Contralateral Approach to Coil Embolization of Proximal A1 Aneurysms Using the Anterior Communicating Artery.

ABSTRACT:

Background and purpose

Aneurysms arising from the proximal A1 segment of the anterior cerebral artery are rare, and their distinctive configurations often pose technical challenges during endovascular embolization. Herein, we present 11 patients with proximal A1 aneurysms requiring a contralateral approach (via the anterior communicating artery) to coil embolization.

Materials and methods

From a prospectively collected data repository, we retrieved records of 11 patients consecutively treated for proximal A1 aneurysms between January 2011 and March 2018. In each instance, coil embolization was performed by the contralateral route. Outcomes were analyzed in terms of morphologic features and clinical status.

Results

Aneurysms in all 11 patients were directed posteriorly

SUBMITTER: Kwon HJ 

PROVIDER: S-EPMC7655387 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature