Development of a comprehensive and clinically applicable novel projection classification system for anterior communicating artery aneurysms

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dc.authoridSimsek, Osman/0000-0002-8716-5187
dc.authoridOrakdogen, Metin/0000-0002-9395-2902
dc.authorwosidSimsek, Osman/D-4906-2012
dc.contributor.authorOrakdogen, Metin
dc.contributor.authorMammadkhanli, Orkhan
dc.contributor.authorChousein, Baris
dc.contributor.authorSimsek, Osman
dc.date.accessioned2024-06-12T10:50:28Z
dc.date.available2024-06-12T10:50:28Z
dc.date.issued2024
dc.departmentTrakya Üniversitesien_US
dc.description.abstractVarious surgical and anatomical classifications have been proposed to date related to ACoA aneurysm projection. Nonetheless, a universally accepted classification system is yet to be established. This study is aimed at establishing a standardized classification system for ACoA aneurysms with utilization 3D technology and defining reference lines for their projections. The goal is to create a simple, understandable, surgically beneficial, and reliable classification system based on neurovascular structures in the region, including safe and hazardous zones. The radiologic data of 96 patients with ACoA aneurysm who were treated in our university hospital between 2012 and 2020 were retrospectively analyzed, and a planned classification scale was developed with the data obtained. The classification aimed to create 9 main projection groups in the sagittal plane: superior, inferior, anterior, and posterior in linear orientation, and anterosuperior, posterosuperior, anteroinferior, posteroinferior, and complex in quadrant orientation. The coronal and axial planes included medial, lateral, and midline classifications, resulting in a 3-dimensional classification system with 25 projections. Among the 96 patients, 32 had linear and 64 had quadrant projections. In the sagittal plane, the linear projection breakdown was as follows: superior (28%), inferior (6.25%), anterior (53%), and posterior (12.5%). For the quadrant projection, the distribution was as follows: anterosuperior (53%), posterosuperior (12.5%), anteroinferior (21.87%), posteroinferior (3.12%), and complex (9.37%). Overall, 35.4% aneurysms were anterosuperior, 17.7% anterior, 14.58% anteroinferior, 9.37% superior, 8.3% posterosuperior, 6.25% complex, 4.16% posterior, 2.08% posteroinferior, and 2.08% inferior projection. Our study proposes a projection classification that utilizes 3D technology for safe surgery based on neurovascular structures in the region and thus better reveals safe and hazardous zones, including three plans, three dimensions, and two orientations. The use of this classification system offers valuable guidance for daily practice in the treatment of ACoA aneurysms.en_US
dc.description.sponsorshipTrakya Universityen_US
dc.description.sponsorshipNo Statement Availableen_US
dc.identifier.doi10.1007/s10143-023-02275-y
dc.identifier.issn0344-5607
dc.identifier.issn1437-2320
dc.identifier.issue1en_US
dc.identifier.pmid38200376en_US
dc.identifier.scopus2-s2.0-85181933614en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1007/s10143-023-02275-y
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18002
dc.identifier.volume47en_US
dc.identifier.wosWOS:001139425000002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofNeurosurgical Reviewen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcom Aneurysm Surgeryen_US
dc.subjectProjection Classificationen_US
dc.subjectLinearen_US
dc.subjectQuadranten_US
dc.subjectRuptured Anterioren_US
dc.subjectMicrosurgical Anatomyen_US
dc.subjectEndovascular Therapyen_US
dc.subjectCerebral-Arteryen_US
dc.subjectRisk-Factorsen_US
dc.subjectSideen_US
dc.subjectEmbolizationen_US
dc.subjectManagementen_US
dc.subjectBranchesen_US
dc.subjectImpacten_US
dc.titleDevelopment of a comprehensive and clinically applicable novel projection classification system for anterior communicating artery aneurysmsen_US
dc.typeArticleen_US

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