Treatment of aneurysms arising from the proximal (A1) segment of the anterior cerebral artery

  • Murat Yilmaz Department of Neurosurgery, Faculty of Medicine, Dokuz Eylul University
  • Orhan Kalemci Department of Neurosurgery, Faculty of Medicine, Dokuz Eylul University
  • Alaattin Yurt Department of Neurosurgery, Bozyaka Education and Research Hospital
  • Mehmet O Durmaz Department of Neurosurgery, Faculty of Medicine, Dokuz Eylul University
  • Nuri M Arda Department of Neurosurgery, Faculty of Medicine, Dokuz Eylul University
Keywords: anterior cerebral artery aneurysm, A1 segment, digital subtraction angiography, endovascular treatment, subarachnoid hemorrhage

Abstract

The aim of our study was to report a series of 15 consecutive patients with aneurysms of the proximal segment (A1) of the anterior cerebral artery. In 15 patients with diagnosed A1 aneurysms, representing 2.1% of 720 aneurysm patients treated at a University Clinical Center between October 1999 and August 2012, clinical presentation, neuroradiological findings, surgical treatment methods and outcome were retrospectively analyzed. Mean patient age was 53.06 (range 32 to 75) years. Ten saccular aneurysms were treated with micro neurosurgical approach via standard pterional craniotomy, four fusiform aneurysms with coiling, and one fusiform aneurysm with stent. No patients died during the operation. The mean follow-up period was 32 months (range 5 months to 7 years). Clinical outcomes revealed good recovery in all patients. Despite the general opinion that A1 aneurysms are benign lesions, an increasing number of reports have demonstrated their potential complications. To date, due to the rarity of A1 aneurysms, only a few consecutive series have been reported. Conduct of multicenter studies are required in order to understand clinical features of A1 aneurysms and devise a proper treatment plan.

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Treatment of aneurysms arising from the proximal (A1) segment of the anterior cerebral artery
Published
2014-05-20
How to Cite
1.
Yilmaz M, Kalemci O, Yurt A, O Durmaz M, M Arda N. Treatment of aneurysms arising from the proximal (A1) segment of the anterior cerebral artery. Bosn J of Basic Med Sci [Internet]. 2014May20 [cited 2020Aug.9];14(1):8-11. Available from: https://bjbms.org/ojs/index.php/bjbms/article/view/2282
Section
Translational and Clinical Research