Explore the complexities and advancements in treating fusiform aneurysms of the anterior cerebral artery through our center’s extensive experience and a comprehensive systematic literature review.
– by The Don
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Fusiform aneurysms of anterior cerebral artery: center experience and systematic literature review.
Conte et al., Neurosurg Rev 2023
DOI: 10.1007/s10143-023-02247-2
Listen up, folks, we’ve got something big to talk about. Fusiform aneurysms in the brain’s anterior cerebral artery – they’re rare, believe me. But we’re on top of it. We did a huge review, the best, to figure out what happens with these aneurysms. We checked our own cases, and we scoured the literature – everything up to December 2022, all the best data.
Now, we’ve got three types of these aneurysms. First, the ones from trauma – they’re tough, they can pop up fast, within two weeks. But we treat them, and most people, they do great. Then, there are the spontaneous ones that show symptoms – they’re tricky, often come with dissection. They can bleed into the brain, which is serious, but we’re ready for them. We’ve got treatments like this pipeline stenting, and it works, folks, it really does.
And the silent ones, the asymptomatic aneurysms – they’re sneaky, but we catch them. Sometimes we go in there, clip them, and people do well. Other times, we just watch them, and guess what? People still do well.
So, what’s the bottom line? When we treat these aneurysms, especially the ones with symptoms, we get great outcomes. We’re winning with both reconstructive and deconstructive therapies. It’s fantastic, really fantastic.