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John Birknes, Sung-Kyun Hwang, A. Pandey, K. Cockroft, A. Dyer, R. Benitez, E. Veznedaroglu, R. Rosenwasser (2006)
Feasibility and limitations of endovascular coil embolization of anterior communicating artery aneurysms: morphological considerations.Neurosurgery, 59 1
T. Elias, B. Ogungbo, D. Connolly, Barbara Gregson, A. Mendelow, Anil Gholkar (2003)
Endovascular treatment of anterior communicating artery aneurysms: results of clinical and radiological outcome in NewcastleBritish Journal of Neurosurgery, 17
W. Brinjikji, A. Rabinstein, D. Nasr, G. Lanzino, D. Kallmes, H. Cloft (2011)
Better Outcomes with Treatment by Coiling Relative to Clipping of Unruptured Intracranial Aneurysms in the United States, 2001–2008American Journal of Neuroradiology, 32
F. Proust, B. Debono, D. Hannequin, E. Gerardin, E. Clavier, O. Langlois, P. Fréger (2003)
Treatment of anterior communicating artery aneurysms: complementary aspects of microsurgical and endovascular procedures.Journal of neurosurgery, 99 1
J. Raymond, F. Guilbert, A. Weill, S. Georganos, L. Juravsky, A. Lambert, J. Lamoureux, M. Chagnon, D. Roy (2003)
Long-Term Angiographic Recurrences After Selective Endovascular Treatment of Aneurysms With Detachable CoilsStroke: Journal of the American Heart Association, 34
É. Tollard, T. Darsaut, F. Bing, F. Guilbert, G. Gevry, Jean Raymond (2012)
Outcomes of Endovascular Treatments of Aneurysms: Observer Variability and Implications for Interpreting Case Series and Planning Randomized TrialsAmerican Journal of Neuroradiology, 33
G. Guglielmi, F. Viñuela, G. Duckwiler, R. Jahan, E. Cotroneo, R. Gigli (2009)
Endovascular treatment of 306 anterior communicating artery aneurysms: overall, perioperative results.Journal of neurosurgery, 110 5
J. Hernesniemi, R. Dashti, M. Lehecka, M. Niemelä, J. Rinne, H. Lehto, A. Ronkainen, T. Koivisto, J. Jääskeläinen (2008)
Microneurosurgical management of anterior communicating artery aneurysms.Surgical neurology, 70 1
J. Raymond, P. White, A. Molyneux (2007)
Scales, agreement, outcome measures, and progress in aneurysm therapy.AJNR. American journal of neuroradiology, 28 3
E. Nathal, N. Yasui, T. Sampei, A. Suzuki (1992)
Intraoperative anatomical studies in patients with aneurysms of the anterior communicating artery complex.Journal of neurosurgery, 76 4
A. Molyneux, R. Kerr, J. Birks, N. Ramzi, J. Yarnold, M. Sneade, J. Rischmiller (2009)
Risk of recurrent subarachnoid haemorrhage, death, or dependence and standardised mortality ratios after clipping or coiling of an intracranial aneurysm in the International Subarachnoid Aneurysm Trial (ISAT): long-term follow-upThe Lancet. Neurology, 8
S. Finitsis, René Anxionnat, A. Lebedinsky, P. Albuquerque, M. Clayton, L. Picard, Serge Bracard (2010)
Endovascular Treatment of ACom Intracranial AneurysmsInterventional Neuroradiology, 16
R. Dersimonian, R. Dersimonian, N. Laird, N. Laird (1986)
Meta-analysis in clinical trials.Controlled clinical trials, 7 3
F. Proust, O. Martinaud, E. Gerardin, S. Derrey, S. Lévêque, S. Bioux, É. Tollard, E. Clavier, O. Langlois, O. Godefroy, D. Hannequin, P. Fréger (2009)
Quality of life and brain damage after microsurgical clip occlusion or endovascular coil embolization for ruptured anterior communicating artery aneurysms: neuropsychological assessment.Journal of neurosurgery, 110 1
B. Hoh, J. Rabinov, J. Pryor, B. Carter, F. Barker (2003)
In-hospital morbidity and mortality after endovascular treatment of unruptured intracranial aneurysms in the United States, 1996-2000: effect of hospital and physician volume.AJNR. American journal of neuroradiology, 24 7
A. Schuette, F. Hui, A. Spiotta, N. Obuchowski, Rishi Gupta, S. Moskowitz, F. Tong, J. Dion, C. Cawley (2011)
Endovascular Therapy of Very Small Aneurysms of the Anterior Communicating Artery: Five-fold Increased Incidence of RuptureNeurosurgery, 68
H. Kirgis, W. Fisher, R. Llewellyn, E. Peebles (1966)
Aneurysms of the anterior communicating artery and gross anomalies of the circle of Willis.Journal of neurosurgery, 25 1
D. Altman, J. Bland (2003)
Interaction revisited: the difference between two estimatesBMJ : British Medical Journal, 326
H. Cloft, T. Kaufmann, D. Kallmes (2007)
Observer agreement in the assessment of endovascular aneurysm therapy and aneurysm recurrence.AJNR. American journal of neuroradiology, 28 3
T. Darsaut, J. Raymond (2012)
Barrow ruptured aneurysm trial.Journal of neurosurgery, 117 2
A. Johnson, S. Munich, D. Heiferman, D. Lopes (2012)
Stent assisted embolization of 64 anterior communicating artery aneurysmsJournal of NeuroInterventional Surgery, 5
N. Kassell, J. Torner, E. Haley, J. Jane, H. Adams, G. Kongable, Participants (1990)
The International Cooperative Study on the Timing of Aneurysm Surgery. Part 1: Overall management results.Journal of neurosurgery, 73 1
A. Alshekhlee, S. Mehta, R. Edgell, N. Vora, Eliahu Feen, A. Mohammadi, Sushant Kale, S. Cruz-Flores (2010)
Hospital Mortality and Complications of Electively Clipped or Coiled Unruptured Intracranial AneurysmStroke, 41
V. Torres, Y. Pirson, D. Wiebers (2006)
Cerebral aneurysms.The New England journal of medicine, 355 25
M. Cherian, MB Pranesh, P. Mehta, K. Vijayan, P. Baskar, T. Kalyanpur, K. Narsinghpura (2011)
Outcomes of endovascular coiling of anterior communicating artery aneurysms in the early post-rupture period: a prospective analysis.Neurology India, 59 2
D. Songsaeng, D. Songsaeng, S. Geibprasert, R. Willinsky, M. Tymianski, K. terBrugge, T. Krings (2010)
Impact of anatomical variations of the circle of Willis on the incidence of aneurysms and their recurrence rate following endovascular treatment.Clinical radiology, 65 11
X. Leclerc, J. Navez, J. Gauvrit, J. Lejeune, J. Pruvo (2002)
Aneurysms of the anterior communicating artery treated with Guglielmi detachable coils: follow-up with contrast-enhanced MR angiography.AJNR. American journal of neuroradiology, 23 7
C. Liu, M. Apuzzo (2002)
Forthcoming AbstractsNeurosurgery, 51
Q. Huang, Y.-F. Wu, Yi Xu, B. Hong, Lei Zhang, J. Liu (2011)
Vascular Geometry Change Because of Endovascular Stent Placement for Anterior Communicating Artery AneurysmsAmerican Journal of Neuroradiology, 32
Jae-Hyung Choi, Myung-Jin Kang, J. Huh (2011)
Influence of clinical and anatomic features on treatment decisions for anterior communicating artery aneurysms.Journal of Korean Neurosurgical Society, 50 2
Peter Roux, J. Elliott, Lois Downey, David Newell, M. Grady, M. Mayberg, J. Eskridge, H. Winn (1995)
Improved outcome after rupture of anterior circulation aneurysms: a retrospective 10-year review of 224 good-grade patients.Journal of neurosurgery, 83 3
R. Solomon (2001)
Anterior communicating artery aneurysms.Neurosurgery, 48 1
John Cowan, John Ziewacz, J. Dimick, Gilbert Upchurch, B. Thompson (2007)
Use of endovascular coil embolization and surgical clip occlusion for cerebral artery aneurysms.Journal of neurosurgery, 107 3
J. Moret, L. Pierot, A. Boulin, L. Castaings, A. Rey (1996)
Endovascular treatment of anterior communicating artery aneurysms using Guglielmi detachable coilsNeuroradiology, 38
L. Sekhar, S. Natarajan, G. Britz, B. Ghodke (2007)
MICROSURGICAL MANAGEMENT OF ANTERIOR COMMUNICATING ARTERY ANEURYSMSOperative Neurosurgery, 61
(2014)
AJNR Am J Neuroradiol
R. Replogle (2006)
Rates of Delayed Rebleeding From Intracranial Aneurysms Are Low After Surgical and Endovascular TreatmentStroke, 37
A. Raslan, Murat Oztaskin, E. Thompson, A. Dogan, B. Petersen, G. Nesbit, David Lee, S. Barnwell (2011)
Neuroform Stent-Assisted Embolization of Incidental Anterior Communicating Artery Aneurysms: Long-term Clinical and Angiographic Follow-upNeurosurgery, 69
J. Higgins, S. Thompson, J. Deeks, D. Altman (2003)
Measuring inconsistency in meta-analysesBMJ : British Medical Journal, 327
For Personal Use. Only Reproduce with Permission from the Lancet Publishing Group
BACKGROUND AND PURPOSE: Endovascular therapy has become an acceptable alternative to traditional clipping for the management of intracranial aneurysms. However, a limited number of studies have examined outcomes and complications specific to embolization of anterior communicating artery aneurysms. MATERIALS AND METHODS: A systematic review of the literature was conducted with the use of multiple data bases to identify reports on endovascular treatment of anterior communicating artery aneurysms between 1994 and 2012. Angiographic results, clinical outcomes, and complication rates were pooled across studies by using random-effects meta-analysis with subgroup analysis of outcomes by rupture status and time trend stratification. RESULTS: Fourteen studies, consisting of 1552 treated anterior communicating artery aneurysms, were included in this meta-analysis. The rate of immediate and long-term complete and near-complete angiographic occlusion was 88% (95% CI = 81–93%) and 85% (95% CI = 78–90%), respectively. Intraprocedural rupture rate was 4% (95% CI = 3–6%). The re-bleeding rate was 2% (95% CI = 1–4%) and the retreatment rate was 7% (95% CI = 5–12%). Morbidity or mortality caused by perioperative stroke occurred at a 3% (95% CI = 2–6%) rate. Overall procedure-related morbidity and mortality were 6% (95% CI = 4–8%) and 3% (95% CI = 2–4%), respectively. Outcomes did not differ between ruptured and unruptured aneurysms, nor did outcomes change over time, though these latter subanalyses were relatively underpowered. CONCLUSIONS: Endovascular therapy for anterior communicating artery aneurysms is associated with a high rate of complete angiographic occlusion. However, the procedure-related permanent morbidity and mortality are not negligible for aneurysms in this location. ABBREVIATION: AcomA anterior communicating artery ISAT International Subarachnoid Aneurysm Trial CARAT Cerebral Aneurysm Rerupture After Treatment
American Journal of Neuroradiology – American Journal of Neuroradiology
Published: May 1, 2014
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