Therapy results of pericallosal aneurysms: A retrospective unicenter study

  • Cornelius Deuschl | cornelius.deuschl@uk-essen.de Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany.
  • Marvin Darkwah Oppong Clinic for Neurosurgery, University Hospital Essen, Essen, Germany.
  • Hanna Styczen Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany.
  • Lisa Markhardt Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany.
  • Karsten Wrede Clinic for Neurosurgery, University Hospital Essen, Essen, Germany.
  • Ramazan Jabbarli Clinic for Neurosurgery, University Hospital Essen, Essen, Germany. https://orcid.org/0000-0002-8356-6629
  • Ulrich Sure Clinic for Neurosurgery, University Hospital Essen, Essen, Germany.
  • Alexander Radbruch Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany.
  • Michael Forsting Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany.
  • Isabel Wanke Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany; Center for Neuroradiology, Clinic Hirslanden, Zurich, Switzerland.
  • Christoph Mönninghoff Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen; Clinic for Neuroradiology, Clemenshospital Muenster, Germany. https://orcid.org/0000-0003-3946-9386

Abstract

This retrospective study aims to compare treatment results of ruptured and unruptured pericallosal artery aneurysms (PAAs) regarding patient outcome and aneurysm recurrence after endovascular treatment (EVT) and neurosurgical treatment (NT). A total of 67 patients with PAA were admitted to our hospital, 44 patients with subarachnoidal hemorrhage (SAH) due to a ruptured PAA and 23 patients with unruptured PAA. The radiographic features of PAA were collected from pre-treatment digital subtraction angiography. In addition, demographic, clinical and radiographic parameters of all patients were recorded. Outcome was measured based on the modified Rankin scale (mRS) at 6 months after admission (favorable mRS score, 0-2 vs unfavorable mRS score, 3-6). Overall 46 patients underwent EVT and 21 patients NT. Six months after discharge 24 patients with SAH had a favorable outcome (mRS 0-2) and 16 patients an unfavorable outcome (mRS 3-6). Mortality rate of patients with SAH was 9.1% (4/44). Overall aneurysm recurrence was treated in 13 % of patients in the EVT cohort (6/46), whereas patients treated with NT had no recurrence. All patients with unruptured PAA had a favorable outcome. EVT and NT of PAA show comparable good results, although aneurysm recurrence occurs more often after EVT.

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Published
2020-09-18
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Brief Reports
Keywords:
Pericallosal artery aneurysm, recurrence, endovascular therapy, neurosurgical therapy.
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How to Cite
Deuschl, C., Darkwah Oppong, M., Styczen, H., Markhardt, L., Wrede, K., Jabbarli, R., Sure, U., Radbruch, A., Forsting, M., Wanke, I., & Mönninghoff, C. (2020). Therapy results of pericallosal aneurysms: A retrospective unicenter study. Clinics and Practice, 10(3). https://doi.org/10.4081/cp.2020.1257