Brain Sciences. ST ALBAN-ANLAGE: MDPI, 2020, roč. 10, č. 8, s. 1-11. ISSN 2076-3425. Dostupné z: https://dx.doi.org/10.3390/brainsci10080501.

@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 a Martin SMRČKA. Current Treatment of Anterior Communicating Artery Aneurysms: Single Center Study. \textit{Brain Sciences}. ST ALBAN-ANLAGE: MDPI, 2020, roč.~10, č.~8, s.~1-11. ISSN~2076-3425. Dostupné z: https://dx.doi.org/10.3390/brainsci10080501.

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