Abstract:

Objective To investigate the surgical treatment of ruptured anterior circulation aneurysms. Methods The clinical data of 43 patients with ruptured anterior circulation aneurysms were retrospectively analysed. Twenty-three patients underwent surgical clipping, and the other 20 patients received endovascular treatment. Results Patients were followed up for an average of 12 months after operation. Of the 23 patients with surgical clipping, 19 achieved a favorable outcome, 1 resulted in mild disability, 2 ended up in severe disability, and the other 1 was dead. Of the 20 patients with endovascular treatment, 18 achieved a favorable outcome, 1 resulted in mild disability, and the other 1 was dead. Symptomatic vasospasm occurred in 10 patients. Conclusion Early treatment of ruptured anterior circulation aneurysms may lead to favorable outcomes. Simple, fast and normal anatomy-preserving strategy should be adopted for the treatment of anterior circulation aneurysms. Proper understanding of three-dimensional structure of aneurysms before operation and appropriate preoperative planning are of great importance. Early treatment of ruptured anterior circulation aneurysms can prevent the risks of rerupture and benefit the prevention and treatment of vasospasm and hydrocephalus.

Key words: anterior circulation aneurysm, rupture, therapy