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논문 기본 정보

자료유형
학술저널
저자정보
Ji Soo Moon (Department of Neurosurgery Pusan National University Hospital Pusan National University School of) Chang Hwa Choi (Department of Neurosurgery Pusan National University Hospital) Tae Hong Lee (Diagnostic Radiology Medical Research Institute Pusan National University Hospital) Jun Kyeung Ko (Departments of Neurosurgery Medical Research Institute Pusan National University Hospital)
저널정보
대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.22 No.4
발행연도
2020.1
수록면
225 - 236 (12page)

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Objective: This study will evaluate the outcomes of coiling versus clipping of unruptured anterior communicating artery (A-com) aneurysms treated by a hybrid vascular neurosurgeon to suggest the best protocol of management for these conditions. Methods: We retrospectively reviewed the records of 70 patients with an unruptured A-com aneurysm treated with coiling or clipping performed by a hybrid vascular neurosurgeon between March 2012 and December 2019. The patients were dichotomized, into the coil group or clip group. Treatment-related complications, clinical and radiological results were evaluated. Results: Of the 70 patients identified, 37 underwent coiling and 33 clipping. Procedure-related symptomatic complications occurred in 2 patients (5.4%) in the coil group and 3 patients (9.1%) in the clip group. Poor clinical outcome (modified Rankin Scale [mRS] of 3 to 6) at 6 months of follow-up was seen in only one patient (2.7%) for the coil group, and none for the clip group. The one poor outcome was the result of intra-procedural rupture during coiling. Follow-up conventional angiography data (mean duration, 15.0 months) revealed that the major recanalization rate is 5.6% for the coil group and 10.0% for the clip group. Conclusions: Management of A-com aneurysms requires more collaboration between microsurgical clipping and endovascular therapy. Evaluation of patient and aneurysm characteristics by considering the advantages and disadvantages of both techniques could provide an optimal treatment modality. A hybrid vascular neurosurgeon is expected to be a proper solution for the management of these conditions.
#Intracranial aneurysm #Microsurgery #Recurrence #Retreatment

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참고문헌 (18)

참고문헌 신청
Beeckmans K / 2020 / Cognitive outcome after surgical clipping versus endovascular coiling in patients with subarachnoid hemorrhage due to ruptured anterior communicating artery aneurysm / Acta Neurol Belg 120(1):123~132 google schola Birknes JK / 2006 / Feasibility and limitations of endovascular coil embolization of anterior communicating artery aneurysms : morphological considerations / Neurosurgery 59(1):43~52 google schola Cherian MP / 2011 / Outcomes of endovascular coiling of anterior communicating artery aneurysms in the early post-rupture period : a prospective analysis / Neurol India 59(2):218~223 google schola Fang S / 2014 / Endovascular treatment of anterior communicating artery aneurysms : a systematic review and meta-analysis / AJNR Am J Neuroradiol 35(5):943~947 google schola Finitsis S / 2010 / Endovascular treatment of ACom intracranial aneurysms. Report on series of 280 patients / Interv Neuroradiol 16(1):7~16 google schola

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