scholarly journals Direct Surgical Treatment of Giant Intracranial Aneurysms on the Anterior Communicating Artery or Anterior Cerebral Artery

2013 ◽  
Vol 53 (3) ◽  
pp. 153-156 ◽  
Author(s):  
Hideki NAKAJIMA ◽  
Hiroyasu KAMIYAMA ◽  
Toshitaka NAKAMURA ◽  
Katsumi TAKIZAWA ◽  
Kenji OHATA
Keyword(s):  
Surgical Treatment ◽  
Cerebral Artery ◽  
Intracranial Aneurysms ◽  
Anterior Cerebral Artery ◽  
Anterior Communicating Artery ◽  
Giant Intracranial Aneurysms

scholarly journals Balloon-Assisted Cannulation for Difficult Anterior Cerebral Artery Access

2017 ◽  
Vol 7 (1-2) ◽  
pp. 48-52
Author(s):  
Varun Naragum ◽  
Mohamad AbdalKader ◽  
Thanh N. Nguyen ◽  
Alexander Norbash
Keyword(s):  
Cerebral Artery ◽  
Paradigm Shift ◽  
Intracranial Aneurysms ◽  
Anterior Cerebral Artery ◽  
Endovascular Coiling ◽  
Anterior Communicating Artery ◽  
Surgical Clipping ◽  
Ruptured Aneurysms ◽  
Common Location ◽  
Proximal Middle Cerebral Artery

The anterior communicating artery is a common location for intracranial aneurysms. Compared to surgical clipping, endovascular coiling has been shown to improve outcomes for patients with ruptured aneurysms and we have seen a paradigm shift favoring this technique for treating aneurysms. Access to the anterior cerebral artery can be challenging, especially in patients with tortuous anatomy or subarachnoid hemorrhage or in patients presenting with vasospasm. We present a technique for cannulating the anterior cerebral artery using a balloon inflated in the proximal middle cerebral artery as a rebound surface.

Definitive Treatment With Microsurgical Clipping After Recurrence and Rerupture of Coiled Anterior Cerebral Artery Aneurysms

2020 ◽  
Vol 19 (4) ◽  
pp. 393-402
Author(s):  
Daniel M S Raper ◽  
Caleb Rutledge ◽  
Ethan A Winkler ◽  
Adib A Abla
Keyword(s):  
Cerebral Artery ◽  
Intracranial Aneurysms ◽  
Anterior Cerebral Artery ◽  
Significant Risk ◽  
Subsequent Treatment ◽  
Definitive Treatment ◽  
Endovascular Coiling ◽  
Anterior Communicating Artery ◽  
Recent Experience ◽  
Microsurgical Clipping

Abstract BACKGROUND The extent of obliteration of ruptured intracranial aneurysms treated with coil embolization has been correlated with the risk of rerupture. However, many practitioners consider that a small neck remnant is unlikely to result in significant risk after coiling. OBJECTIVE To report our recent experience with ruptured anterior cerebral artery aneurysms treated with endovascular coiling, which recurred or reruptured, requiring microsurgical clipping for subsequent treatment. METHODS Retrospective review of patients with intracranial aneurysms treated at our institution since August 2018. Patient and aneurysm characteristics, initial and subsequent treatment approaches, and outcomes were reviewed. RESULTS Six patients were included. Out of those 6 patients, 5 patients had anterior communicating artery aneurysms, and 1 patient had a pericallosal aneurysm. All initially presented with subarachnoid hemorrhage (SAH) and were treated with coiling. Recurrence occurred at a median of 7.5 mo. In 2 cases, retreatment was initially performed with repeat endovascular coiling, but further recurrence was observed. Rerupture from the residual or recurrent aneurysm occurred in 3 cases. In 2 cases, the aneurysm dome recurred; in 1 case, rerupture occurred from the neck. All 6 patients underwent treatment with microsurgical clipping. Follow-up catheter angiography demonstrated a complete occlusion of the aneurysm in all cases with the preservation of the parent vessel. CONCLUSION Anterior cerebral artery aneurysms may recur after endovascular treatment, and even small neck remnants present a risk of rerupture after an initial SAH. Complete treatment requires a complete exclusion of the aneurysm from the circulation. Even in cases that have been previously coiled, microsurgical clipping can represent a safe and effective treatment option.

scholarly journals An unusual variation in the anterior communicating artery of the circle of Willis in the human brain - a case report

2016 ◽  
Vol 05 (01) ◽  
pp. 039-043
Author(s):  
Farheen A Karim ◽  
J D Sarma ◽  
K L Talukdar
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Human Brain ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Circle Of Willis ◽  
Anterior Communicating Artery ◽  
Interpeduncular Cistern ◽  
The Right ◽  
The Brain

AbstractThis report highlights an unusual variation of Anterior communicating artery of the circle of Willis found during dissection for studying circle of Willis. The brain was carefully extracted out of the skull so that arteries forming the circle of Willis do not get tom. The circle of Willis was identified in the interpeduncular cistern. Fine dissection was done to identify any variations. In this specimen there were double anterior communicating arteries joined in the midline by a short longitudinal segment of artery. Length and external diameters of both the Anterior communicating arteries were measured using Vernier calipers. Also, a medial striate artery (recurrent artery of Heubner) was seen originating from the right anterior cerebral artery just between the junctions of the proximal and distal Anterior communicating arteries with the right Anterior cerebral artery. Knowledge of this variation is valuable to neurosurgeons in planning surgical treatment and has clinical significance in relation to stroke.

The association of intracranial aneurysms and arteriovenous malformation of the brain

1981 ◽  
Vol 55 (6) ◽  
pp. 971-975 ◽  
Author(s):  
Seiji Hayashi ◽  
Taira Arimoto ◽  
Toru Itakura ◽  
Toru Fujii ◽  
Takashi Nishiguchi ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Arteriovenous Malformation ◽  
Cerebral Artery ◽  
Intracranial Aneurysms ◽  
Anterior Cerebral Artery ◽  
Cerebral Aneurysms ◽  
Content Type ◽  
Multiple Aneurysms ◽  
The Brain ◽  
Fine Print

✓ A case of intracranial multiple aneurysms associated with an arteriovenous malformation (AVM) is described. Three aneurysms were found arising from an enlarged anterior cerebral artery feeding an AVM. In spite of the fact that two of these aneurysms received no surgical treatment, they disappeared almost completely several months after excision of the AVM. Seventy-three previously reported cases of cerebral aneurysms associated with AVM's are reviewed, and the effect of hemodynamic stresses on the development of these aneurysms is summarized.

Occlusion of an “accessory” distal anterior cerebral artery during treatment of anterior communicating artery aneurysms

1991 ◽  
Vol 74 (1) ◽  
pp. 133-135 ◽  
Author(s):  
Kevin Gibbons ◽  
Leo N. Hopkins ◽  
Roberto C. Heros
Keyword(s):  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Anterior Communicating Artery ◽  
Case Histories ◽  
Content Type ◽  
Anterior Communicating Artery Aneurysms ◽  
Artery Segment ◽  
Distal Anterior Cerebral Artery ◽  
Clip Occlusion ◽  
Fine Print

✓ Two cases are presented in which clip occlusion of a third distal anterior cerebral artery segment occurred during treatment of anterior communicating artery aneurysms. Case histories, angiograms, operative descriptions, and postmortem findings are presented. The incidence of this anomalous vessel is reviewed. Preoperative and intraoperative vigilance in determining the presence of this anomaly prior to clip placement is emphasized.

Analysis of Anterior Cerebral Artery Tortuosity: Association with Anterior Communicating Artery Aneurysm Rupture

2019 ◽  
Vol 122 ◽  
pp. e480-e486 ◽  
Author(s):  
Roger M. Krzyżewski ◽  
Kornelia M. Kliś ◽  
Borys M. Kwinta ◽  
Małgorzata Gackowska ◽  
Krzysztof Stachura ◽  
...  
Keyword(s):  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Artery Aneurysm ◽  
Aneurysm Rupture ◽  
Anterior Communicating Artery ◽  
Anterior Communicating Artery Aneurysm
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