The Role of Endovascular Treatment for Ruptured Distal Anterior Cerebral Artery Aneurysms: Comparison with Microsurgical Clipping

Keun Young Park; Byung Moon Kim; Yong Cheol Lim; Joonho Chung; Dong Joon Kim; Jin Yang Joo; Seung Kon Huh; Dong Ik Kim; Kyu Chang Lee; Jae Whan Lee

doi:10.1111/jon.12073

journal article Dec 03, 2013

The Role of Endovascular Treatment for Ruptured Distal Anterior Cerebral Artery Aneurysms: Comparison with Microsurgical Clipping

Keun Young Park Byung Moon Kim

Yong Cheol Lim Joonho Chung

Dong Joon Kim

Jin Yang Joo Seung Kon Huh Dong Ik Kim Kyu Chang Lee Jae Whan Lee

Journal of Neuroimaging Vol. 25 No. 1 pp. 81-86 · Wiley

View at Publisher Save 10.1111/jon.12073

Abstract

ABSTRACTBACKGROUND AND PURPOSEThe purpose of this study was to compare clinical outcomes and treatment‐related complications between coiling and clipping for ruptured distal anterior cerebral artery (DACA) aneurysms.METHODSEighty‐four consecutive patients (M:F = 36:48; mean 53.8 years) with ruptured DACA aneurysms were treated by either clipping (n = 46, 54.8%) or coiling (n = 38, 45.2%). The clinical outcomes and procedure‐related complications were evaluated and compared between the two groups.RESULTSProcedure‐related complications tend to occur more frequently in the clipping (n = 6, 13.0%) than coiling group (n = 1, 2.6%) (P = .121). At discharge, 51 patients (60.7%) had favorable outcomes (Glasgow outcome scale [GOS], 4 or 5). There was no significant difference between the two groups in favorable outcome (63.2% vs. 58.7%; P = .677). Hunt and Hess (HH) grade (P < .001; 95% CI, 3.354‐29.609) and treatment modality (P = .044; 95% CI, 1.039‐16.325) were independent risk factors for poor outcome (GOS, 1‐3).CONCLUSIONSCoiling was more favorable to clipping in clinical outcomes and incidence of treatment‐related complications for ruptured DACA aneurysms.

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29

References

Details

Published: Dec 03, 2013
Vol/Issue: 25(1)
Pages: 81-86
License: View

Authors

K

Keun Young Park

Department of Neurosurgery Yonsei University College of Medicine Seoul Republic of Korea; Department of Radiology Yonsei University College of Medicine Seoul Republic of Korea

B

Byung Moon Kim

Department of Radiology Yonsei University College of Medicine Seoul Republic of Korea

Y

Yong Cheol Lim

Department of Neurosurgery Ajou University School of Medicine Suwon‐si Gyeonggi‐do Republic of Korea

J

Joonho Chung