Surgical Clipping Versus Endovascular Coilin In The Treatment Of Intracranial Anterior Communicating Artery Aneurysms-single Center, Retrospective Analysis Of166Cases

Anterior communicating artery aneurysm (ACoA) is a common kind of intracranial aneurysms. For its treatment, surgical clipping and endovascular coiling are two choices mainly used in clinic. However, in consideration of its complexity and so many factors that maybe affect clinical prognosis, recently there is not any unified guideline on its clinical therapeutic strategy and clinical prognosis. Objectively, there is two-side influence on both surgical clipping and endovascular coiling in treatment of ACoA, and it is closely related to the clinical experience of surgeons in one medical center. In this study,166ACoA cases were collected from our neurosurgical center of the Second Affiliated Hospital for a single center, retrospective analysis. Clinical therapeutic strategy and clinical prognosis for treatment of ACoA by surgical clipping or endovascular coiling were focused. Additionally, for each case,8-19months of follow-up were made. This study proposed that, for our neurosurgical center, endovascular coiling might be preferred for ACoA, especially for a comorbidity of hypertension. If unsatisfied for endovascular treatment based on preoperative evaluation, complication of infarction should be considered for surgical clipping. What’s more, some risk factors, such as high Hunt-Hess grade and Fisher grade, would affect the clinical prognosis, regardless of therapeutic strategy, and it should be given attention during the preoperative communication.