publication . Article . 2016

Morphological and Hemodynamic Discriminators for Rupture Status in Posterior Communicating Artery Aneurysms

Nan Lv; Chi Wang; Christof Karmonik; Yibin Fang; Jinyu Xu; Ying Yu; Wei Cao; Jianmin Liu; Qinghai Huang;
Open Access English
  • Published: 01 Feb 2016 Journal: PLoS ONE, volume 11, issue 2 (issn: 1932-6203, eissn: 1932-6203, Copyright policy)
  • Publisher: Public Library of Science
Abstract
BACKGROUND AND PURPOSE:The conflicting findings of previous morphological and hemodynamic studies on intracranial aneurysm rupture may be caused by the relatively small sample sizes and the variation in location of the patient-specific aneurysm models. We aimed to determine the discriminators for aneurysm rupture status by focusing on only posterior communicating artery (PCoA) aneurysms. MATERIALS AND METHODS:In 129 PCoA aneurysms (85 ruptured, 44 unruptured), clinical, morphological and hemodynamic characteristics were compared between the ruptured and unruptured cases. Multivariate logistic regression analysis was performed to determine the discriminators for ...
Subjects
mesheuropmc: cardiovascular systemcardiovascular diseases
free text keywords: Vascular Medicine, Research Article, Mathematics, Anatomy, Cardiovascular Anatomy, Regression Analysis, Arteries, Classical Mechanics, Mechanical Stress, Diabetes Mellitus, Mathematical and Statistical Techniques, Endocrine Disorders, Physical Sciences, Physics, Aneurysms, Aspect Ratio, Blood Pressure, Metabolic Disorders, Statistics (Mathematics), Biology and Life Sciences, Shear Stresses, Research and Analysis Methods, Blood Vessels, Medicine, Hemodynamics, Q, R, Hematology, Science, Vascular Diseases, Geometry, Medicine and Health Sciences, Hypertension, Statistical Methods, Endocrinology
27 references, page 1 of 2

1 Vlak MH, Algra A, Brandenburg R, Rinkel GJ. Prevalence of unruptured intracranial aneurysms, with emphasis on sex, age, comorbidity, country, and time period: a systematic review and meta-analysis. Lancet Neurol. 2011;10:626–36. doi: 10.1016/S1474-4422(11)70109-0 21641282 [PubMed]

2 Morita A, Kirino T, Hashi K, Aoki N, Fukuhara S, Hashimoto N, et al The natural course of unruptured cerebral aneurysms in a Japanese cohort. N Engl J Med. 2012;366:2474–82. doi: 10.1056/NEJMoa1113260 22738097 [PubMed]

3 Greving JP, Wermer MJ, Brown RD Jr., Morita A, Juvela S, Yonekura M, et al Development of the PHASES score for prediction of risk of rupture of intracranial aneurysms: a pooled analysis of six prospective cohort studies. Lancet Neurol. 2014;13:59–66. doi: 10.1016/S1474-4422(13)70263-1 24290159 [PubMed]

4 Dhar S, Tremmel M, Mocco J, Kim M, Yamamoto J, Siddiqui AH, et al Morphology parameters for intracranial aneurysm rupture risk assessment. Neurosurgery. 2008;63:185–96; discussion 96–7. doi: 10.1227/01.NEU.0000316847.64140.81 18797347 [OpenAIRE] [PubMed]

5 Xiang J, Natarajan SK, Tremmel M, Ma D, Mocco J, Hopkins LN, et al Hemodynamic-morphologic discriminants for intracranial aneurysm rupture. Stroke. 2011;42:144–52. doi: 10.1161/STROKEAHA.110.592 923 21106956 [OpenAIRE] [PubMed]

6 San Millan Ruiz D, Yilmaz H, Dehdashti AR, Alimenti A, de Tribolet N, Rufenacht DA. The perianeurysmal environment: influence on saccular aneurysm shape and rupture. AJNR Am J Neuroradiol. 2006;27:504–12. 16551985 [PubMed]

7 Golshani K, Ferrell A, Zomorodi A, Smith TP, Britz GW. A review of the management of posterior communicating artery aneurysms in the modern era. Surg Neurol Int. 2010;1:88 doi: 10.4103/2152-7806.74147 21206898 [OpenAIRE] [PubMed]

8 Ma tsukawa H, Fujii M, Akaike G, Uemura A, Takahashi O, Niimi Y, et al Morphological and clinical risk factors for posterior communicating artery aneurysm rupture. J Neurosurg. 2014;120:104–10. doi: 10.3171/2013.9.JNS13921 24160476 [PubMed]

9 Hoh BL, Sistrom CL, Firment CS, Fautheree GL, Velat GJ, Whiting JH, et al Bottleneck factor and height-width ratio: association with ruptured aneurysms in patients with multiple cerebral aneurysms. Neurosurgery. 2007;61:716–22; discussion 22–3. 17986932 [PubMed]

10 Xu J, Yu Y, Wu X, Wu Y, Jiang C, Wang S, et al Morphological and hemodynamic analysis of mirror posterior communicating artery aneurysms. PLoS One. 2013;8:e55413 doi: 10.1371/journal.pone.0055413 23383184 [OpenAIRE] [PubMed]

11 He X, Ku DN. Pulsatile flow in the human left coronary artery bifurcation: average conditions. J Biomech Eng. 1996;118:74–82. 8833077 [PubMed]

12 Takao H, Murayama Y, Otsuka S, Qian Y, Mohamed A, Masuda S, et al Hemodynamic differences between unruptured and ruptured intracranial aneurysms during observation. Stroke. 2012;43:1436–9. doi: 10.1161/STROKEAHA.111.640995 22363053 [PubMed]

13 Matsukawa H, Uemura A, Fujii M, Kamo M, Takahashi O, Sumiyoshi S. Morphological and clinical risk factors for the rupture of anterior communicating artery aneurysms. J Neurosurg. 2013;118:978–83. doi: 10.3171/2012.11.JNS121210 23240701 [OpenAIRE] [PubMed]

14 Zhang Y, Jing L, Liu J, Li C, Fan J, Wang S, et al Clinical, morphological, and hemodynamic independent characteristic factors for rupture of posterior communicating artery aneurysms. J Neurointerv Surg. 2015 doi: 10.1136/neurintsurg-2015-011865

15 Miura Y, Ishida F, Umeda Y, Tanemura H, Suzuki H, Matsushima S, et al Low wall shear stress is independently associated with the rupture status of middle cerebral artery aneurysms. Stroke. 2013;44:519–21. doi: 10.1161/STROKEAHA.112.675306 23223503 [PubMed]

27 references, page 1 of 2
Abstract
BACKGROUND AND PURPOSE:The conflicting findings of previous morphological and hemodynamic studies on intracranial aneurysm rupture may be caused by the relatively small sample sizes and the variation in location of the patient-specific aneurysm models. We aimed to determine the discriminators for aneurysm rupture status by focusing on only posterior communicating artery (PCoA) aneurysms. MATERIALS AND METHODS:In 129 PCoA aneurysms (85 ruptured, 44 unruptured), clinical, morphological and hemodynamic characteristics were compared between the ruptured and unruptured cases. Multivariate logistic regression analysis was performed to determine the discriminators for ...
Subjects
mesheuropmc: cardiovascular systemcardiovascular diseases
free text keywords: Vascular Medicine, Research Article, Mathematics, Anatomy, Cardiovascular Anatomy, Regression Analysis, Arteries, Classical Mechanics, Mechanical Stress, Diabetes Mellitus, Mathematical and Statistical Techniques, Endocrine Disorders, Physical Sciences, Physics, Aneurysms, Aspect Ratio, Blood Pressure, Metabolic Disorders, Statistics (Mathematics), Biology and Life Sciences, Shear Stresses, Research and Analysis Methods, Blood Vessels, Medicine, Hemodynamics, Q, R, Hematology, Science, Vascular Diseases, Geometry, Medicine and Health Sciences, Hypertension, Statistical Methods, Endocrinology
27 references, page 1 of 2

1 Vlak MH, Algra A, Brandenburg R, Rinkel GJ. Prevalence of unruptured intracranial aneurysms, with emphasis on sex, age, comorbidity, country, and time period: a systematic review and meta-analysis. Lancet Neurol. 2011;10:626–36. doi: 10.1016/S1474-4422(11)70109-0 21641282 [PubMed]

2 Morita A, Kirino T, Hashi K, Aoki N, Fukuhara S, Hashimoto N, et al The natural course of unruptured cerebral aneurysms in a Japanese cohort. N Engl J Med. 2012;366:2474–82. doi: 10.1056/NEJMoa1113260 22738097 [PubMed]

3 Greving JP, Wermer MJ, Brown RD Jr., Morita A, Juvela S, Yonekura M, et al Development of the PHASES score for prediction of risk of rupture of intracranial aneurysms: a pooled analysis of six prospective cohort studies. Lancet Neurol. 2014;13:59–66. doi: 10.1016/S1474-4422(13)70263-1 24290159 [PubMed]

4 Dhar S, Tremmel M, Mocco J, Kim M, Yamamoto J, Siddiqui AH, et al Morphology parameters for intracranial aneurysm rupture risk assessment. Neurosurgery. 2008;63:185–96; discussion 96–7. doi: 10.1227/01.NEU.0000316847.64140.81 18797347 [OpenAIRE] [PubMed]

5 Xiang J, Natarajan SK, Tremmel M, Ma D, Mocco J, Hopkins LN, et al Hemodynamic-morphologic discriminants for intracranial aneurysm rupture. Stroke. 2011;42:144–52. doi: 10.1161/STROKEAHA.110.592 923 21106956 [OpenAIRE] [PubMed]

6 San Millan Ruiz D, Yilmaz H, Dehdashti AR, Alimenti A, de Tribolet N, Rufenacht DA. The perianeurysmal environment: influence on saccular aneurysm shape and rupture. AJNR Am J Neuroradiol. 2006;27:504–12. 16551985 [PubMed]

7 Golshani K, Ferrell A, Zomorodi A, Smith TP, Britz GW. A review of the management of posterior communicating artery aneurysms in the modern era. Surg Neurol Int. 2010;1:88 doi: 10.4103/2152-7806.74147 21206898 [OpenAIRE] [PubMed]

8 Ma tsukawa H, Fujii M, Akaike G, Uemura A, Takahashi O, Niimi Y, et al Morphological and clinical risk factors for posterior communicating artery aneurysm rupture. J Neurosurg. 2014;120:104–10. doi: 10.3171/2013.9.JNS13921 24160476 [PubMed]

9 Hoh BL, Sistrom CL, Firment CS, Fautheree GL, Velat GJ, Whiting JH, et al Bottleneck factor and height-width ratio: association with ruptured aneurysms in patients with multiple cerebral aneurysms. Neurosurgery. 2007;61:716–22; discussion 22–3. 17986932 [PubMed]

10 Xu J, Yu Y, Wu X, Wu Y, Jiang C, Wang S, et al Morphological and hemodynamic analysis of mirror posterior communicating artery aneurysms. PLoS One. 2013;8:e55413 doi: 10.1371/journal.pone.0055413 23383184 [OpenAIRE] [PubMed]

11 He X, Ku DN. Pulsatile flow in the human left coronary artery bifurcation: average conditions. J Biomech Eng. 1996;118:74–82. 8833077 [PubMed]

12 Takao H, Murayama Y, Otsuka S, Qian Y, Mohamed A, Masuda S, et al Hemodynamic differences between unruptured and ruptured intracranial aneurysms during observation. Stroke. 2012;43:1436–9. doi: 10.1161/STROKEAHA.111.640995 22363053 [PubMed]

13 Matsukawa H, Uemura A, Fujii M, Kamo M, Takahashi O, Sumiyoshi S. Morphological and clinical risk factors for the rupture of anterior communicating artery aneurysms. J Neurosurg. 2013;118:978–83. doi: 10.3171/2012.11.JNS121210 23240701 [OpenAIRE] [PubMed]

14 Zhang Y, Jing L, Liu J, Li C, Fan J, Wang S, et al Clinical, morphological, and hemodynamic independent characteristic factors for rupture of posterior communicating artery aneurysms. J Neurointerv Surg. 2015 doi: 10.1136/neurintsurg-2015-011865

15 Miura Y, Ishida F, Umeda Y, Tanemura H, Suzuki H, Matsushima S, et al Low wall shear stress is independently associated with the rupture status of middle cerebral artery aneurysms. Stroke. 2013;44:519–21. doi: 10.1161/STROKEAHA.112.675306 23223503 [PubMed]

27 references, page 1 of 2
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publication . Article . 2016

Morphological and Hemodynamic Discriminators for Rupture Status in Posterior Communicating Artery Aneurysms

Nan Lv; Chi Wang; Christof Karmonik; Yibin Fang; Jinyu Xu; Ying Yu; Wei Cao; Jianmin Liu; Qinghai Huang;