Title: Comparative study of the sides of craniotomy in anterior communicating artery aneurysms
Abstract: Objective
To compare and study therapeutic effect and related complications of the right-side craniotomy and conventional dominant-side craniotomy clipping of anterior communicating artery aneurysms and the related complications.
Methods
A total of 112 patients with anterior communicating artery aneurysm admitted to the Department of Neurosurgery, Guizhou Provincial People's Hospital from January 2009 to March 2013 were randomly divided into two groups, including a right-side craniotomy group (n=58) and a dominant side craniotomy group (n=54). The former did not consider the anterior cerebral artery predominance, all patients were treated by using the right side craniotomy for aneurysm clipping; the latter considered the conditions of bilateral anterior artery and decide craniotomy clipping on the dominant sides. The patients were followed-up for a mean of 22.1±8.3 months.
Results
There were no significant differences in delayed cognitive dysfunction, intraoperative blood loss, mean hospitalization days, and hospital costs between the two groups (P>0.05); however, transient aphasia was more common in the dominant side craniotomy group. The exposure time and operative time of right-side craniotomy group were longer (P<0.05). The patients with hemiplegia were not found in both groups. CTA or DSA examination after procedure showed that all the anterior communicating artery aneurysms disappeared.
Conclusion
The right-side craniotomy for clipping of the anterior communicating artery aneurysms is not only technically feasible, but also has fewer complications. Therefore, it is worth considering as the conventional surgical sides for the treatment of anterior communicating artery aneurysms.
Key words:
Intracranial aneurysm; Anterior communicating artery; Microsurgery; Postoperative complications; Comp study
Publication Year: 2015
Publication Date: 2015-06-28
Language: en
Type: article
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