SURGICAL OUTCOMES IN PATIENTS WITH ANTERIOR COMMUNICATING ARTERY ANEURYSMS

Surgery of ruptured anterior communicating artery aneurysms has a high incidence of complications. Successful treatment depends on understanding the anatomical location of aneurysm, early surgery, selecting the superior method of surgery and providing post-operative care. In this study 30 patients with anterior communicating artery aneurysms underwent surgery in a 3-year period. In all patients early surgery with pterioneal method was performed. We applied the basic tenets of aneurysm surgery, including vascular control, sharp dissection, meticulous preservation of perforating arteries and intraoperative monitoring of lesions of the anterior communicating artery complex. This focus eliminates unnecessary operative manipulations and makes surgeon prepare for any crises that might arise. The majority of patients (83.3%) were in grade I or II (Hunt and Hess scale). The mortality rate was 10%. The results of this study demonstrated that early surgery and selecting the superior method of surgery improve the surgical outcome of ruptured anterior communicating artery aneurysms.