title: A combined bilateral approach to anterior communicating artery aneurysm.
abstract: OBJECTIVE
  To discuss the features, feasibility, and safety of a combined bilateral approach in the endovascular treatment of intracranial anterior communicating artery (ACoA) aneurysm.
  
  
  METHODS
  We performed a retrospective analysis of the clinical data of patients with ACoA aneurysm treated with a combined bilateral approach.
  
  
  RESULTS
  We successfully embolized aneurysms in nine patients with intracranial ACoA aneurysm using a combined bilateral approach. All treated patients had an open ACoA connecting with the bilateral anterior cerebral arteries.
  
  
  CONCLUSIONS
  Because the ACoA connects the intracranial arteries in both hemispheres, patients with ACoA aneurysm can be endovascularly treated with a combined bilateral approach. Notably, surgeon experience and dexterity play important roles in the success of this procedure.
authors.affiliation: Qilu Hospital, Shandong University, Department of Neurosurgery, Jinan, China.
authors.forename: Yong-An
authors.initials: YA
authors.lastname: Chen
authors.forename: Rong-Bo
authors.initials: RB
authors.lastname: Qu
authors.forename: Yu-Song
authors.initials: YS
authors.lastname: Bian
authors.forename: Wei
authors.initials: W
authors.lastname: Zhu
authors.forename: Kun-Peng
authors.initials: KP
authors.lastname: Zhang
authors.forename: Qi
authors.initials: Q
authors.lastname: Pang
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D020771:Anterior Cerebral Artery / Q000000981:diagnostic imaging* / Q000601:surgery*; D001921:Brain / Q000098:blood supply / Q000000981:diagnostic imaging / Q000601:surgery; D002533:Cerebral Angiography / Q000379:methods; D004621:Embolization, Therapeutic / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies