Morphological Variables Associated With Ruptured Middle Cerebral Artery Aneurysms

Neurosurgery
Jian ZhangRose Du

Abstract

Geometric factors of intracranial aneurysms and surrounding vasculature could affect the risk of aneurysm rupture. However, large-scale assessments of morphological parameters correlated with intracranial aneurysm rupture in a location-specific manner are scarce. To investigate the morphological characteristics associated with ruptured middle cerebral artery (MCA) aneurysms. Five hundred sixty-one patients with 638 MCA aneurysms diagnosed between 1990 and 2016 who had available computed tomography angiography (CTA) were included in this study. CTAs were evaluated using the Vitrea Advanced Visualization software for 3-dimensional (3D) reconstruction. Morphological parameters examined in each model included aneurysm projection, wall irregularity, presence of a daughter dome, presence of hypoplastic or aplastic A1 arteries and hypoplastic or fetal posterior communicating arteries (PCoA), aneurysm height and width, neck diameter, bottleneck factor, aspect and size ratio, height/width ratio, and diameters and angles of surrounding parent and daughter vessels. Univariable and multivariable statistical analyses were performed to determine the association of morphological characteristics with rupture of MCA aneurysms. Logistic regressi...Continue Reading

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Citations

Feb 29, 2020·Journal of Neurointerventional Surgery·Wei-Dong XuXin Zhang
Jul 16, 2020·Scientific Reports·Jian ZhangRose Du
Jan 30, 2021·Scientific Reports·Jian ZhangRose Du
Apr 17, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Jinjin LiuXiufen Jia
Sep 3, 2021·Computer Methods and Programs in Biomedicine·Lisa SchneiderSylvia Saalfeld

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