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Clinics and Practice
Volume 10
Issue 3
10.4081/cp.2020.1257
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Brief Report

Therapy Results of Pericallosal Aneurysms: A Retrospective Unicenter Study

by
Cornelius Deuschl
1,*,
Marvin Darkwah Oppong
2,
Hanna Styczen
1,
Lisa Markhardt
1,
Karsten Wrede
2,
Ramazan Jabbarli
2,
Ulrich Sure
2,
Alexander Radbruch
1,
Michael Forsting
1,
Isabel Wanke
1,3 and
Christoph Mönninghoff
1,4
1
Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany
2
Clinic for Neurosurgery, University Hospital Essen, Essen, Germany
3
Center for Neuroradiology, Clinic Hirslanden, Zurich, Switzerland
4
Clinic for Neuroradiology, Clemenshospital Muenster, Germany
*
Author to whom correspondence should be addressed.
Clin. Pract. 2020, 10(3), 1257; https://doi.org/10.4081/cp.2020.1257
Submission received: 20 April 2020 / Revised: 19 July 2020 / Accepted: 30 July 2020 / Published: 18 September 2020

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.
Keywords: pericallosal artery aneurysm; recurrence; endovascular therapy; neurosurgical therapy pericallosal artery aneurysm; recurrence; endovascular therapy; neurosurgical therapy

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MDPI and ACS Style

Deuschl, C.; Darkwah Oppong, M.; Styczen, H.; Markhardt, L.; Wrede, K.; Jabbarli, R.; Sure, U.; Radbruch, A.; Forsting, M.; Wanke, I.; et al. Therapy Results of Pericallosal Aneurysms: A Retrospective Unicenter Study. Clin. Pract. 2020, 10, 1257. https://doi.org/10.4081/cp.2020.1257

AMA Style

Deuschl C, Darkwah Oppong M, Styczen H, Markhardt L, Wrede K, Jabbarli R, Sure U, Radbruch A, Forsting M, Wanke I, et al. Therapy Results of Pericallosal Aneurysms: A Retrospective Unicenter Study. Clinics and Practice. 2020; 10(3):1257. https://doi.org/10.4081/cp.2020.1257

Chicago/Turabian Style

Deuschl, Cornelius, Marvin Darkwah Oppong, Hanna Styczen, Lisa Markhardt, Karsten Wrede, Ramazan Jabbarli, Ulrich Sure, Alexander Radbruch, Michael Forsting, Isabel Wanke, and et al. 2020. "Therapy Results of Pericallosal Aneurysms: A Retrospective Unicenter Study" Clinics and Practice 10, no. 3: 1257. https://doi.org/10.4081/cp.2020.1257

APA Style

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), 1257. https://doi.org/10.4081/cp.2020.1257

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