Table 1.
Summary of the cases
Abbreviations: ICA, internal carotid artery; MCA, middle cerebral artery; ACA, anterior cerebral artery; F, female; M, male; H&K, Hunt and Kosnic; C, internal carotid artery; M, middle cerebral artery; A, anterior cerebral artery; R, right; L, left; STA, superficial temporal artery; mRS, modified Rankin Scale.
| case | treatment | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| number | age | gender | H&K grade | location of aneurysm | laterality of aneurysm | vascularreconstruction | procedure for the aneurysm | ||
| ICA | |||||||||
| 1 | 62 | F | 5 | C1-2 | R | emergent STA-MCA single anastomosis after trapping | surgical trapping on day 0 | ||
| 2 | 65 | F | 3 | C2 | L | STA-MCA double anastomosis | rebleeding after coil embolization. Endovascular trapping was performed on day 4 | ||
| 3 | 44 | M | 4 | C1-2 | R | high-flow bypass with radial arterial graft | surgical trapping on day 2 | ||
| 4 | 61 | F | 2 | C1 | L | high-flow bypass with radial arterial graft | enlargement of aneurysm after neck clipping. The aneurysm was trapped surgically on day 30. | ||
| 5 | 45 | M | 3 | C2 | R | high-flow bypass with saphenous vein graft | enlargement of aneurysm after neck clipping. The aneurysm was trapped surgically on day 42. | ||
| 6 | 67 | M | 4 | C1-2 | R | high-flow bypass with saphenous vein graft | surgical trapping on day 1 | ||
| 7 | 74 | M | 2 | C1-2 | L | high-flow bypass with saphenous vein graft | surgical trapping on day 0 | ||
| 8 | 40 | F | 3 | C2 | R | none | coil compaction happened 3 times after coil embolization of the dome. Endovascular trapping was performed on day 53 nevertheless. | ||
| MCA | |||||||||
| 9 | 70 | F | 2 | M2 (superior trunk) | L | STA-MCA double anastomosis | surgical trapping on day 0 | ||
| ACA | |||||||||
| 10 | 39 | F | 3 | A2 | L | anterior cerebral artery remained patent. | clipping on wrapped aneurysm on day 0 | ||
| 11 | 75 | F | 3 | A3 | L | anterior cerebral artery remained patent. | clipping on wrapped aneurysm on day 1 |
| case | result | |||||
|---|---|---|---|---|---|---|
| vascular insult | neurological status | |||||
| number | affected vessel | location of infarction | mRS at discharge | |||
| ICA | ||||||
| 1 | widespread ischemia in right anterior and middle cerebral arterial region | widespread infarction in the right cerebral hemisphere | 6 | |||
| 2 | vasospasm of left anterior and middle cerebral arteries | widespread infarction in the left cerebral hemisphere | 6 | |||
| 3 | occlusion of right posterior communicating artery and radial arterial graft | right frontal lobe, medial temporal lobe and right internal capsule | 1 | |||
| 4 | branch of left operculofrontal artery | left frontal lobe | 2 | |||
| 5 | perforating artery of right ICA | right internal capsule | 2 | |||
| 6 | right posterior communicating artery and anterior choroidal artery | right internal capsule and basal ganglia | 5 | |||
| 7 | none | none | 0 | |||
| 8 | none | none | 0 | |||
| MCA | ||||||
| 9 | left lenticulostriate artery | left basal ganglia and corona radiata | 2 | |||
| ACA | ||||||
| 10 | none | none | 0 | |||
| 11 | none | none | 1 |