A Combined Bilateral Approach to Anterior Communicating Artery Aneurysm

作者:Chen, Yong-An; Qu, Rong-Bo; Bian, Yu-Song; Zhu, Wei; Zhang, Kun-Peng; Pang, Qi*
来源:Turkish Neurosurgery, 2015, 25(2): 263-268.
DOI:10.5137/1019-5149.JTN.9014-13.0

摘要

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.

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