Abstract
Objective
In recent years, endovascular treatment has become the treatment of choice for distal
anterior cerebral artery (DACA) aneurysms. In this study, we report the outcomes of
coil embolization for DACA aneurysms.
Methods
Eighteen DACA aneurysms in 16 patients treated with endovascular treatment between
January 2010 and December 2020 were included in this study. We retrospectively analyzed
patient characteristics, data on aneurysms, the reason for the selection of endovascular
treatment, treatment technique, and treatment outcomes.
Results
There were 18 procedures in 16 patients. The average age was 65.7 years and 56% of
patients were male. The average diameter of the dome was 5.5 mm, and the location
of aneurysm was A3 in 83% and A4 in 17%. We mainly selected endovascular treatment
for patients with a past history of craniotomy and head trauma, or with systemic comorbidities.
The technical success rate was 94%, and adequate obliteration immediately after treatment
was achieved in 72%. There were no symptomatic periprocedural complications. The retreatment
rate was 11.1%.
Conclusion
Coil embolization for DACA aneurysms yielded good treatment outcomes. Endovascular
treatment for DACA aneurysms will become more common with advances in endovascular
devices and the establishment of stable perioperative antiplatelet therapy.
Keywords
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Article info
Publication history
Published online: October 19, 2022
Accepted:
September 20,
2022
Received in revised form:
September 19,
2022
Received:
June 11,
2022
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2022.106811
Copyright
© 2022 Elsevier Inc. All rights reserved.
