{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T05:33:07Z","timestamp":1741152787376,"version":"3.38.0"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T00:00:00Z","timestamp":1710806400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T00:00:00Z","timestamp":1710806400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100007104","name":"Trakya University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007104","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neurosurg Rev"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>The objective was to provide comprehensive preoperative information on both the aneurysm orientation and the side and method of surgical approach for optimal preoperative information and safe clipping using 3D imaging modalities. This was achieved by making an objective risk assessment on the surgical side\/method and evaluating its effectiveness with internal validation.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Materials and methods<\/jats:title>\n            <jats:p>Radiologic data of 61 ACoA aneurysm patients between 2012 and 2020 were retrospectively analyzed. A scoring system based on five criteria; ACoA aneurysm dome orientation, A1 symmetry\/control, perforating artery control, A2 trace orientation, and A2 fork symmetry was developed. The system is designed to align with the most common surgical approaches in ACoA aneurysm surgery. The patients were categorized into three groups based on the scoring results to determine the most appropriate surgical method. Group I was recommended, Group II was less recommended, and Group III was least recommended. Internal validation was performed to assess the system\u2019s effectiveness. Outcomes and complication rates were statistically evaluated.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>When the scoring system was utilized, the mean score difference between the first group and the other groups was 2.71 and 4.62, respectively. There was a homogeneous distribution among the groups in terms of age, sex, WFNS, and Fisher scores. Complication occurred in three patients in Group I and nine patients each in Group II and Group III. The further the deviation from the first option, the higher the complication rate (<jats:italic>p<\/jats:italic>\u2009=\u20090.016), and a significant cause\u2013effect relationship was identified (<jats:italic>p<\/jats:italic>\u2009=\u20090.021). The ROC curve established a cut-off value of 12.5 points for complications and outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Our study introduces a new scoring system for ACoA aneurysms, enhancing the use of 3D CTA in daily practice and providing internal validation for the proposed approach. By evaluating objective criteria, this scoring system helps predict surgical risks, prevent complications, and supports personalized evaluation and selection of the surgical approach based on objective criteria.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s10143-024-02344-w","type":"journal-article","created":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T03:02:08Z","timestamp":1710817328000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Optimizing surgical approaches for anterior communicating artery aneurysms: Development and internal validation of a novel surgical scoring system"],"prefix":"10.1007","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9395-2902","authenticated-orcid":false,"given":"Metin","family":"Orakdogen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3299-4196","authenticated-orcid":false,"given":"Orkhan","family":"Mammadkhanli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8716-5187","authenticated-orcid":false,"given":"Osman","family":"Simsek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,3,19]]},"reference":[{"issue":"03","key":"2344_CR1","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1055\/s-2008-1073169","volume":"51","author":"A Agrawal","year":"2008","unstructured":"Agrawal A, Kato Y, Chen L, Karagiozov K, Yoneda M, Imizu S, Sano H, Kanno T (2008) Anterior communicating artery aneurysms: an overview. 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The study was approved by the Trakya University Local Institutional Committee with approval number T\u00dcTF-GOBAEK 2023\/255.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical considerations"}},{"value":"The authors declare that they have no conflict of interest.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest\/Competing interests"}},{"value":"The authors have no relevant financial or non-financial interests to disclose.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Financial interests"}},{"value":"At our university hospital, as part of our standard clinical practice, informed consent was routinely obtained from all participants included in this study. Patients were informed that their data could be used for academic purposes, with personal information anonymized.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"All authors listed on this manuscript have reviewed the final version and have given their consent for its publication. By submitting this manuscript, the authors affirm that the work presented is original, has not been previously published in whole or in part, and is not under consideration for publication elsewhere.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}],"article-number":"121"}}