Microsurgery and Endovascular Therapy for Distal Anterior Cerebral Artery Aneurysm : A Multicenter Retrospective Cohort Study
Copyright © 2023 Elsevier Inc. All rights reserved..
BACKGROUND: Distal anterior cerebral aneurysm (DACA) represents 4% of intracranial aneurysms. Two treatment modalities are available: microsurgery and endovascular therapy (EVT).
OBJECTIVE: To compare the results between microsurgery and EVT in a modern French cohort.
METHODS: A multicenter retrospective cohort study of 3 French neurosurgical units was carried out from January 1, 2015, to December 31, 2020. All participants were adult patients who required treatment for a ruptured or unruptured DACA aneurysm.
RESULTS: A total of 69 patients were included; 16 patients (23.2%) were treated by microsurgery and 53 (76.8%) were treated by EVT. Thirty-one patients (44.9%) had ruptured aneurysms. The complication rate was low, with 1 death and 1 symptomatic ischemia. There was no difference in complications between microsurgery and EVT (P = 0.22). The number of retreatments was higher in EVT (15% vs. 0%) but not significantly (P = 0.18).
CONCLUSIONS: In the specific subgroup of DACA, both treatment modalities are effective in ruptured and unruptured aneurysms, with a low rate of complications. Retreatment may be more frequent in EVT but it does not lead to more complications.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:178 |
|---|---|
| Enthalten in: |
World neurosurgery - 178(2023) vom: 30. Okt., Seite e174-e181 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Metayer, Thomas [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Daca aneurysms |
|---|
| Anmerkungen: |
Date Revised 07.10.2023 published: Print-Electronic Citation Status Publisher |
|---|
| doi: |
10.1016/j.wneu.2023.07.022 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM359520863 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM359520863 | ||
| 003 | DE-627 | ||
| 005 | 20231226081042.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.wneu.2023.07.022 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1198.xml |
| 035 | |a (DE-627)NLM359520863 | ||
| 035 | |a (NLM)37451360 | ||
| 035 | |a (PII)S1878-8750(23)00952-X | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Metayer, Thomas |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Microsurgery and Endovascular Therapy for Distal Anterior Cerebral Artery Aneurysm |b A Multicenter Retrospective Cohort Study |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Revised 07.10.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a Copyright © 2023 Elsevier Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: Distal anterior cerebral aneurysm (DACA) represents 4% of intracranial aneurysms. Two treatment modalities are available: microsurgery and endovascular therapy (EVT) | ||
| 520 | |a OBJECTIVE: To compare the results between microsurgery and EVT in a modern French cohort | ||
| 520 | |a METHODS: A multicenter retrospective cohort study of 3 French neurosurgical units was carried out from January 1, 2015, to December 31, 2020. All participants were adult patients who required treatment for a ruptured or unruptured DACA aneurysm | ||
| 520 | |a RESULTS: A total of 69 patients were included; 16 patients (23.2%) were treated by microsurgery and 53 (76.8%) were treated by EVT. Thirty-one patients (44.9%) had ruptured aneurysms. The complication rate was low, with 1 death and 1 symptomatic ischemia. There was no difference in complications between microsurgery and EVT (P = 0.22). The number of retreatments was higher in EVT (15% vs. 0%) but not significantly (P = 0.18) | ||
| 520 | |a CONCLUSIONS: In the specific subgroup of DACA, both treatment modalities are effective in ruptured and unruptured aneurysms, with a low rate of complications. Retreatment may be more frequent in EVT but it does not lead to more complications | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Daca aneurysms | |
| 650 | 4 | |a Endovascular therapy | |
| 650 | 4 | |a Microsurgery | |
| 700 | 1 | |a Gilard, Vianney |e verfasserin |4 aut | |
| 700 | 1 | |a Piotin, Michel |e verfasserin |4 aut | |
| 700 | 1 | |a Emery, Evelyne |e verfasserin |4 aut | |
| 700 | 1 | |a Borha, Alin |e verfasserin |4 aut | |
| 700 | 1 | |a Robichon, Erwan |e verfasserin |4 aut | |
| 700 | 1 | |a Briant, Anais R |e verfasserin |4 aut | |
| 700 | 1 | |a Derrey, Stephane |e verfasserin |4 aut | |
| 700 | 1 | |a Vivien, Denis |e verfasserin |4 aut | |
| 700 | 1 | |a Gaberel, Thomas |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t World neurosurgery |d 2010 |g 178(2023) vom: 30. Okt., Seite e174-e181 |w (DE-627)NLM197924441 |x 1878-8769 |7 nnns |
| 773 | 1 | 8 | |g volume:178 |g year:2023 |g day:30 |g month:10 |g pages:e174-e181 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.wneu.2023.07.022 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 178 |j 2023 |b 30 |c 10 |h e174-e181 | ||