Presence of Anterior Communicating Artery Aneurysm Is Associated With Age, Bifurcation Angle, and Vessel Diameter

Stroke; a Journal of Cerebral Circulation
Xue-Jing ZhangDong-Hai Zhang

Abstract

The anterior communicating artery (Acom) aneurysm is the most complex in all cerebral aneurysms, and wider vascular bifurcation angles are considered to be associated with aneurysm formation. The objective of this study was to investigate association of the Acom aneurysm formation with patient age and vascular bifurcation morphology. Three-dimensional angiographic data of 665 patients were used in this study, including 160 patients with Acom aneurysms, 66 with non-Acom aneurysms, and 439 control subjects with no aneurysms. The anterior cerebral artery bifurcation angle (Acom/A2 angle), arterial diameters, and Acom aneurysm geometric characters were examined. Women of 50 to 70 years were more vulnerable to Acom aneurysm formation than men. The Acom/A2 bifurcation angle was significantly increased (P<0.0001) with increase of patient age. The size of the Acom aneurysm dome and neck was statistically positively correlated with the diameter of the Acom, A1 and A2 segments (P<0.0001). The Acom/A2 bifurcation angle was significantly (P<0.0001) wider in patients with than without Acom aneurysms, whereas the A1/A2 angle was significantly smaller in patients with than without Acom aneurysms (P<0.0001). The Acom aneurysms at the bifurcati...Continue Reading

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Citations

May 5, 2018·Stroke; a Journal of Cerebral Circulation·Xue-Jing ZhangDong-Hai Zhang
Sep 11, 2018·Neurointervention·Keun-Hwa Jung
Nov 26, 2020·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Qiaowei WuYingkun He
Jan 23, 2021·Journal of Neurointerventional Surgery·Jian ZhangRose Du
Jun 19, 2021·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Ayşegül İdil SoyluHüseyin Akan

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