Copyright
©The Author(s) 2024.
World J Clin Cases. May 26, 2024; 12(15): 2529-2541
Published online May 26, 2024. doi: 10.12998/wjcc.v12.i15.2529
Published online May 26, 2024. doi: 10.12998/wjcc.v12.i15.2529
Table 1 Characteristics of patient with ruptured lobulated anterior communicating artery aneurysm
| Case Number | Age | Sex | Time from rupture to endovascular treatment (h) | Maximum diameter of the aneurysms (mm) | Neck width (mm) | Lobed number | Fisher's grade | Hunt-Hess grade | Glasgow Coma Scale score | Hydrocephalus | Methods of Treatment | Immediately postprocedural Raymond-Roy grade | Complication | Imaging follow-up method | Follow-up Raymond-Roy grade |
| 1 | 39 | Female | 3 | 4.2 | 3 | 2 | 2 | 2 | 13 | No | Single microcatheter embolization | 1 | No | CT angiography | 1 |
| 2 | 42 | Female | 11 | 5.1 | 2.8 | 2 | 2 | 3 | 11 | No | Single microcatheter embolization | 1 | No | CT angiography | 1 |
| 3 | 63 | Female | 6 | 3.1 | 2.2 | 3 | 2 | 3 | 12 | No | Auxiliary support coil embolization | 1 | No | Digital subtraction angiography | 1 |
| 4 | 52 | Male | 7 | 5.8 | 4.1 | 2 | 2 | 3 | 12 | No | Auxiliary support coil embolization | 1 | No | Digital subtraction angiography | 1 |
| 5 | 43 | Female | 4 | 3.6 | 3.1 | 3 | 3 | 3 | 12 | No | Auxiliary support coil embolization | 1 | No | Digital subtraction angiography | 1 |
| 6 | 56 | Female | 6 | 3.7 | 2.7 | 2 | 3 | 4 | 11 | No | External ventricular drainage; Double microcatheter embolization | 1 | No | CT angiography | 1 |
| 7 | 71 | Female | 48 | 3.6 | 3 | 2 | 2 | 1 | 14 | No | Single microcatheter embolization | 1 | No | CT angiography | 1 |
| 8 | 48 | Male | 7 | 5.5 | 3 | 3 | 2 | 2 | 13 | No | Double microcatheter embolization | 1 | No | CT angiography | 1 |
| 9 | 61 | Female | 5 | 5.1 | 2.9 | 2 | 2 | 2 | 15 | No | Double microcatheter embolization | 1 | No | CT angiography | 1 |
| 10 | 55 | Female | 7 | 5 | 2.6 | 2 | 2 | 3 | 13 | No | Double microcatheter embolization | 1 | No | CT angiography | 1 |
| 11 | 65 | Female | 7 | 8.1 | 5.3 | 3 | 4 | 4 | 9 | Yes | External ventricular drainage; Auxiliary support coil embolization | 2 | Arterial thrombosis | Digital subtraction angiography | 2 |
| 12 | 58 | Male | 5 | 5.3 | 3 | 2 | 3 | 3 | 13 | No | Auxiliary support coil embolization | 1 | No | Digital subtraction angiography | 1 |
| 13 | 50 | Female | 10 | 4.6 | 2 | 2 | 2 | 3 | 13 | No | Double microcatheter embolization | 1 | No | CT angiography | 1 |
| 14 | 63 | Female | 26 | 5.1 | 2.1 | 2 | 2 | 3 | 13 | No | Double microcatheter embolization | 1 | No | CT angiography | 1 |
| 15 | 66 | Male | 6 | 5 | 3.2 | 2 | 4 | 4 | 9 | Yes | Double microcatheter embolization | 1 | Communicating hydrocephalus | CT angiography | 1 |
| 16 | 53 | Male | 8 | 6.1 | 3.9 | 2 | 3 | 3 | 12 | No | Auxiliary support coil embolization | 1 | No | Digital subtraction angiography | 1 |
| 17 | 74 | Female | 50 | 5.4 | 3.4 | 2 | 2 | 2 | 13 | No | Double microcatheter embolization | 1 | No | CT angiography | 1 |
| 18 | 61 | Male | 4 | 4.3 | 2.3 | 2 | 2 | 3 | 12 | No | Auxiliary support coil embolization | 1 | No | Digital subtraction angiography | 1 |
| 19 | 55 | Male | 5 | 5.7 | 3 | 2 | 3 | 3 | 12 | No | Double microcatheter embolization | 1 | No | CT angiography | 1 |
| 20 | 60 | Female | 5 | 5.7 | 3.8 | 3 | 2 | 3 | 12 | No | Double microcatheter embolization | 1 | No | CT angiography | 1 |
| 21 | 48 | Female | 8 | 5.4 | 2.5 | 2 | 2 | 3 | 13 | No | Auxiliary support coil embolization | 1 | No | Digital subtraction angiography | 1 |
| 22 | 53 | Female | 12 | 4.9 | 2.3 | 2 | 2 | 4 | 12 | No | Double microcatheter embolization | 1 | No | CT angiography | 1 |
| 23 | 63 | Male | 7 | 6.1 | 2.9 | 2 | 3 | 4 | 11 | No | Auxiliary support coil embolization | 1 | No | Digital subtraction angiography | 1 |
| 24 | 50 | Male | 6 | 5.5 | 2.8 | 2 | 2 | 4 | 11 | No | Auxiliary support coil embolization | 1 | No | Digital subtraction angiography | 1 |
Table 2 Average information of patients, n (%)
| Double-lobed patients | Multilobed patients | |
| Age | 56.3 ± 9.0 | 55.8 ± 9.7 |
| Sex | 8 (42.1) | 1 (20) |
| Time from rupture to endovascular treatment (h) | 12.9 ± 13.8 | 5.8 ± 1.3 |
| Maximum diameter of the aneurysms (mm) | 5.0 ± 0.7 | 5.2 ± 2.0 |
| Neck width (mm) | 2.9 ± 0.5 | 3.5 ± 1.2 |
| Fisher's grade | ||
| Grade 2 | 13 (68.4) | 3 (60) |
| Grade 3 | 5 (26.3) | 1 (20) |
| Grade 4 | 1 (5.2) | 1 (20) |
| Hunt-Hess grade | ||
| Grade 0-2 | 4 (21.1) | 1 (20) |
| Grade 3-5 | 15 (78.9) | 4 (80) |
| Glasgow Coma Scale score | 12.2 ± 1.3 | 11.6 ± 1.5 |
| Hydrocephalus | 1 (5.2) | 1 (20) |
| Methods of treatment | ||
| Single microcatheter embolization | 3 (15.8) | 0 (0) |
| Double microcatheter embolization | 8 (42.1) | 2 (40) |
| Auxiliary support coil embolization | 7 (36.8) | 2 (40) |
| External ventricular drainage; Double microcatheter embolization | 1 (5.3) | 0 (0) |
| External ventricular drainage; Auxiliary support coil embolization | 0 (0) | 1 (20) |
| Immediately postprocedural Raymond-Roy grade | ||
| Grade 1 | 19 (100) | 4 (80) |
| Grade 2 | 0 (0) | 1 (20) |
| Complication | ||
| Arterial thrombosis | 0 (0) | 1 (20) |
| Communicating hydrocephalus | 1 (5.2) | 0 (0) |
| Follow-up Raymond-Roy grade | ||
| Grade 1 | 19 (100) | 4 (80) |
| Grade 2 | 0 (0) | 1 (20) |
- Citation: Huang SX, Ai XP, Kang ZH, Chen ZY, Li RM, Wu ZC, Zhu F. Endovascular treatment of ruptured lobulated anterior communicating artery aneurysms: A retrospective study of 24 patients. World J Clin Cases 2024; 12(15): 2529-2541
- URL: https://www.wjgnet.com/2307-8960/full/v12/i15/2529.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v12.i15.2529