Endovascular therapy of distal anterior cerebral artery aneurysms—an effective treatment option

Waldenberger, Peter; Petersen, Johannes; Chemelli, Andreas; Schenk, Claudia; Gruber, I; Strasak, Alexander; Eisner, Wilhelm; Beer, Ronny; Glodny, Bernhard

doi:10.1016/j.surneu.2007.07.058

Cited by 23 publications

(38 citation statements)

References 38 publications

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“…Pandey et al 16 reported an 18% recurrence rate at a mean follow-up of 16.5 months. In a similar circumstance, Waldenberger et al 15 identified a recurrence in 17.2% of patients at 6-month follow-up examination. Although it is difficult to draw strong conclusions on the basis of the length of follow up, we observed aneurysm regrowth in 2 patients (15.4%) at a mean follow-up of 15 months.…”

Section: Recurrencesmentioning

confidence: 81%

“…We analyzed 6 series on the endovascular management of distal ACA aneurysms published since 2004 that had consistent and homogeneous results. 10,13,[15][16][17][18] When our series was added to these 6 reports, our assessment of the current status of endovascular coiling was based on 160 patients with distal ACA aneurysms ( Table 1).…”

Section: Analysis Of Endovascular and Microsurgical Series Of Distal mentioning

confidence: 99%

“…16,28 Studies have shown that the admission HH grade is a significant predictor of poor clinical outcome. 8,15,16,19,29 Intracerebral hemorrhage on initial CT also predicted a poor outcome in patients undergoing either endovascular or microsurgical treatment of distal ACA aneurysms. 8,15,19 The large number of distal ACA aneurysms surgically managed by Lehecka et al 19 yielded a longer list of predictors.…”

Section: Clinical Outcomes In Endovascular and Microsurgical Series mentioning

confidence: 99%

“…8,15,16,19,29 Intracerebral hemorrhage on initial CT also predicted a poor outcome in patients undergoing either endovascular or microsurgical treatment of distal ACA aneurysms. 8,15,19 The large number of distal ACA aneurysms surgically managed by Lehecka et al 19 yielded a longer list of predictors. Intraventricular hemorrhage, severe preoperative hydrocephalus, age, and rebleeding before treatment were associated with unfavorable clinical outcomes in their series.…”

Section: Clinical Outcomes In Endovascular and Microsurgical Series mentioning

confidence: 99%

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Endovascular Management of Distal ACA Aneurysms: Single-Institution Clinical Experience in 22 Consecutive Patients and Literature Review

Cavalcanti

Abla

Martirosyan

et al. 2013

AJNR Am J Neuroradiol

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BACKGROUND AND PURPOSE:Distal ACA aneurysms remain difficult to treat with endovascular therapy, but improved technology and experience allows for the treatment of some of these aneurysms with excellent results. The purpose of this study was to assess the status of endovascular treatment of distal ACA aneurysms by comparing our results with recent endovascular and microsurgical series of distal ACA aneurysms.

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Section: Recurrencesmentioning

confidence: 81%

Section: Analysis Of Endovascular and Microsurgical Series Of Distal mentioning

confidence: 99%

Section: Clinical Outcomes In Endovascular and Microsurgical Series mentioning

confidence: 99%

Section: Clinical Outcomes In Endovascular and Microsurgical Series mentioning

confidence: 99%

See 2 more Smart Citations

Endovascular Management of Distal ACA Aneurysms: Single-Institution Clinical Experience in 22 Consecutive Patients and Literature Review

Cavalcanti

Abla

Martirosyan

et al. 2013

AJNR Am J Neuroradiol

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“…4,12,15,16,19) In addition, these series contained many aneurysms in the A 2 or A 3 segments. 4,12,15,16,19) Accessory ACA aneurysms frequently arise from the A 4 or A 5 segments, so clipping appears to be more suitable than coiling for treatment of these aneurysms. In fact, treatment outcomes by clipping seem to be favorable as in typical distal ACA aneurysm (Table 1).…”

mentioning

confidence: 99%

Ruptured Distal Accessory Anterior Cerebral Artery Aneurysm -Case Report-

Matsuzaki

Uno

Fujihara

et al. 2011

Neurol. Med. Chir.(Tokyo)

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A 48-year-old man presented with an extremely rare aneurysm arising from an accessory anterior cerebral artery (ACA) manifesting as sudden onset of headache lasting for 5 days. Neurological examination on admission revealed no abnormalities. Computed tomography showed subarachnoid hemorrhage of the interhemispheric fissure and intraparenchymal hematoma of the left cingulate gyrus. Magnetic resonance and cerebral angiography revealed a saccular aneurysm of the distal portion of the accessory ACA classified as the bihemispheric type. Neck clipping of the aneurysm was performed via an interhemispheric approach 17 days after symptom onset. The patient made a good postoperative recovery without neurological deficit. Distal accessory ACA aneurysms tend to arise from the first bifurcation and supply parietal branches. The aneurysms tend to occur on the bihemispheric type of distal accessory ACA. Hemodynamic stress may contribute to formation or development of these aneurysms.

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