Document Detail

Endovascular treatment of ruptured distal anterior cerebral artery aneurysm.
MedLine Citation:
PMID:  20508346     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Distal anterior cerebral artery (DACA) aneurysms are less common, accounting for 3.1 to 9.2% of all intracranial aneurysms.The clinical characteristics and surgical techniques are quite different from those of other aneurysms of Willis circle. OBJECTIVE: We aimed to investigate the clinical and radiographic characteristics of ruptured distal anterior cerebral artery (DACA) aneurysms and the efficacy of endovascular treatment for these lesions. PATIENTS AND METHODS: From 1998 to 2008, 41 patients with 44 DACA aneurysms were treated by endovascular coiling, including parent vessel occlusion using coils or coils combined with n-butyle-2-cyanoacrylate (NBCA) in two, endosaccular coiling alone in 39, and stent-assisted coiling in three. RESULTS: Technical success was achieved in 40 (97.6%) patients. Among the 41 aneurysms successfully treated with endosaccular coiling or stent-assisted coiling, complete occlusion was obtained in 37, neck remnant in two, and partial occlusion in two. Two patients with poor pretreatment conditions died of cerebral vasospasm. The morbidity was 4.87%. One case each of unruptured recurrence and rebleeding were seen in follow-up DSA of 34 patients and MRA in five cases. CONCLUSION: Our preliminary results show that endovascular treatment for DACA aneurysms is safe and effective. However, the relative high recurrent rate highlights long-term follow-up for its security.
Qinghai Huang; Jie Shen; Yi Xu; Jianmin Liu
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Neurology India     Volume:  58     ISSN:  0028-3886     ISO Abbreviation:  Neurol India     Publication Date:    2010 Mar-Apr
Date Detail:
Created Date:  2010-05-28     Completed Date:  2010-08-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0042005     Medline TA:  Neurol India     Country:  India    
Other Details:
Languages:  eng     Pagination:  259-63     Citation Subset:  IM    
Department of Neurosurgery, Changhai Hospital, Shanghai - 200 433, China.
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MeSH Terms
Aneurysm, Ruptured / therapy*
Cerebral Angiography / methods
Combined Modality Therapy
Embolization, Therapeutic / methods*
Follow-Up Studies
Intracranial Aneurysm / therapy*
Isocyanates / therapeutic use
Middle Aged
Retrospective Studies
Severity of Illness Index
Time Factors
Reg. No./Substance:
0/Isocyanates; 111-36-4/butyl isocyanate

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