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논문 기본 정보

자료유형
학술저널
저자정보
Ko, Jun Kyeung (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital) Cha, Seung Heon (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital) Lee, Tae Hong (Department of Diagnostic Radiology, Medical Research Institute, Pusan National University Hospital) Choi, Chang Hwa (Department of Neurosurgery, Medical Research Institute, Pusan National University Yangsan Hospital) Lee, Sang Weon (Department of Neurosurgery, Medical Research Institute, Pusan National University Yangsan Hospital) Lee, Jae Il (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제54권 제2호
발행연도
2013.1
수록면
75 - 80 (6page)

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Objective : Aneurysms arising from the proximal segment of the anterior cerebral artery (A1) are rare and challenging to treat. The aim of this study was to report our experience with endovascular treatment of A1 Aneurysms. Methods : From August 2007 through May 2012, eleven A1 aneurysms in eleven patients were treated endovascularly. Six aneurysms were unruptured and 5 were ruptured. One patient with an unruptured A1 aneurysm presented with subarachnoid hemorrhage due to rupture of an anterior communicating artery aneurysm. Procedural data, clinical and angiographic results were reviewed retrospectively. Results : All of the aneurysms were successfully treated with coil embolization. Six were treated with a simple technique while the remaining 5 required adjunctive technique : double catheters (n=2), balloon-assisted (n=2), and stent-assisted (n=1). The immediate angiographic control showed a complete occlusion in all cases. Procedure-related complication occurred in only one patient : parent artery occlusion, which was not clinically significant. All patients had excellent clinical outcomes but one patient was discharged with a slight disability. No neurologic deterioration or bleeding was seen during the follow-up period in this cohort of patients. Follow-up angiography (mean, 20 months) was available in ten patients and revealed stable occlusion in all cases. Conclusion : Endovascular treatment is a feasible and effective therapeutic modality for A1 aneurysms. Tailored microcatheter shaping and/or adjunctive techniques are necessary for successful aneurysm embolization because of the projection and location of A1 aneurysms.
#Endovascular treatment #Intracranial aneurysm #Anterior cerebral artery aneurysm

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참고문헌 (17)

참고문헌 신청
Barry DM / 1972 / Surgical treatment of anterior cerebral-anterior communicating artery aneurysms / R I Med J 55:245~247 google schola Chalif DJ / 1998 / Weinberg JS : Surgical treatment of aneurysms of the anterior cerebral artery / Neurosurg Clin N Am 9:797~821 google schola Chang HW / 2011 / Technical strategy in endovascular treatment of proximal anterior cerebral artery aneurysms / Acta Neurochir (Wien) 153:279~285 google schola Czepko R / 2005 / Characteristics and surgery of aneurysms of the proximal (A1) segment of the anterior cerebral artery / J Neurosurg Sci 49:85~95 google schola Dashti R / 2007 / Microneurosurgical management of proximal anterior cerebral artery aneurysms / Surg Neurol 68:366~377 google schola

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