Analysis of factors related to prognoses in patients with anterior communicating artery aneurysms
YANG Bang-guo
HONG Tao
WEI Ru-ting
WANG Tian-ming
Abstract：Objective To analyze the risk factors related to the prognoses in patients with anterior communicating artery aneurysms(ACoAA).Methods The clinical data of 60 patients with ACoAA who underwent surgery from November,2010 to November, 2016 were analyzed retrospectively,and the factors related to the prognoses in the patients with ACoAA were analyzed.Results Of 60 patients with ACoAA undergoing surgery,43(71.67%)had good prognoses and 17(28.33%)poor.The univariate analysis showed that the factors related to the prognoses included the diameter of aneurysms, preoperative aneurysm rupture, times of aneurysm rupture, preoperative Hunt-Hess grade, severity of subarachnoid hemorrhage, timing of operation and postoperative cerebral infarction, brain edema and hydrocephalus in the patients with ACoAA (P<0.05). The multivariate analysis showed that the independent risk factors related to the prognoses included the diameter of aneurysm>2.5 cm,preoperative aneurysm rupture and Hunt-Hess grade≥gradeⅢ, the severity of subarachnoid hemorrhage ≥gradeⅢand postoperative cerebral infarction and brain edema in the patients with ACoAA undergoing the surgery.Conclusion The diameter of aneurysms>2.5 cm,preoperative aneurysm rupture,and Hunt-Hess grade≥gradeⅢ, the severity of subarachnoid hemorrhage ≥grade Ⅲ and postoperative cerebral infarction and brain edema are independent risk factors related to the poor prognoses in patients with ACoAA after the surgical treatment.
Keywords：Anterior communicating arteryAneurysmsSurgeryRisk factorsPrognoses
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 315-317 )