ArticleNeuroradiology2016
Morphological risk factors for the rupture of anterior communicating artery aneurysms: the significance of fenestration.
Article in Neuroradiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 22 citations in OpenAlex.
- Multiple Rare Anatomic Variations in Anterior and Posterior Cerebral Circulation: A Case Report.Cureus · 2024Article
- Development of a comprehensive and clinically applicable novel projection classification system for anterior communicating artery aneurysms.Neurosurgical review · 2024Article
- Fenestrated Anterior Communicating Artery Complex Mimicking an Unruptured Aneurysm: Diagnostic Pitfall.Asian journal of neurosurgery · 2023Article
- Integrate prediction of machine learning for single ACoA rupture risk: a multicenter retrospective analysis.Frontiers in neurology · 2023Article
- CLINICAL CHARACTERISTICS AND MORPHOLOGICAL PARAMETERS ASSOCIATED WITH RUPTURE OF ANTERIOR COMMUNICATING ARTERY ANEURYSMS.Acta clinica Croatica · 2022Article
- Retrospective analysis of image characteristics of 76 cases of cerebral vascular fenestrations.Frontiers in neurology · 2022Article
- Predicting the rupture status of small middle cerebral artery aneurysms using random forest modeling.Frontiers in neurology · 2022Article
- Anterior Communicating Artery Aneurysms: Anatomical Considerations and Microsurgical Strategies.Frontiers in neurology · 2020Review
- A Simple Scoring Model for Prediction of Rupture Risk of Anterior Communicating Artery Aneurysms.Frontiers in neurology · 2019Article
- Difference in aneurysm characteristics between ruptured and unruptured aneurysms in patients with multiple intracranial aneurysms.Surgical neurology international · 2018Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe purpose of this study was to evaluate morphological factors associated with rupture in anterior communicating artery (AcomA) aneurysms and to investigate the significance of AcomA fenestration as a risk factor for aneurysm rupture.
methodsThe clinical and radiologic findings of 255 patients with AcomA aneurysms treated with coil embolization between January 2005 and March 2014 were retrospectively reviewed. We performed univariate and multivariate analyses to evaluate the associations between morphological variables and rupture status.
resultsThe number of patients with AcomA fenestration was 17 out of 255 (6.6 %). There were no statistically significant differences between the fenestration group and non-fenestration group in clinical and morphological characteristics. Multivariate logistic regression tests showed that superior direction of aneurysm dome (OR 2.802, p = 0.023), presence of a bleb (OR 5.998, p < 0.001), high aspect ratio (OR 3.138, p = 0.009), size greater than 7 mm (OR 3.356, p = 0.013), and AcomA fenestration (OR 4.135, p = 0.026) were significantly associated with AcomA aneurysm rupture.
conclusionsThe results of this study demonstrated that a fenestrated AcomA is associated with risk of aneurysm rupture. Therefore, AcomA fenestration can be considered as an important morphological risk factor for rupture, along with other known risk factors such as the direction of aneurysm dome, a bleb, high aspect ratio, and size.
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