Single center experience and technical nuances in the treatment of distal anterior cerebral artery aneurysms

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Dorin Nicolae Gherasim
Gabriel Gyorki
Adrian Balasa

Abstract

Objective: This study presents the experience of one neurosurgical center in the treatment of 18 consecutive patients with distal anterior cerebral artery (DACA) aneurysms during a 10 years period. Our aim was to compare treatment outcomes of these lesions with intracranial aneurysms in general, and to present technical nuances in surgical treatment.
Methods: We analyzed the clinical and radiological data of 18 patients treated between 2005 and 2015. All patients were treated surgically using the microscope. No patients were lost to follow-up. We compared treatment and outcome of ruptured DACA aneurysms (n 18) with all consecutive ruptured aneurysms treated in our clinic during the same period (n 446).
Results: DACA aneurysms accounted for 4% of all intracranial aneurysms. They were smaller (median, 5,5 versus 9 mm) We found only one case with associated aneurysms (5,5%). DACA aneurysms presented more often with intracerebral hematomas (39% versus 26%) than ruptured aneurysms in general. Their microsurgical treatment showed the same complication rates (treatment morbidity, 15%) as for other ruptured aneurysms in literature. Their mortality rate was lower (11% versus 24%).
Conclusion: Despite their speci?c anatomic features, and particular surgical technique, with modern treatment methods, ruptured DACA aneurysms have the same favorable outcome and lower mortality as ruptured aneurysms in general.

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How to Cite
Gherasim, D. N., Gyorki, G., & Balasa, A. (2017). Single center experience and technical nuances in the treatment of distal anterior cerebral artery aneurysms. Romanian Neurosurgery, 31(1), 17–24. Retrieved from https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/965
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Articles
Author Biographies

Dorin Nicolae Gherasim

Department of Neurosurgery, Targu Mures, ROMANIA

Gabriel Gyorki

Department of Neurosurgery, Targu Mures, ROMANIA

Adrian Balasa

Department of Neurosurgery, Targu Mures, ROMANIA