Abstract | BACKGROUND: The aim of this study was to retrospectively analyze our experience with the patients who underwent surgical treatment of posterior communicating artery (PComA) aneurysms originating from fetal posterior cerebral artery ( fPCA) and analyze the risk factors for the postoperative radiological infarction and outcome. METHODS: From 2011 to 2020, we retrospectively reviewed 74 PComA aneurysms originating from fPCA in terms of the clinical and radiological features and obtained the follow-up data from the Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University. The relationships between these features and follow-up data were assessed with the univariate and multivariate analysis. RESULTS: In this series, 74 aneurysms were occurring at the origin of fPCAs. All the patients showed complete obliteration of their aneurysms. Full fPCA type tends to be a predictive factor for radiological infarction (univariate χ 2 = 5.873, P = 0.027; multivariate OR = 0.264, P = 0.060). Postoperative radiological infarction (univariate χ 2 = 12.611, P = 0.001; multivariate OR = 6.033, P = 0.043), rupture (univariate χ 2 = 4.514, P = 0.047; multivariate OR = 57.966, P = 0.044), and hypertension (univariate χ 2 = 5.301, P = 0.024; multivariate OR = 24.462, P = 0.029) tend to be the independent predictive factors for poor prognosis at 3 months after discharge. CONCLUSIONS: In conclusion, we report a series of patients harboring aneurysms originating from the fPCA. Surgical clipping is a reliable strategy. Full fPCA type is related to postsurgical infarction. Postoperative radiological infarction, rupture, and hypertension tend to be the independent predictive factor for poor prognosis at 3 months after discharge.
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Authors | Xin Chen, Hao Li, Ming-Ze Wang, Mao-Gui Li, Yong Cao, Dong Zhang, Yan Zhang, Hao Wang, Shuo Wang |
Journal | Chinese neurosurgical journal
(Chin Neurosurg J)
Vol. 6
Pg. 23
( 2020)
ISSN: 2095-9370 [Print] England |
PMID | 32922952
(Publication Type: Journal Article)
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Copyright | © The Author(s) 2020. |