Abstract
Intracranial aneurysm rupture prediction is poor, with only a few risk factors for rupture identified and used in clinical practice. To provide an overview of all the risk factors (including genetic, molecular, morphological, and hemodynamic factors) that have potential for use in clinical practice. We systematically searched PubMed and EMBASE and focused on factors that can be easily assessed in clinical practice, might be used for rupture prediction in clinical practice, and/or are potential targets for further research. Studies were categorized according to methodological quality, and a meta-analysis was performed, if possible. We included 102 studies describing 144 risk factors that fulfilled predefined criteria. There was strong evidence for the morphological factors irregular shape (studied in 4 prospective cohort studies of high-quality, pooled odds ratio [OR] of 4.8 [95% confidence interval 2.7-8.7]), aspect ratio (pooled OR 10.2 [4.3-24.6]), size ratio, bottleneck factor, and height-to-width ratio to increase rupture risk. Moderate level of evidence was found for presence of contact with the perianeurysmal environment (pooled OR 3.5 [1.4-8.4]), unbalanced nature of this contact (pooled OR 17.8 [8.3-38.5]), volume-to-os...Continue Reading
References
Sep 1, 1993·Clinical Neurology and Neurosurgery·S Asari, T Ohmoto
May 1, 1999·Journal of Neurosurgery·K TakenakaN Sakai
Feb 7, 2001·Stroke; a Journal of Cerebral Circulation·S JuvelaM Porras
Mar 29, 2001·Neurosurgery·H UjiieT Hori
Mar 21, 2002·Acta Tropica·B V BabuG Mallick
Sep 6, 2003·BMJ : British Medical Journal·Julian P T HigginsDouglas G Altman
Sep 10, 2003·Journal of Neurosurgery·Bryce WeirTheodore G Karrison
Dec 16, 2004·Journal of Neurosurgery·Shunji MatsubaraHiromi Nishimura
Jan 30, 2007·Lancet·Jan van GijnGabriel J E Rinkel
Mar 3, 2007·Stroke; a Journal of Cerebral Circulation·Marieke J H WermerGabriël J E Rinkel
May 2, 2007·Journal of Neurology, Neurosurgery, and Psychiatry·N K de RooijG J E Rinkel
Nov 11, 2008·Nature Genetics·Kaya BilguvarMurat Günel
Nov 22, 2008·Stroke; a Journal of Cerebral Circulation·Joseph D BurnsRobert D Brown
Feb 21, 2009·Stroke; a Journal of Cerebral Circulation·Joseph P BroderickUNKNOWN FIA Study Investigators
Jun 9, 2009·Lancet Neurology·Dennis J NieuwkampGabriël J E Rinkel
Sep 4, 2009·Journal of Neurology, Neurosurgery, and Psychiatry·S-H YouS-C Hong
Nov 21, 2009·Stroke; a Journal of Cerebral Circulation·Rodney A GabrielWilliam L Young
Jul 3, 2010·Stroke; a Journal of Cerebral Circulation·Hirofumi NakaokaIturo Inoue
Nov 26, 2010·Neuroradiology·Chang-Woo RyuEui Jong Kim
Jun 7, 2011·Lancet Neurology·Monique Hm VlakGabriël Je Rinkel
Sep 10, 2011·Neurosurgery·Peter S AmentaPascal M Jabbour
Jun 29, 2012·The New England Journal of Medicine·Akio MoritaTakashi Yoshimoto
Dec 20, 2012·Stroke; a Journal of Cerebral Circulation·Nicolien K de RooijCatharina J M Frijns
Feb 15, 2013·Cerebrovascular Diseases·Thorsten SteinerUNKNOWN European Stroke Organization
Jul 23, 2013·Stroke; a Journal of Cerebral Circulation·Seppo JuvelaMatti Porras
Sep 27, 2013·Neurosurgery·Darlene A LobelAli R Rezai
Oct 22, 2013·Neurosurgery·Ahmed ElsharkawyJuha Hernesniemi
Nov 28, 2013·Journal of Neurointerventional Surgery·William A MehanPamela W Schaefer
Dec 3, 2013·Lancet Neurology·Jacoba P GrevingAle Algra
Mar 22, 2014·Stroke; a Journal of Cerebral Circulation·Daan BackesGabriel J E Rinkel
Aug 16, 2014·Physiotherapy Canada. Physiothérapie Canada
Nov 15, 2014·Stroke; a Journal of Cerebral Circulation·A Stijntje E BorMarieke J H Wermer
Jun 20, 2015·Stroke; a Journal of Cerebral Circulation·B Gregory ThompsonUNKNOWN American Stroke Association
Citations
May 1, 2019·Emergency Radiology·Michael Travis CatonDiego Nuñez
Jul 2, 2019·Neurosurgical Focus·Felicitas J DetmerJuan R Cebral
Jul 2, 2019·Neurosurgical Focus·Sauson SoldozyMin S Park
Nov 14, 2018·Journal of Computer Assisted Tomography·Yan GuChongchang Miao
Dec 6, 2018·Current Opinion in Neurology·Gabriel J E Rinkel
Sep 6, 2019·International Journal of Computer Assisted Radiology and Surgery·Felicitas J DetmerJuan R Cebral
Jun 18, 2020·Journal of Neuroinflammation·Sichen LiWei Zhu
Jun 10, 2020·International Journal of Computer Assisted Radiology and Surgery·Nan LvQinghai Huang
Aug 11, 2018·International Journal of Computer Assisted Radiology and Surgery·Felicitas J DetmerJuan R Cebral
Jun 6, 2020·Acta neurochirurgica·Norman JuchlerSven Hirsch
Aug 18, 2020·Curēus·Srood JirjeesSafeera Khan
Jun 16, 2018·Frontiers in Neurology·Xin FengAihua Liu
Feb 3, 2020·Acta neurochirurgica·Felicitas J DetmerJuan R Cebral
Oct 31, 2018·Acta neurochirurgica·Felicitas J DetmerJuan R Cebral
Oct 26, 2018·Stroke; a Journal of Cerebral Circulation·Katharina A M HackenbergNima Etminan
Sep 8, 2018·Neurologia i neurochirurgia polska·Wojciech GruszkaJan Baron
Nov 8, 2018·Case Reports in Neurological Medicine·James FowlerJaved Siddiqi
Apr 12, 2019·Frontiers in Neuroscience·Qingyuan LiuShuo Wang
Jul 20, 2019·World Neurosurgery·Pavlos TexakalidisPascal Jabbour
May 26, 2020·Deutsches Ärzteblatt International·Nima EtminanHelmuth Steinmetz
Dec 15, 2020·Journal of Korean Medical Science·Jun Min Wang, Qian Xue Chen
Jan 7, 2021·Therapeutic Advances in Neurological Disorders·Belal NeyaziI Erol Sandalcioglu
Feb 14, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Keith J KincaidAlexis N Simpkins
Nov 24, 2020·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Shuai ZhangMing Lv
Apr 1, 2020·Continuum : Lifelong Learning in Neurology·Ynte M Ruigrok
Apr 17, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Jinjin LiuXiufen Jia
Jun 17, 2021·Clinical Neurology and Neurosurgery·Badih J DaouAditya S Pandey
Jul 11, 2021·Neurosurgery·Vanessa M SwiatekDavid M Hasan
Jul 21, 2021·BMC Neurology·Mikołaj ZimnyWojciech Kaspera
Aug 1, 2021·Neuro-Chirurgie·Jiao WangShuai Zhang
Aug 21, 2021·Acta neurochirurgica·Ruiqi ChenJunpeng Ma
Oct 22, 2021·Neurology·Charlotte C M ZuurbierYnte M Ruigrok
Jan 5, 2021··Thianesh U. KVR Sanal Kumar