Evidence map›Paper›PMID 36894789›Full record

ArticleSurgical and radiologic anatomy : SRA2023

Association between flow patterns of the posterior cerebral arterial circle and basilar-tip aneurysms.

Pierre Lapraz, Quentin Pinsard, Romain Coudert, Jonathan Cortese, Aymeric Rouchaud

Abstract read
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In one paragraph

Article in Surgical and radiologic anatomy : SRA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Measuring artery diameter in rabbit angiograms for neurovascular disease modeling applications and device testing.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Pierre Lapraz *Department of Human Anatomy, Laboratoire d'Anatomie, Faculty of Medicine, University of Limoges, 2, rue du Docteur Marcland, 87025, Limoges, France.
Quentin Pinsard *Department of Human Anatomy, Laboratoire d'Anatomie, Faculty of Medicine, University of Limoges, 2, rue du Docteur Marcland, 87025, Limoges, France.
Romain CoudertDepartment of Radiology, Limoges University Hospital, CHU Dupuytren, 2, Avenue Martin-Luther-King, 87000, Limoges, France.
Jonathan CorteseDepartment of Interventional Neuroradiology-NEURI Brain Vascular Center, Bicêtre Hospital, Le Kremlin-Bicêtre, France.
Aymeric RouchaudDepartment of Radiology, Limoges University Hospital, CHU Dupuytren, 2, Avenue Martin-Luther-King, 87000, Limoges, France. aymeric.rouchaud@gmail.com.ORCID http://orcid.org/0000-0003-0902-3375
Université de Limoges · FRBicêtre Hospital · FRCentre National de la Recherche Scientifique · FRHôpital Dupuytren · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Cerebral arterial circle presents multiple individual anatomical configurations which are of the highest importance regarding the pathological processes for intracranial aneurysms development. Previous studies highlighted the importance of geometry and especially arterial bifurcations leading to aneurysms development. The primary objective of this study was to determine whether a flow pattern asymmetry of the P1 segments of the posterior cerebral arteries was associated with a higher risk of basilar tip aneurysm. MATERIAL AND

methodsTwo different populations were retrospectively reviewed. The first population, without aneurysm, for which TOF MRI sequences were reviewed. The second population with patients harboring basilar tip aneurysms for whom cerebral angiograms were reviewed. We retrospectively analyzed the flow contribution and symmetry of the two right and left P1 segments of the posterior cerebral arteries and the two posterior communicating arteries (Pcomm). We analyzed the association and risk factors for basilar tip aneurysm.

resultsThe anatomical and flow configurations of P1 and Pcomm have been reviewed in 467 patients without aneurysms and 35 patients with aneurysms. We identified a significant association between the flow pattern asymmetry of the P1 segments and the presence of a basilar tip aneurysm (OR = 2.12; IC95% = [1.01-4.36]; p = 0.04). We also confirmed that the male gender was protective against aneurysm (OR = 0.45; IC95% = [0.194-0.961]; p = 0.04).

conclusionNon-modal basilar tip bifurcation and flow asymmetry of P1 segments are associated with an increased risk of basilar tip aneurysm. These findings highlight the importance of analyzing MRI-TOF of the posterior configuration of the Cerebral arterial circle to potentially refine the aneurysms risk prediction.

Indexed as

Circle of WillisIntracranial AneurysmCerebral AngiographyHumansMalePosterior Cerebral ArteryRetrospective StudiesAnatomical variationsBasilar tip aneurysmCerebral arterial circleCircle of WillisIntracranial AneurysmMagnetic Resonance ImagingPosterior Cerebral Artery

Identifiers

PMID36894789
OpenAlexW4323804412

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.