Treatment of complex ruptured anterior communicating XXXX by endovascular coil embolisation of the anterior communicating artery.

@entity1 @entity64 @entity548 @entity510 @entity439 @entity438
PURPOSE: The current study evaluates the feasibility and safety of coil embolisation of the anterior communicating artery (ACoA) for the treatment of complicated anterior communicating @entity438 (ACoAAs). METHODS AND MATERIALS: Five @entity1 presented with a @entity510 caused by a ruptured ACoAA. The ACoAA morphologies were well defined by three-dimensional digital subtraction angiography (3D-DSA) and magnetic resonance angiography (MRA). Two of the ACoAAs were tiny (<3   mm in diameter), and the remaining three ACoAAs were small (3-5   mm in diameter). All of the @entity439 were localised to the ACoA. The projection of the @entity439 dome was defined as being oriented superiorly or posteriorly in all five @entity439 . We performed a superselective catheterisation of each @entity439 , and we subsequently performed coil embolisation with balloon, stent or microcatheter assistance. Angiography and clinical follow-up occurred 3-6 months after the procedure. Clinical follow-up data were collected and retrospectively analysed, and @entity1 responses were categorised as fully recovered, improved, unchanged or aggravated. RESULTS: All five @entity1 with ACoAA were treated successfully using coil embolisation. In three @entity1 , both the @entity439 sac and the ACoA were embolised using coils, and in two @entity1 , only the ACoA was embolised. Acute angiography showed occlusion of the @entity439 and ACoA. Follow-up angiography confirmed complete occlusion of the @entity439 sac, and no ACoAA recurrence was detected in any of the @entity1 . In clinical follow-up visits, none of the @entity1 had @entity548 or had a @entity64 . CONCLUSION: Combined coil embolism of the @entity439 sac and the ACoA could be a feasible and safe method for the treatment of complicated ACoAAs without bilateral aplasia of the A1 segment.
