Comparative outcomes of microsurgical and endovascular treatment for ruptured and unruptured anterior communicating artery aneurysms.

ABSTRACT: Anterior communicating artery (AComA) aneurysms remain challenging because of their complex anatomy, rupture risk, and proximity to vital structures. This study compared the long-term durability, retreatment rates, complications, and outcomes of microsurgical clipping and endovascular treatment. This retrospective study included 313 patients (≥ 18 years) with ruptured or unruptured AComA aneurysms treated at a single center (2006-2024). Patients were categorized by treatment modality into two groups: (1) Microsurgical clipping and (2) Endovascular treatment. Primary outcomes included aneurysm occlusion status, retreatment, and functional recovery, measured by the Glasgow Outcome Scale and the modified Rankin Scale. Of the 313 patients, 166 (53.0%) underwent microsurgical clipping, and 147

SUBMITTER: Kendirlioglu BC 

PROVIDER: S-EPMC12799692 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature