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. 2020 Sep;162(9):2245-2250.
doi: 10.1007/s00701-020-04450-2. Epub 2020 Jun 15.

Clinical and morphological risk factors for the recurrence of anterior communicating artery aneurysms after clipping or coiling

Hee Jong Ki  1 , Kwan Sung Lee  1 , Bum Soo Kim  2 , Jai Ho Choi #  3 , Yong Sam Shin #  1
Affiliations

Clinical and morphological risk factors for the recurrence of anterior communicating artery aneurysms after clipping or coiling

Hee Jong Ki et al. Acta Neurochir (Wien). 2020 Sep.

Abstract

Background: The aim of this study was to evaluate clinical and morphological factors associated with recurrence in anterior communicating artery (AcomA) aneurysms after clipping or coiling.

Methods: We retrospectively reviewed the clinical and radiologic features of consecutive 214 patients with AcomA aneurysms treated between January 2012 and December 2016 in a single tertiary institute. Univariate and multivariate analyses were performed to identify the relationship between clinical and morphological variables and recurrence.

Results: Of 214 patients, 166 were unruptured aneurysms and 109 were treated with coiling. Overall recurrence rate was 13% (28 out of 214 aneurysms) during mean 36.9 ± 18.4-month follow-up. Multivariate logistic regression analysis showed that size greater than 10 mm (OR = 5.651; 95% CI, 1.317-24.242; p = 0.020), smoking (OR = 3.474; 95% CI, 1.342-8.996; p = 0.010), coiling (OR = 2.98; 95% CI, 1.005-8.832; p = 0.049), and anterior direction of aneurysm (OR = 3.77; 95% CI, 1.12-12.66; p = 0.032) were significantly associated with recurrence of AcomA aneurysms after treatment.

Conclusions: The results of this study demonstrated that coiling, large aneurysm, anterior direction, and smoking history may be independent risk factors for the recurrence of AcomA aneurysms. Therefore, careful follow-up should be needed especially in large AcomA aneurysms with anterior direction after coiling.

Keywords: Aneurysm direction; Anterior communicating artery aneurysm; Recurrence; Risk factor.

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References

    1. Brisman JL, Song JK, Newell DW (2006) Cerebral aneurysms. N Engl J Med 355:928–939. https://doi.org/10.1056/NEJMra052760 - DOI - PubMed
    1. Le Roux PD, Elliott JP, Downey L, Newell DW, Grady MS, Mayberg MR, Eskridge JM, Winn HR (1995) Improved outcome after rupture of anterior circulation aneurysms: a retrospective 10-year review of 224 good-grade patients. J Neurosurg 83:394–402. https://doi.org/10.3171/jns.1995.83.3.0394 - DOI - PubMed
    1. Molyneux AJ, Kerr RSC, Birks J, Ramzi N, Yarnold J, Sneade M, Rischmiller J (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-up. The Lancet Neurology 8:427–433. https://doi.org/10.1016/s1474-4422(09)70080-8 - DOI - PubMed - PMC
    1. Grunwald IQ, Papanagiotou P, Struffert T, Politi M, Krick C, Gul G, Reith W (2007) Recanalization after endovascular treatment of intracerebral aneurysms. Neuroradiology 49:41–47. https://doi.org/10.1007/s00234-006-0153-5 - DOI - PubMed
    1. Piotin M, Spelle L, Mounayer C, Salles-Rezende MT, Giansante-Abud D, Vanzin-Santos R, Moret J (2007) Intracranial aneurysms: treatment with bare platinum coils--aneurysm packing, complex coils, and angiographic recurrence. Radiology 243:500–508. https://doi.org/10.1148/radiol.2431060006 - DOI - PubMed

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