J 2020

Current Treatment of Anterior Communicating Artery Aneurysms: Single Center Study

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

Basic information

Original name

Current Treatment of Anterior Communicating Artery Aneurysms: Single Center Study

Authors

NAVRÁTIL, Ondřej (203 Czech Republic, guarantor, belonging to the institution), Kamil ĎURIŠ (203 Czech Republic, belonging to the institution), Vilém JURÁŇ (203 Czech Republic, belonging to the institution), Karel SVOBODA (203 Czech Republic), Jakub HUSTÝ (203 Czech Republic, belonging to the institution), Evžen HOVORKA (203 Czech Republic, belonging to the institution), Eduard NEUMAN (203 Czech Republic, belonging to the institution), Andrej MRLIAN (703 Slovakia, belonging to the institution) and Martin SMRČKA (203 Czech Republic, belonging to the institution)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30103 Neurosciences

Country of publisher

Switzerland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 3.394

RIV identification code

RIV/00216224:14110/20:00116430

Organization unit

Faculty of Medicine

DOI

UT WoS

000564572000001

Keywords in English

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

Tags

Tags

International impact, Reviewed
Změněno: 26/1/2021 10:31, Mgr. Tereza Miškechová

Abstract

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.