{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T19:49:08Z","timestamp":1776023348673,"version":"3.50.1"},"reference-count":21,"publisher":"Scientific Scholar","license":[{"start":{"date-parts":[[2021,9,28]],"date-time":"2021-09-28T00:00:00Z","timestamp":1632787200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["ruralneuropractice.com"],"crossmark-restriction":true},"short-container-title":["JNRP"],"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:p>\n<jats:bold>Objectives<\/jats:bold>\u2003Distal anterior cerebral artery (DACA) aneurysms are a subset of aneurysms located in the anterior circulation but away from the circle of Willis. We analyze the clinical presentation and outcomes of two treatment groups\u2014surgical and endovascular\u2014for DACA aneurysms managed by a dual-trained neurosurgeon.<\/jats:p>\n<jats:p>\n<jats:bold>Material and Methods<\/jats:bold>\u2003A retrospective evaluation of radiological and operative\/interventional data of 34 patients with 35 DACA aneurysms over a 12-year period was analyzed. Twenty-seven patients underwent surgery, whereas seven underwent endovascular coiling of the aneurysms. Modified Fisher grade and World Federation of Neurosurgical Societies scale (WFNS) were used to note the subarachnoid hemorrhage (SAH) severity.<\/jats:p>\n<jats:p>\n<jats:bold>Statistical Analysis<\/jats:bold>\u2003Categorical data were presented as frequency and percentage, while noncategorical data were represented as mean\u2009\u00b1\u2009SD. Statistical significance for difference in outcome between the two groups was analyzed using Chi-square test, and <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05 was considered statistically significant.<\/jats:p>\n<jats:p>\n<jats:bold>Results<\/jats:bold>\u2003Of 34 patients, 33 presented with a bleed and 23.5% patients were noted to have another aneurysm in addition to the DACA aneurysm. Patients who underwent clipping for another aneurysm along with the DACA aneurysm in a single surgical exercise had a poor outcome compared with those who underwent surgery for the lone DACA aneurysm (7 vs. 20, <jats:italic>p<\/jats:italic>\u2009=\u20090.015). Most patients in both surgical (70.37%) and endovascular (85.71%) groups had good outcome (mRS \u2264 2).<\/jats:p>\n<jats:p>\n<jats:bold>Conclusions<\/jats:bold>\u2003A good outcome can be achieved with either surgery or endovascular coiling in the management of DACA aneurysms. In patients with multiple aneurysms, SAH with aneurysmal rupture of DACA should be managed first; the other unruptured aneurysm may be operated after an interval to avoid morbidity.<\/jats:p>","DOI":"10.1055\/s-0041-1735823","type":"journal-article","created":{"date-parts":[[2021,9,28]],"date-time":"2021-09-28T22:58:39Z","timestamp":1632869919000},"page":"711-717","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Contemporary Management of Distal Anterior Cerebral Artery Aneurysms: A Dual-Trained Neurosurgeon's Perspective"],"prefix":"10.25259","volume":"12","author":[{"given":"Sunil V.","family":"Furtado","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, MS Ramaiah Medical College and Hospital, Bengaluru, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dravya","family":"Jayakumar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, MS 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