PMID- 30937004
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200930
IS  - 1793-5482 (Print)
IS  - 2248-9614 (Electronic)
VI  - 14
IP  - 1
DP  - 2019 Jan-Mar
TI  - Prognostic Factors Influencing Outcome in Unruptured Anterior Communicating 
      Artery Aneurysm after Microsurgical Clipping.
PG  - 28-34
LID - 10.4103/ajns.AJNS_198_18 [doi]
AB  - Anterior communicating artery (A.com. A) aneurysm projection is an important 
      factor in determining the outcome of aneurysm clipping. The objective of this 
      study was to analyze the outcome of A.com.A aneurysm projection and prognostic 
      factors influencing it and comparing them with Glasgow outcome scale. A 
      retrospective analysis of 47 patients from hospital records who have got admitted 
      in the Banbuntanke Hotokokai Hospital, Nagoya, Japan, from 2014 to 2017, with 
      unruptured A.com.A aneurysm and subsequently operated in the hospital. 
      Demographic factors such as age, sex, and associated with other aneurysms and the 
      morphological characteristics such as aneurysm size, projection, and height were 
      analyzed with postoperative complications and Glasgow outcome scale. Totally 47 
      cases have been operated in which 26 (55.3%) are female and 21 (44.6%) are male, 
      and the median age is 68 years, 7 (14.89%) patients had middle cerebral artery 
      aneurysm along with A.com.A aneurysm and 1 had internal carotid artery-posterior 
      communicating artery junction aneurysm. Four (8.5%) had chronic subdural hematoma 
      and 1 (2.12%) had epilepsy, 1 (2.12%) case got reoperated, and 1 (2.12%) had 
      hydrocephalus. Moreover, the overall complication rate is 14.89%. For six 
      patients, motor-evoked potential monitoring was used. Forty-six patients had 
      Glasgow outcome scale of 5 and 1 patient had Glasgow outcome scale of 4. There 
      was no mortality in this study. Mean size of the aneurysm was 6.68 mm and the 
      range was 2-25 mm. Mean height was 4.14 mm, 26 (56.52%) A.com.A aneurysm were 
      anteriorly projecting, 9 (19.56%) were superiorly projecting, 8 (17.32%) were 
      inferiorly projecting, and 3 (6.38%) were posteriorly projecting. Morphological 
      parameters such as size, height, and projection were not only highly associated 
      with A.com.A aneurysm rupture and also complications due to clipping of aneurysm.
FAU - Kasinathan, Sudhakar
AU  - Kasinathan S
AD  - Department of Neurosurgery, Madras Medical College, Chennai, Tamil Nadu, India.
FAU - Yamada, Yashiro
AU  - Yamada Y
AD  - Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai 
      Hospital, Nagoya, Japan.
FAU - Cheikh, Abderrahmane
AU  - Cheikh A
AD  - Department of Neurosurgery, Ali Ait Idir Hospital Algiers, Algiers, Algeria.
FAU - Teranishi, Takao
AU  - Teranishi T
AD  - Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai 
      Hospital, Nagoya, Japan.
FAU - Kawase, Tsukasa
AU  - Kawase T
AD  - Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai 
      Hospital, Nagoya, Japan.
FAU - Kato, Yako
AU  - Kato Y
AD  - Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai 
      Hospital, Nagoya, Japan.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - India
TA  - Asian J Neurosurg
JT  - Asian journal of neurosurgery
JID - 101564712
PMC - PMC6417356
OTO - NOTNLM
OT  - Clipping
OT  - morphology
OT  - outcome
OT  - unruptured anterior communicating artery aneurysm
COIS- There are no conflicts of interest.
EDAT- 2019/04/03 06:00
MHDA- 2019/04/03 06:01
PMCR- 2019/01/01
CRDT- 2019/04/03 06:00
PHST- 2019/04/03 06:00 [entrez]
PHST- 2019/04/03 06:00 [pubmed]
PHST- 2019/04/03 06:01 [medline]
PHST- 2019/01/01 00:00 [pmc-release]
AID - AJNS-14-28 [pii]
AID - 10.4103/ajns.AJNS_198_18 [doi]
PST - ppublish
SO  - Asian J Neurosurg. 2019 Jan-Mar;14(1):28-34. doi: 10.4103/ajns.AJNS_198_18.