A Selective Clipping Microsurgical Treatment for Multiple Intracranial Anterior Circulation Aneurysms

anterior circulation, microsurgical treatment, multiple intracranial aneurysms, symptomatic aneurysms Kan Xu, Qi Luo, Xuan Chen, Jin-Lu Yu Address correspondence to: Jin-Lu Yu, Department of Neurosurgery, First Hospital of Jilin University, 71 Xinmin Avenue, Changchun 130021, China. Tel: +86-431-88782331; Fax: +86-431-88782264. Email: jinluyu@hotmail.com Objective: To summarize our experiences with selective of intracranial multiple anterior circulation aneurysms Design: Non-concurrent cohort study Jilin University, Changchun, China Subjects and Methods: with intracranial multiple anterior circulation aneurysms Intervention: These aneurysms in each patient were given selective treatment depending on whether the patients were symptomatic, or had likelihood of rupture if they were asymptomatic Main Outcome Measures: Results: aneurysms All symptomatic aneurysms were clipped, tomography angiography (CTA) revealed completed clipping of all symptomatic aneurysms and no changes death occurred during hospitalization, we followed up a Conclusions: Satisfactory prognoses were achieved in the selective treatment of intracranial multiple anterior circulation aneurysms INTRODUCTION Multiple intracranial aneurysms, usually located in the anterior circulation, are common in the clinical (i.e., ruptured and unruptured aneurysms causing symptoms), and secondly on the treatment of those that are asymptomatic Both endovascular treatments and aneurysm intracranial aneurysms makes simultaneous embolization of all aneurysms treatment of the symptomatic aneurysms However, the risk of embolization of the asymptomatic aneurysms exists to simultaneously embolize multiple intracranial anterior circulation aneurysms, and rebleeding should The alternative is clipping surgery after craniotomy, and while this option cannot clip all aneurysms craniotomy is also more popular than endovascular The above considerations make it apropos that we summarize our experiences in the microsurgical multiple intracranial anterior artery aneurysms treated at the First Hospital of Jiling University (northeast