{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T13:23:25Z","timestamp":1781529805343,"version":"3.54.1"},"reference-count":15,"publisher":"BMJ","issue":"Suppl 3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J NeuroIntervent Surg"],"accepted":{"date-parts":[[2012,8,30]]},"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Anterior communicating artery (ACoA) aneurysms comprised over half of the ruptured aneurysms in the International Subarachnoid Trial. Endovascular treatment of ACoA aneurysms has provided good results, but until the introduction of intracranial stents, many ACoA aneurysms could not be treated without craniotomy. The current study analyzes the results of ACoA aneurysm treatment using stent assisted embolization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>64 patients with ACoA aneurysms underwent stent assisted aneurysm repair. Four were treated in the acute rupture phase and a fifth ruptured aneurysm was stented in a second procedure after initial coiling. Five aneurysms were 10\u2005mm or more in greatest diameter. Follow-up angiography was performed 6\u2005months after treatment; then, patients were followed with annual MR angiography. Technical, clinical, and long term radiographic results were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Stents were successfully deployed in each case. One patient was eventually treated with a three stent construct and died of perioperative hemorrhage. One major stroke occurred during a separate procedure when a patient was taken off antiplatelet medications. These cases were the only aneurysm related morbidity (1.6%) and mortality (1.6%) events during the entire follow-up period. After stent assisted embolization, 32 (50.0%) ACoA aneurysms were completely occluded, 15 (23.4%) had residual neck, and 17 (26.6%) had residual filling. At first radiographic follow-up, 39 of 55 (70.9%) showed complete occlusion. Three (5.5%) total aneurysms required retreatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Stent assisted aneurysm treatment was a safe and effective option in this series of ACoA aneurysms with maximum diameter less than 15\u2005mm. ACoA aneurysms may be more likely to recur regardless of treatment option, but stent assisted embolization may be durable after stable initial radiographic follow-up.<\/jats:p><\/jats:sec>","DOI":"10.1136\/neurintsurg-2012-010503","type":"journal-article","created":{"date-parts":[[2012,9,22]],"date-time":"2012-09-22T00:47:13Z","timestamp":1348274833000},"page":"iii62-iii65","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":26,"title":["Stent assisted embolization of 64 anterior communicating artery aneurysms"],"prefix":"10.1136","volume":"5","author":[{"given":"Andrew Kelly","family":"Johnson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan A","family":"Munich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel M","family":"Heiferman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Demetrius Klee","family":"Lopes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2012,9,21]]},"reference":[{"key":"2024052300161934000_5.Suppl_3.iii62.1","doi-asserted-by":"crossref","first-page":"iii1267","DOI":"10.1016\/S0140-6736(02)11314-6","article-title":"International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial","volume":"360","author":"Molyneux","year":"2002","journal-title":"Lancet"},{"key":"2024052300161934000_5.Suppl_3.iii62.2","doi-asserted-by":"crossref","first-page":"iii103","DOI":"10.1016\/S0140-6736(03)13860-3","article-title":"Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment","volume":"362","author":"Wiebers","year":"2003","journal-title":"Lancet"},{"key":"2024052300161934000_5.Suppl_3.iii62.3","doi-asserted-by":"crossref","first-page":"iii731","DOI":"10.1227\/NEU.0b013e3182077373","article-title":"Endovascular therapy of very small aneurysms of the anterior communicating artery: five-fold increased incidence of rupture","volume":"68","author":"Schuette","year":"2011","journal-title":"Neurosurgery"},{"key":"2024052300161934000_5.Suppl_3.iii62.4","doi-asserted-by":"crossref","first-page":"iiiS53","DOI":"10.1097\/00006123-200210001-00003","article-title":"The supratentorial arteries","volume":"51","author":"Rhoton","year":"2002","journal-title":"Neurosurgery"},{"key":"2024052300161934000_5.Suppl_3.iii62.5","first-page":"iiiS273","article-title":"Microsurgical management of anterior communicating artery aneurysms","volume":"61","author":"Sekhar","year":"2007","journal-title":"Neurosurgery"},{"key":"2024052300161934000_5.Suppl_3.iii62.6","doi-asserted-by":"crossref","first-page":"iii37","DOI":"10.1159\/000047945","article-title":"Neuropsychological sequelae of patients treated with microsurgical clipping or endovascular embolization for anterior communicating artery aneurysm","volume":"47","author":"Chan","year":"2002","journal-title":"Eur Neurol"},{"key":"2024052300161934000_5.Suppl_3.iii62.7","doi-asserted-by":"crossref","first-page":"iii867","DOI":"10.1007\/s00701-003-0111-5","article-title":"Neuropsychological assessment after microsurgical clipping or endovascular treatment for anterior communicating artery aneurysm","volume":"145","author":"Fontanella","year":"2003","journal-title":"Acta Neurochir"},{"key":"2024052300161934000_5.Suppl_3.iii62.8","doi-asserted-by":"crossref","first-page":"iii27","DOI":"10.1227\/NEU.0b013e31820edbb6","article-title":"Neuroform stent-assisted embolization of incidental anterior communicating artery aneurysms: long-term clinical and angiographic follow-up","volume":"69","author":"Raslan","year":"2011","journal-title":"Neurosurgery"},{"key":"2024052300161934000_5.Suppl_3.iii62.9","doi-asserted-by":"crossref","first-page":"iii1502","DOI":"10.3174\/ajnr.A1618","article-title":"Stent-assisted embolization of wide-neck anterior communicating artery aneurysms: review of 21 consecutive cases","volume":"30","author":"Huang","year":"2009","journal-title":"AJNR Am J Neuroradiol"},{"key":"2024052300161934000_5.Suppl_3.iii62.10","doi-asserted-by":"crossref","first-page":"iii2776","DOI":"10.1161\/STROKEAHA.107.505222","article-title":"Impact of anatomic features in the endovascular embolization of 181 anterior communicating artery aneurysms","volume":"39","author":"Gonzalez","year":"2008","journal-title":"Stroke"},{"key":"2024052300161934000_5.Suppl_3.iii62.11","doi-asserted-by":"crossref","first-page":"iii7","DOI":"10.1177\/159101991001600101","article-title":"Endovascular treatment of ACom intracranial aneurysms. Report on series of 280 patients","volume":"16","author":"Finitsis","year":"2010","journal-title":"Interv Neuroradiol"},{"key":"2024052300161934000_5.Suppl_3.iii62.12","doi-asserted-by":"crossref","first-page":"iii394","DOI":"10.3171\/jns.1995.83.3.0394","article-title":"Improved outcome after rupture of anterior circulation aneurysms: a retrospective 10-year review of 224 good-grade patients","volume":"83","author":"Le Roux","year":"1995","journal-title":"J Neurosurg"},{"key":"2024052300161934000_5.Suppl_3.iii62.13","doi-asserted-by":"crossref","first-page":"iiiS105","DOI":"10.1177\/15910199060120S116","article-title":"Thromboembolic events associated with coil protrusion into parent arteries after GDC treatment","volume":"12","author":"Yonaha","year":"2006","journal-title":"Interv Neuroradiol"},{"key":"2024052300161934000_5.Suppl_3.iii62.14","doi-asserted-by":"crossref","first-page":"iii1538","DOI":"10.1161\/STROKEAHA.106.466987","article-title":"Retreatment of ruptured cerebral aneurysms in patients randomized by coiling or clipping in the International Subarachnoid Aneurysm Trial (ISAT)","volume":"38","author":"Campi","year":"2007","journal-title":"Stroke"},{"key":"2024052300161934000_5.Suppl_3.iii62.15","doi-asserted-by":"crossref","first-page":"iii427","DOI":"10.1016\/S1474-4422(09)70080-8","article-title":"Risk of recurrent subarachnoid haemorrhage, death, or dependence and standardised mortality ratios after clipping or coiling of an intracranial aneurysm in the International Subarachnoid Aneurysm Trial (ISAT): long-term follow-up","volume":"8","author":"Molyneux","year":"2009","journal-title":"Lancet Neurol"}],"container-title":["Journal of NeuroInterventional Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/neurintsurg-2012-010503","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T08:52:34Z","timestamp":1716454354000},"score":1,"resource":{"primary":{"URL":"https:\/\/jnis.bmj.com\/lookup\/doi\/10.1136\/neurintsurg-2012-010503"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,9,21]]},"references-count":15,"journal-issue":{"issue":"Suppl 3","published-online":{"date-parts":[[2013,9,27]]},"published-print":{"date-parts":[[2013,11]]}},"alternative-id":["10.1136\/neurintsurg-2012-010503"],"URL":"https:\/\/doi.org\/10.1136\/neurintsurg-2012-010503","relation":{},"ISSN":["1759-8478","1759-8486"],"issn-type":[{"value":"1759-8478","type":"print"},{"value":"1759-8486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,9,21]]}}}