Issue release date: 12.11.2024
Turkish Neurosurgery
2015 , Vol 25 , Num 2
A Combined Bilateral Approach to Anterior Communicating Artery Aneurysm
1Qilu Hospital, Shandong University, Department of Neurosurgery, Jinan, China2Qingdao University, School of Medicine, Yantai Yuhuangding Hospital, Department of Neurosurgery, Yantai, China
3Lanzhou Medical University, Yantai Affiliated Hospital, Department of Neurosurgery,Yantai, Shandong, China
4Shandong University, Shandong Provincial Hospital, Department of Neurosurgery, Jinan, China DOI : 10.5137/1019-5149.JTN.9014-13.0 AIM: To discuss the features, feasibility, and safety of a combined bilateral approach in the endovascular treatment of intracranial anterior communicating artery (ACoA) aneurysm.
MATERIAL and METHODS: We performed a retrospective analysis of the clinical data of patients with ACoA aneurysm treated with a combined bilateral approach.
RESULTS: We successfully embolized aneurysms in nine patients with intracranial ACoA aneurysm using a combined bilateral approach. All treated patients had an open ACoA connecting with the bilateral anterior cerebral arteries.
CONCLUSION: Because the ACoA connects the intracranial arteries in both hemispheres, patients with ACoA aneurysm can be endovascularly treated with a combined bilateral approach. Notably, surgeon experience and dexterity play important roles in the success of this procedure.
Keywords : Anterior communicating artery aneurysm, Endovascular techniques, Therapeutic embolization