{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T05:23:22Z","timestamp":1730870602678,"version":"3.28.0"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T00:00:00Z","timestamp":1695340800000},"content-version":"vor","delay-in-days":21,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003In recent years, endovascular methods have been developed to treat intracranial aneurysms. To date, results of endovascular treatment (EVT) for anterior communicating aneurysms (ACoAs) have never been investigated in Iran. Thus, we sought to assess the mid-term angiographic and clinical outcomes of patients with ACoAs who underwent EVT in a tertiary center.<\/jats:p><jats:p>\n          Materials and Methods\u2003Electronic health documents of patients with ACoAs who underwent EVT from March 2019 to July 2021 were retrospectively reviewed. Demographic and clinical characteristics of patients, procedural and clinical complications along with immediate and 12 months' postprocedural angiographic and clinical results were included in the analysis. Aneurysm occlusion status was classified based on the Raymond\u2013Roy Occlusion Classification (RROC), and clinical outcomes were assessed using the modified Rankin Scale (mRS).<\/jats:p><jats:p>\n          Results\u2003Of 38 patients with 38 ACoAs, 32 patients (84.21%) presented with subarachnoid hemorrhage of whom 23 (60.52%) had ruptured ACoAs. EVT included simple coiling in 29 patients (76.32%), balloon-assisted coiling in 6 (15.79%), and stent-assisted coiling in 3 (7.89%). Immediate and 12-month postprocedural angiograms demonstrated complete\/near-complete occlusion (RROC I and II) in 32 (84.21%) and 35 patients (97.22%), respectively. Periprocedural complications occurred in five patients (13.15%), and the mortality rate was 5.26%. Thirty-two patients (84.21%) had favorable outcomes (mRS 0\u20132) at the last follow-up.<\/jats:p><jats:p>\n          Conclusion\u2003EVT is a safe and beneficial procedure with favorable mid-term clinical and angiographic outcomes for ACoAs. Our results can lay the foundation for further studies in developing countries and are satisfactory enough for neurointerventionists to put EVT on the therapeutic agenda of ACoAs.<\/jats:p>","DOI":"10.1055\/s-0043-1771316","type":"journal-article","created":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T23:04:28Z","timestamp":1695423868000},"page":"522-527","source":"Crossref","is-referenced-by-count":0,"title":["Endovascular Treatment of Anterior Communicating Artery Aneurysms: A Single-Center Experience from a Developing Country"],"prefix":"10.1055","volume":"18","author":[{"given":"Sajjad","family":"Saghebdoust","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Section of Neurovascular Intervention, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran"},{"name":"Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran"},{"name":"Department of Neurosurgery, Razavi Hospital, Mashhad, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir Reza","family":"Barani","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Ali Abouei","family":"Mehrizi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehran","family":"Ekrami","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir Valinezhad","family":"Lajimi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gholamreza","family":"Termechi","sequence":"additional","affiliation":[{"name":"Department of Neurology, Vali-e-Asr Hospital, Tehran, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,9,22]]},"reference":[{"issue":"02","key":"ref1","first-page":"141","article-title":"An overview of intracranial aneurysms","volume":"9","author":"A Keedy","year":"2006","journal-title":"McGill J Med"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"943","DOI":"10.3174\/ajnr.A3802","article-title":"Endovascular treatment of anterior communicating artery aneurysms: a systematic review and meta-analysis","volume":"35","author":"S Fang","year":"2014","journal-title":"AJNR Am J Neuroradiol"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1053\/jscd.2002.130390","article-title":"International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomized trial","volume":"11","author":"A Molyneux","year":"2002","journal-title":"J Stroke Cerebrovasc Dis"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3171\/jns.1991.75.1.0001","article-title":"Electrothrombosis of saccular aneurysms via endovascular approach: part 1: electrochemical basis, technique, and experimental results","volume":"75","author":"G Guglielmi","year":"1991","journal-title":"Journal of Neurosurgery"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1136\/neurintsurg-2018-013771","article-title":"Wide-neck bifurcation aneurysms of the middle cerebral artery and basilar apex treated by endovascular techniques: a multicentre, core lab adjudicated study evaluating safety and durability of occlusion (BRANCH)","volume":"11","author":"R A De Leacy","year":"2019","journal-title":"J Neurointerv Surg"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"3157","DOI":"10.1007\/s10143-022-01853-w","article-title":"Intra-procedural complications, success rate, and need for retreatment of endovascular treatments in anterior communicating artery aneurysms: a systematic review and meta-analysis","volume":"45","author":"P Yarahmadi","year":"2022","journal-title":"Neurosurg Rev"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1136\/neurintsurg-2014-011147","article-title":"Balloon remodeling of complex anterior communicating artery aneurysms: technical considerations and complications","volume":"7","author":"K Moon","year":"2015","journal-title":"J Neurointerv Surg"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1093\/neuros\/nyw051","article-title":"Changing paradigms in the endovascular management of ruptured anterior communicating artery aneurysms","volume":"81","author":"K Moon","year":"2017","journal-title":"Neurosurgery"},{"issue":"05","key":"ref9","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1016\/j.wneu.2014.12.032","article-title":"Modified World Federation of Neurosurgical Societies subarachnoid hemorrhage grading system","volume":"83","author":"H Sano","year":"2015","journal-title":"World Neurosurg"},{"issue":"01","key":"ref10","first-page":"21","article-title":"Prediction of symptomatic vasospasm after subarachnoid hemorrhage: the modified fisher scale","volume":"59","author":"J A Frontera","year":"2006","journal-title":"Neurosurgery"},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"e000456","DOI":"10.1161\/SVIN.122.000456","article-title":"Stent-assisted coiling versus balloon-assisted coiling for the treatment of ruptured wide-necked aneurysms: a 2-center experience","volume":"3","author":"J Vivanco-Suarez","year":"2023","journal-title":"Stroke Vasc Intervent Neurol"},{"issue":"09","key":"ref12","doi-asserted-by":"crossref","first-page":"1700","DOI":"10.3174\/ajnr.A4834","article-title":"Endovascular coiling of wide-neck and wide-neck bifurcation aneurysms: a systematic review and meta-analysis","volume":"37","author":"B Zhao","year":"2016","journal-title":"AJNR Am J Neuroradiol"},{"issue":"04","key":"ref13","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1177\/1591019919828677","article-title":"Balloon-assisted coiling of cerebral aneurysms with the dual-lumen Scepter XC balloon catheter: experience at two high-volume centers","volume":"25","author":"A N Wallace","year":"2019","journal-title":"Interv Neuroradiol"},{"issue":"05","key":"ref14","doi-asserted-by":"crossref","first-page":"1348","DOI":"10.1161\/STROKEAHA.111.000641","article-title":"Stent-assisted coiling of intracranial aneurysms: predictors of complications, recanalization, and outcome in 508 cases","volume":"44","author":"N Chalouhi","year":"2013","journal-title":"Stroke"},{"issue":"07","key":"ref15","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1136\/neurintsurg-2014-011258","article-title":"An update to the Raymond-Roy Occlusion Classification of intracranial aneurysms treated with coil embolization","volume":"7","author":"J R Mascitelli","year":"2015","journal-title":"J Neurointerv Surg"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.surneu.2008.01.056","article-title":"Microneurosurgical management of anterior communicating artery aneurysms","volume":"70","author":"J Hernesniemi","year":"2008","journal-title":"Surg Neurol"},{"issue":"04","key":"ref17","doi-asserted-by":"crossref","first-page":"686","DOI":"10.4103\/0028-3886.185398","article-title":"Risk factors responsible for the volume of hemorrhage in aneurysmal subarachnoid hemorrhage","volume":"64","author":"J Liu","year":"2016","journal-title":"Neurol India"},{"issue":"S 01","key":"ref18","doi-asserted-by":"crossref","first-page":"S85","DOI":"10.1093\/neuros\/nyz334","article-title":"Expanding indications for flow diverters: distal aneurysms, bifurcation aneurysms, small aneurysms, previously coiled aneurysms and clipped aneurysms, and carotid cavernous fistulas","volume":"86","author":"N Limbucci","year":"2020","journal-title":"Neurosurgery"},{"issue":"04","key":"ref19","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1136\/neurintsurg-2016-012335","article-title":"Predicting intraprocedural rupture and thrombus formation during coiling of ruptured anterior communicating artery aneurysms","volume":"9","author":"L Fan","year":"2017","journal-title":"J Neurointerv Surg"},{"issue":"01","key":"ref20","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1177\/159101991001600101","article-title":"Endovascular treatment of ACom intracranial aneurysms. Report on series of 280 patients","volume":"16","author":"S Finitsis","year":"2010","journal-title":"Interv Neuroradiol"},{"issue":"08","key":"ref21","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1007\/s002340050352","article-title":"Endovascular treatment of anterior communicating artery aneurysms using Guglielmi detachable coils","volume":"38","author":"J Moret","year":"1996","journal-title":"Neuroradiology"},{"issue":"10","key":"ref22","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1136\/neurintsurg-2021-017695","article-title":"Endovascular treatment of ruptured anterior communicating aneurysms: a 17-year institutional experience with coil embolization","volume":"14","author":"J S Catapano","year":"2022","journal-title":"J Neurointerv Surg"},{"issue":"03","key":"ref23","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1080\/0268869031000153251","article-title":"Endovascular treatment of anterior communicating artery aneurysms: results of clinical and radiological outcome in Newcastle","volume":"17","author":"T Elias","year":"2003","journal-title":"Br J Neurosurg"},{"issue":"09","key":"ref24","first-page":"1645","article-title":"Predictors of aneurysmal occlusion in the period immediately after endovascular treatment with detachable coils: a multivariate analysis","volume":"19","author":"F Turjman","year":"1998","journal-title":"AJNR Am J Neuroradiol"},{"issue":"08","key":"ref25","doi-asserted-by":"crossref","first-page":"1551","DOI":"10.3174\/ajnr.A3991","article-title":"Effects of circle of Willis anatomic variations on angiographic and clinical outcomes of coiled anterior communicating artery aneurysms","volume":"35","author":"E Tarulli","year":"2014","journal-title":"AJNR Am J Neuroradiol"},{"issue":"03","key":"ref26","first-page":"451","article-title":"Angiographic and clinical results of anterior communicating artery aneurysm endovascular treatment","volume":"14","author":"P Brzegowy","year":"2019","journal-title":"Wideochir Inne Tech Malo Inwazyjne"},{"issue":"03","key":"ref27","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1080\/02688697.2020.1812517","article-title":"Comparison between outcomes of endovascular and surgical treatments of ruptured anterior communicating artery aneurysms","volume":"35","author":"L Harris","year":"2021","journal-title":"Br J Neurosurg"},{"issue":"02","key":"ref28","doi-asserted-by":"crossref","first-page":"218","DOI":"10.4103\/0028-3886.79147","article-title":"Outcomes of endovascular coiling of anterior communicating artery aneurysms in the early post-rupture period: a prospective analysis","volume":"59","author":"M P Cherian","year":"2011","journal-title":"Neurol India"},{"issue":"03","key":"ref29","doi-asserted-by":"crossref","first-page":"184","DOI":"10.3340\/jkns.2015.58.3.184","article-title":"Eleven year's single center experience of endovascular treatment of anterior communicating artery aneurysms: Focused on digital subtraction angiography follow-up results","volume":"58","author":"C W Hur","year":"2015","journal-title":"J Korean Neurosurg Soc"},{"issue":"05","key":"ref30","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1177\/1971400916665388","article-title":"Stand-alone coil embolization of anterior communicating artery aneurysms: efficacy and technical issues","volume":"29","author":"D Kocur","year":"2016","journal-title":"Neuroradiol J"},{"issue":"01","key":"ref31","first-page":"21","article-title":"Ruptured anterior communicating artery aneurysm. Therapeutic options in 119 consecutive cases [in French]","volume":"50","author":"B Debono","year":"2004","journal-title":"Neurochirurgie"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"193","DOI":"10.25259\/SNI_41_2019","article-title":"Clinical and morphological profile of aneurysms of the anterior communicating artery treated at a neurosurgical service in Southern Brazil","volume":"10","author":"F P Soares","year":"2019","journal-title":"Surg Neurol Int"},{"issue":"01","key":"ref33","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1186\/s12883-020-01871-5","article-title":"Recurrence and retreatment of anterior communicating artery aneurysms after endovascular treatment: a retrospective study","volume":"20","author":"C K Jang","year":"2020","journal-title":"BMC Neurol"}],"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1771316.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T10:26:06Z","timestamp":1730802366000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1771316"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":33,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2023,12,25]]},"published-print":{"date-parts":[[2023,9]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1771316","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"type":"print","value":"1793-5482"},{"type":"electronic","value":"2248-9614"}],"subject":[],"published":{"date-parts":[[2023,9]]}}}