Endovascular Treatment of "Kissing Aneurysms" at the Anterior Communicating Artery

Suh, Sang Jun; Kang, Dong Gee; Ryu, Kee Young; Cho, Jae Hoon

doi:10.3340/jkns.2008.44.3.163

Cited by 4 publications

(9 citation statements)

References 10 publications

(30 reference statements)

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“…In the present study, the aneurysms were partly attached to the frontal lobes, thus they may have ruptured again during brain tissue stretching or aneurysm isolation during the surgery. A study by Suh et al (18) reported an intra-operative rupture rate of 50% during surgery on DACA aneurysms, which was much higher than that of aneurysms from other sites. Intra-operative CSF drainage to reduce intracranial pressure and prevent aneurysm rupture is pivotal for successful therapy (17).…”

Section: Discussionmentioning

confidence: 90%

“…Furthermore, it should be a preferential therapy (6), particularly for patients with poor general conditions (23). Researchers have treated aneurysms with interventional embolization at the vertebrobasilar, middle cerebral, bilateral ophthalmic and anterior communicating arteries with favorable therapeutic effects (11,18,24,25). Although interventional embolization for the treatment of distal anterior cerebral aneurysms has been reported to be beneficial (13,26), thus far reports of this therapy on 'kissing' aneurysms of DACA are rare.…”

Section: Discussionmentioning

confidence: 99%

“…The possible reasons are as follows: A number of cases of 'kissing' aneurysms at DACA were treated with interventional embolization and could not be diagnosed by imaging and their diagnosis was missed (10,16). Furthermore, the long distance and narrow lumen of DACA make it difficult for micro-catheter manipulation (18).…”

Section: Discussionmentioning

confidence: 99%

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Kissing aneurysms of the distal anterior cerebral artery: A case report and literature review

Jian-long

Liu

et al. 2018

Exp Ther Med

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Abstract. Intracranial 'kissing' aneurysms are rare types of multiple aneurysms referring to two adjacent aneurysms arising from identical or different arteries with separate origins and partially adherent walls. The present study reported a 54-year-old female patient, who was identified with a 'kissing' aneurysm in the A3 segment of the bilateral anterior cerebral arteries, as demonstrated by head computed tomography and emergency cerebral digital subtraction angiography analysis. In total, 12 days following the clipping of the aneurysms, the patient was discharged with a Modified Rankin Scale= 0 and recovered well with no neurological deficits. Based on previous literature, it was indicated that the majority of patients with 'kissing' aneurysm have a good prognosis and the cure rate is as high as 96.8%. However, the recovery rate may not be that high as the sample size is not large enough to thoroughly demonstrate the complete prognosis of 'kissing' aneurysms.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Kissing aneurysms of the distal anterior cerebral artery: A case report and literature review

Jian-long

Liu

et al. 2018

Exp Ther Med

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“…Another issue with these aneurysms is that they are more likely to rupture intraoperatively during exposure since the dome of the aneurysm generally projects towards the surgeon and is seen before the neck. A study by Suh et al [ 23 ] reported an intra-operative rupture rate of 50% in DACA aneurysms surgery. Furthermore, because these aneurysms are frequently embedded in the frontal lobes, vigorous manipulation or traction may result in avulsion and rupture of these aneurysms.…”

Section: Discussionmentioning

confidence: 99%

Ruptured mirror DACA aneurysm: A rare case report and review of literature

Singh

Sharma

Singh

et al. 2023

J Cerebrovasc Endovasc Neurosurg

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Bilateral distal anterior cerebral artery (DACA) aneurysms also called "kissing aneurysms" or "mirror aneurysm" are extremely rare, accounting for only 0.2% of all intracranial aneurysms. There have only been a few examples of mirror DACA aneurysms reported in the literature. Here, we report a rare case of mirror DACA aneurysm in a middle aged female with its successful clipping. Patient was admitted with severe headache and altered sensorium. Computed tomography (CT) head was suggestive of anterior inter-hemispheric hematoma. Digital subtraction angiography (DSA) was done which was suggestive of two distal anterior cerebral artery aneurysms located at same anatomical position. It was treated through microsurgical clipping. Mirror image DACA aneurysms are rare occurrence. All patients with ruptured DACA aneurysms should have angiography with 3D reconstruction studies. This aids in determining the aneurysm's morphology and planning treatment accordingly.

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“…Kissing aneurysms were first documented by Jefferson in 1978 [ 5 ]. Since then, numerous case reports and a few small series (≤5 cases) have been published [ 6 , 7 ]. Inci and Karakaya reported an incidence of 3.6% in their retrospective review of an aneurysm series, identifying 30 patients with kissing aneurysms among 1,073 aneurysms in 817 operated patients [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Kissing Aneurysms of the Anterior Communicating Artery Treated With Surgical Clipping: A Case Report and Literature Review

Toader,

Covache-Busuioc,

Bratu

et al. 2024

Cureus

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Intracranial “kissing” aneurysms are rare vascular conditions described as two anatomically adjacent aneurysms originating from either the same or different arteries, with their walls pressed together. Two-dimensional angiography was formerly considered the gold standard for diagnosis, with the three-dimensional rotational type now offering more insightful details about vascular discrepancies. The treatment of anterior communicating artery (AcoA) “kissing” aneurysms poses significant challenges, with surgical clipping proving difficult due to their deep midline location or the bilateral anterograde arterial supply. However, advancements in endovascular coil embolization, such as dual-volume reconstruction, can assist in diagnosis. This study presents the case of a 50-year-old patient who was diagnosed with “kissing” aneurysms of the AcoA. The patient underwent surgical clipping and showed no pathological follow-up findings. The surgical intervention often provides a more direct and effective approach. This case contributes to the body of knowledge surrounding the management of this complex disease.

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Endovascular Treatment of "Kissing Aneurysms" at the Anterior Communicating Artery

Cited by 4 publications

References 10 publications

Kissing aneurysms of the distal anterior cerebral artery: A case report and literature review

Kissing aneurysms of the distal anterior cerebral artery: A case report and literature review

Ruptured mirror DACA aneurysm: A rare case report and review of literature

Kissing Aneurysms of the Anterior Communicating Artery Treated With Surgical Clipping: A Case Report and Literature Review

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