Factors Influencing Outcome of Treatment of Posterior Communicating Arteries Aneurysm

Abstract

Background:The study of posterior communicating artery (PComA) aneurysms, and the different modalities as well as the factors influencing the treatment represent a great challenge. Aim of the work:To explore out whether factors are associated to a better or worse prognosis in aneurysms of the posterior communicating artery. We also sought to see how different treatment techniques for posterior communicating arteries aneurysm performed, as well as the problems and side effects of each. Patients and methods: This study was conducted on 39 (20 males and 19 female) patients who were diagnosed with posterior communicating artery aneurysm at Neurosurgery department, Al-Azhar University Hospitals and Damanhur Medical National Institute. Results: The surgical technique (clipping) for the treatment of aneurysms represented 20.5%, while the endovascular techniques accounted for 79.5% (coiling represented 56.4%, stent-assisted coiling represented 12.8% stenting was provided only 10.3%), and 83.9% of the endovascular techniques had a good outcome with a significant difference (P = 0.016), and 16.1% results were bad, while the results of surgical clipping were 37.5% good and 62.5% bad. Conclusion:During the current study and according to our selection criteria, all the factors that we analyzed were not statistically significant. But the endovascular techniques have a better advantage in the treatment of (PComA) artery aneurysms.