Outcomes for a case series of unruptured anterior communicating artery aneurysm surgery

Safety and effectiveness of microsurgical clipping, endovascular coiling, and stent assisted coiling for unruptured anterior communicating artery aneurysms: a systematic analysis of observational studies

“…Six studies reported outcomes for unruptured aneurysms,5 9 14–17 and eight included a mix of patients with ruptured and unruptured cases 2 18–24. Twelve studies2 5 9 14 15 17–23 reported treatment outcomes exclusive to ACoA aneurysms, and two studies16 24 incorporated data on aneurysms at other locations. Documentation of the size among the treated aneurysms was highly heterogeneous among studies, and data on size was largely non-extractable.…”

“…Six studies reported outcomes using the GOS,14 16 17 19 23 24 two using the mRS,5 18 and six using qualitative descriptions 2 9 15 20–22. Coil embolization demonstrated high rates of good clinical outcome (EC 99.2%, MC 95.6%, SAC 92.1%; p=0.001), and corresponding low rates of poor clinical outcome (EC 0.8%, MC 4.4%, SAC 7.9%; p=0.001), in comparison with treatment with MC and SAC.…”

“…2 5 9 14 17 19 22–24 Angiographic follow-up imaging was performed using a combination of DSA and CT angiography,5 14 or CT angiography and MR angiography,19 in studies regarding MC, with studies addressing EC or SAC treatment methods utilizing either MR angiography and DSA,2 17 or DSA alone 9 22–24. Treatment with endovascular techniques led to significantly higher rates of recurrence (EC 7.2%, MC 0%, SAC 12.3%; p<0.001) and retreatment (EC 4.9%, MC 0%, SAC 6.8%; p=0.001) compared with microsurgical repair.…”

Incidence of Postoperative Hematomas Requiring Surgical Treatment in Neurosurgery: A Retrospective Observational Study

“…The incidence of POH after elective aneurysm surgery varies between 0.1% and 2.6%. 1,[57][58][59][60][61] In our series, there was no POH after elective aneurysm surgery and the reason for such a low rate might be that in our center, elective aneurysm clippings were performed mainly by 1 highly experienced senior surgeon microneurosurgically. Although according to an older study, 8 there was no correlation between the rank of the surgeon and the occurrence of POH after craniotomy, in a newer study, there was a lower rate of surgical complications (15.8% vs. 28.6%) and surgical vascular complications (7.6% vs. 16.7%) among high-volume (clipped >40 aneurysms per annum during the study period) compared with low-volume surgeons (<40 aneurysms), but this was statistically not significant.…”

Case-series analysis of intracranial saccular aneurysms treatment

“…The most frequent location for intracranial aneurysms is Correspondence to: Gytis Šustickas, Department of Neurosurgery, Vilnius University National Hospital, Šiltnamių St. 29, LT-04130 Vilnius, Lithuania. E-mail: gytis.sustickas@gmail.com the anterior communicating artery (AcomA) and represents an increased risk of rupture as compared to aneurysms in other locations (12)(13)(14)(15)(16). The purpose of this study was to identify the factors influencing the optimal radical method of intracranial aneurysm treatment.…”