Fellows’ Journal Club
December 2013
(2 of 3)
Results from a single center treating 20 patients with distal anterior cerebral artery aneurysms were analyzed and compared with those reported in a meta-analysis of 16 studies in the literature that included a total of 279 similar patients. These aneurysms may be treated with a high rate of success but complication rates are higher than those for aneurysms of the circle of Willis.
Summary
In this study, a single center’s experience of 20 patients and a systematic review and a meta-analysis of 16 studies, including 279 patients/aneurysms, assessed the safety and efficacy of endovascular treatment of distal anterior cerebral artery aneurysms. The authors conclude that endovascular treatment of distal anterior cerebral artery aneurysms is associated with high angiographic occlusion rates, but the complication rates are higher compared with other aneurysms in the circle of Willis.