Decision-making impairment on the Iowa Gambling Task after endovascular coiling or neurosurgical clipping for ruptured anterior communicating artery aneurysm.

2012 ◽  
Vol 26 (2) ◽  
pp. 172-180 ◽  
Author(s):  
Gemma Escartin ◽  
Carme Junqué ◽  
Montserrat Juncadella ◽  
Andreu Gabarrós ◽  
Maria Angels de Miquel ◽  
...  
Keyword(s):  
Decision Making ◽  
Iowa Gambling Task ◽  
Artery Aneurysm ◽  
Endovascular Coiling ◽  
Anterior Communicating Artery ◽  
Gambling Task ◽  
Anterior Communicating Artery Aneurysm

scholarly journals Partial thrombosis of an anterior communicating artery aneurysm prior to endovascular coiling, with intra-procedural distal thrombus embolization

2017 ◽  
Vol 23 (6) ◽  
pp. 589-593 ◽  
Author(s):  
Will Guest ◽  
Dipanka Sarma ◽  
Thomas Marotta
Keyword(s):  
Rare Event ◽  
Artery Aneurysm ◽  
Endovascular Coiling ◽  
Anterior Communicating Artery ◽  
Time Interval ◽  
Thromboembolic Stroke ◽  
Anterior Communicating Artery Aneurysm ◽  
The Right ◽  
Partial Thrombosis ◽  
Intracranial Circulation

Thromboembolic stroke from migration of thrombus formed in non-giant intracranial aneurysms is a recognized but rare event. We describe a case of partial thrombosis of a 7 mm anterior communicating artery aneurysm, which embolized to the right callosomarginal artery in the brief time interval between two sequential diagnostic angiograms performed as part of elective endovascular coiling, and before any instrumentation had been advanced into the intracranial circulation. To our knowledge, this is the first reported case of aneurysmal thrombus embolization observed angiographically in near real time.

Abstract 1122‐000086: Comparison of Surgical Clipping vs Endovascular Coiling for Posterior Projecting Anterior Communicating Artery Aneurysm

2021 ◽  
Vol 1 (S1) ◽  
Author(s):  
Noor Maria
Keyword(s):  
Small Sample Size ◽  
Perioperative Complications ◽  
Postoperative Mortality ◽  
Artery Aneurysm ◽  
Small Sample ◽  
Endovascular Coiling ◽  
Anterior Communicating Artery ◽  
Surgical Clipping ◽  
Mortality And Morbidity ◽  
Anterior Communicating Artery Aneurysm

Introduction : We wanted to evaluate the feasibility and results of endovascular treatment in patients with a posteriorly projecting A Com aneurysm and compare surgical clipping with endovascular coiling for posterior projecting anterior communicating artery aneurysm in terms of peroperative technical feasibility and possible complications such as rupture,perioperative complications and postoperative mortality and morbidity. Methods : .Total 6 cases were studied,3 of them (n = 3, 50%)were operated by surgical clipping and 3 (n = 3.50%) underwent endovascular coiling.Average age was 52yrs, 90% were hypertensive, 80% were smokers. All presented through emergency with subarachnoid hemorrhage.2 of the patients in each surgical and endovascular group presented at ER with Hunt and Hess grade 3 (n = 2,33.3%) the others were at Hunt and Hess grade 2 (n = 4,66.6%). The average time from hemorrhage to surgery and coiling was 25days. Outcome assessed using modified Rankin score and a score of 2 was considered satisfactory. Results : In the surgically treated arm 2 patients had mRS of 2 while the 3 rd one had 4.In the endovascular coiling group 1 had mRS of 1,1 had mRS2 and 3 rd had m RS of 3. Despite the very small sample size the outcome in terms of mRS indicated slightly better results for patients undergoing coiling Conclusion: Endovascular coiling is better in the treatment of posteriorly projecting anterior communicating artery aneurysm. Conclusions : Endovascular coiling is better in the treatment of posteriorly projecting anterior communicating artery aneurysm.

scholarly journals A Novel Treatment of Distal Cerebral Vasospasm

2009 ◽  
Vol 15 (4) ◽  
pp. 417-420 ◽  
Author(s):  
I. Alnaami ◽  
M. Saqqur ◽  
M. Chow
Keyword(s):  
Medical Treatment ◽  
Cerebral Vasospasm ◽  
Balloon Angioplasty ◽  
Artery Aneurysm ◽  
Endovascular Coiling ◽  
Anterior Communicating Artery ◽  
Excellent Outcome ◽  
Clinical Recovery ◽  
Anterior Communicating Artery Aneurysm ◽  
Novel Treatment

A 22-year-old woman had an aneurysmal SAH due to a ruptured anterior communicating artery aneurysm and was treated successfully with endovascular coiling. The patient subsequently developed severe clinical and angiographically distal vasospasm. After failure of both medical treatment and proximal balloon angioplasty, the NeuroFlo™ device was tried and the patient showed substantial clinical recovery. We demonstrated an excellent outcome using a novel treatment for distal cerebral vasospasm with the NeuroFlo™ device.

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