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

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Abstract

BACKGROUND AND PURPOSE: The 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. METHODS: Eighty-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. RESULTS: Procedure-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). CONCLUSIONS: Coiling was more favorable to clipping in clinical outcomes and incidence of treatment-related complications for ruptured DACA aneurysms.

Original languageEnglish
Pages (from-to)81-86
Number of pages6
JournalJournal of Neuroimaging
Volume25
Issue number1
DOIs
Publication statusPublished - 2015 Jan 1

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All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

Cite this

Park, K. Y., Kim, B. M., Lim, Y. C., Chung, J., Kim, D. J., Joo, J. Y., Huh, S. K., Kim, D. I., Lee, K. C., & Lee, J. W. (2015). The Role of Endovascular Treatment for Ruptured Distal Anterior Cerebral Artery Aneurysms: Comparison with Microsurgical Clipping. Journal of Neuroimaging, 25(1), 81-86. https://doi.org/10.1111/jon.12073