Clinical Features and Morphological Risk Factors of Ruptured and Hemorrhage of Posterior Communicating Artery Aneurysm

Tao LIU; Xiao-feng ZHU; Jun MA; Shi-peng LI; Xin GENG; Jing-hui LI; Hua-lin YU; Peng BAI

doi:10.12259/j.issn.2095-610X.S20211222

Volume 42 Issue 12

Dec. 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(12): 67-73

Tao LIU, Xiao-feng ZHU, Jun MA, Shi-peng LI, Xin GENG, Jing-hui LI, Hua-lin YU, Peng BAI. Clinical Features and Morphological Risk Factors of Ruptured and Hemorrhage of Posterior Communicating Artery Aneurysm[J]. Journal of Kunming Medical University, 2021, 42(12): 67-73. doi: 10.12259/j.issn.2095-610X.S20211222

Citation:

Tao LIU, Xiao-feng ZHU, Jun MA, Shi-peng LI, Xin GENG, Jing-hui LI, Hua-lin YU, Peng BAI. Clinical Features and Morphological Risk Factors of Ruptured and Hemorrhage of Posterior Communicating Artery Aneurysm[J]. Journal of Kunming Medical University, 2021, 42(12): 67-73. doi: 10.12259/j.issn.2095-610X.S20211222

Citation:

Tao LIU, Xiao-feng ZHU, Jun MA, Shi-peng LI, Xin GENG, Jing-hui LI, Hua-lin YU, Peng BAI. Clinical Features and Morphological Risk Factors of Ruptured and Hemorrhage of Posterior Communicating Artery Aneurysm[J]. Journal of Kunming Medical University, 2021, 42(12): 67-73. doi: 10.12259/j.issn.2095-610X.S20211222

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Clinical Features and Morphological Risk Factors of Ruptured and Hemorrhage of Posterior Communicating Artery Aneurysm

doi: 10.12259/j.issn.2095-610X.S20211222

Tao LIU^{1, 2},
Xiao-feng ZHU¹,
Jun MA¹,
Shi-peng LI¹,
Xin GENG¹,
Jing-hui LI¹,
Hua-lin YU^{1
,
,},
Peng BAI^{1
,
,}

1.
Dept. of Neurosurgery，The 1st Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650032
2.
Dept. of Neurosurgery，Shenzhen Qianhai Taikang International Hospital， Shenzhen Guangdong 518000，China

Received Date: 2021-07-11
Available Online: 2021-11-24
Publish Date: 2021-12-15

Abstract

Abstract

Objective To analyze the clinical features and morphological risk factors of rupture and hemorrhage of posterior communicating artery aneurysm in the brain, in order to provide decision-making basis for the clinical diagnosis and treatment of posterior communicating artery aneurysm. Methods The clinical data of 72 patients diagnosed with posterior communicating aneurysm from January 2016 to December 2020 in the Second Department of Neurosurgery, First Affiliated Hospital of Kunming Medical University were retrospectively analyzed. The clinical data and aneurysm morphological parameters of the patients were collected. According to whether subarachnoid hemorrhage was complicated, they were divided into ruptured group and unruptured group. SPSS software was used for statistical analysis to analyze the risk factors related to the rupture of posterior communicating aneurysm. Results There was no statistically significant difference （P > 0.05） between the two groups in the comparison of basic characteristics such as gender, age, and smoking history, while there was a statistically significant difference （P < 0.05） in the comparison of hypertension, maximum diameter of the aneurysm less than 5 mm, Inflow angle more than 90°, daughter sacs and bleb, whether the morphology was regular or not, and the orientation of the apex of the aneurysm. Multifactorial analysis showed that hypertension （OR: 5.82, 95% CI : 1.23-27.51）, Inflow angle > 90° （OR: 7.88, 95% CI: 1.27-48.59）, and daughter sacs and bleb （OR: 11.92, 95% CI: 2.06-68.76） were independent risk factors for posterior communicating aneurysm rupture. Conclusion A history of hypertension, a maximum diameter smaller than 5 mm, an Inflow angle greater than 90°, daughter sacs and bleb ,dome of the aneurysm directed to posterior-outer-inferior were risk factors for posterior communicating aneurysm rupture. Conclusion A history of hypertension, a maximum diameter smaller than 5 mm, an Inflow angle greater than 90°, daughter sacs and bleb ,dome of the aneurysm directed to posterior-outer-inferior were risk factors for posterior communicating aneurysm rupture.
- Intracranial aneurysm,
- Posterior communication aneurysm,
- Rupture risk factors,
- Morphology

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References(22)

References

[1]	Golshani K,Ferrell A,Zomorodi A,et al. A review of the management of posterior communicating artery aneurysms in the modern era[J]. Surg Neurol Int,2010,22(1):88.
[2]	Clarke G,Mendelow A D,Mitchell P. Predicting the risk of rupture of intracranial aneurysms based on anatomical location[J]. Acta Neurochirurgica,2005,147(3):259-263. doi: 10.1007/s00701-004-0473-3
[3]	Engelhardt J,Berge J,Cuny E,et al. Oculomotor nerve palsy induced by internal carotid artery aneurysm:Prognostic factors for recovery[J]. Acta Neurochirurgica,2015,157(7):1103-1111. doi: 10.1007/s00701-015-2440-6
[4]	Gelabert-glnzalez M,Iglesias-pais M,Fernández-villa J. Acute subdural haematoma due to ruptured intracranial aneurysms[J]. Neurosurgical Review,2004,27(4):259-262.
[5]	He W,Gandhi C D,Quinn J,et al. True aneurysms of the posterior communicating artery:A systematic review and meta-analysis of individual patient data[J]. World Neurosurgery,2011,75(1):64-72. doi: 10.1016/j.wneu.2010.09.012
[6]	De Rooij N K,Velthuis B K,Algra A,et al. Configuration of the circle of willis,direction of flow,and shape of the aneurysm as risk factors for rupture of intracranial aneurysms[J]. J Neurol,2009,256(1):45-50. doi: 10.1007/s00415-009-0028-x
[7]	Morita A,Kirino T,Hashi K,et al. The natural course of unruptured cerebral aneurysms in a Japanese cohort[J]. N Engl J Med,2012,366(26):2474-2482. doi: 10.1056/NEJMoa1113260
[8]	Knekt P,Reunanen A,Aho K,et al. Risk factors for subarachnoid hemorrhage in a longitudinal population study[J]. Journal of Clinical Epidemiology,1991,44(9):933-939. doi: 10.1016/0895-4356(91)90056-F
[9]	Solanki C,Pandey P,Rao K V. Predictors of aneurysmal rebleed before definitive surgical or endovascular management[J]. Acta Neurochirurgica,2016,158(6):1037-1044. doi: 10.1007/s00701-016-2784-6
[10]	Qian Z,Kang H,Tang K,et al. Assessment of risk of aneurysmal rupture in patients with normotensives,Controlled hypertension,and uncontrolled hypertension[J]. Journal of Stroke and Cerebrovascular Diseases:The Official Journal of National Stroke Association,2016,25(7):1746-1752. doi: 10.1016/j.jstrokecerebrovasdis.2016.03.027
[11]	Müller T B,Vik A,Romundstad P R,Sandvei M S. Risk factors for unruptured intracranial aneurysms and subarachnoid hemorrhage in a prospective population-based study[J]. Stroke ,2019,50(10):2952-2955. doi: 10.1161/STROKEAHA.119.025951
[12]	Etminan N,Chang H S,Hackenberg K,et al. Worldwide incidence of aneurysmal subarachnoid hemorrhage according to region,Time period,Blood pressure,and smoking prevalence in the population:A systematic review and meta-analysis[J]. JAMA Neurol,2019,76(5):588-597. doi: 10.1001/jamaneurol.2019.0006
[13]	Chang H S. Simulation of the natural history of cerebral aneurysms based on data from the international study of unruptured intracranial aneurysms[J]. J Neurosurge,2006,104(2):188-194. doi: 10.3171/jns.2006.104.2.188
[14]	Etminan N,Dreier R,Buchholz B A,et al. Age of collagen in intracranial saccular aneurysms[J]. Stroke,2014,45(6):1757-1763. doi: 10.1161/STROKEAHA.114.005461
[15]	Debrun G M,Aletich V A,Kehtli P,et al. Selection of cerebral aneurysms for treatment using guglielmi detachable coils:The preliminary University of Illinois at chicago experience[J]. Neurosurgery,1998,43(6):1281-1295.
[16]	Forget T R,JR. ,Benitez R,Veznedaroglu E,et al. A review of size and location of ruptured intracranial aneurysms[J]. Neurosurgery,2001,49(6):1322-1325. doi: 10.1097/00006123-200112000-00006
[17]	Ujiie H,Tamano Y,Sasaki K,et al. Is the aspect ratio a reliable index for predicting the rupture of a saccular aneurysm?[J]. Neurosurgery,2001,48(3):495-502. doi: 10.1097/00006123-200103000-00007
[18]	Meng H,Wang Z,Hoi Y,et al. Complex hemodynamics at the apex of an arterial bifurcation induces vascular remodeling resembling cerebral aneurysm initiation[J]. Stroke,2007,38(6):1924-1931. doi: 10.1161/STROKEAHA.106.481234
[19]	Bjorkman J,Frosen J,Tahtinen O,et al. Irregular shape identifies ruptured intracranial aneurysm in subarachnoid hemorrhage patients with multiple aneurysms[J]. Stroke,2017,48(7):1986-1989. doi: 10.1161/STROKEAHA.117.017147
[20]	Zhang J,Can A,Lai P M R,et al. Age and morphology of posterior communicating artery aneurysms[J]. Scientific Reports,2020,10(1):11545-11545. doi: 10.1038/s41598-020-68276-9
[21]	Beck J,Rohde S,E L Beltagy M,et al. Difference in configuration of ruptured and unruptured intracranial aneurysms determined by biplanar digital subtraction angiography[J]. Acta Neurochirurgica,2003,145(10):861-865. doi: 10.1007/s00701-003-0124-0
[22]	Xu Z,Kim B S,L K S,et al. Morphological and clinical risk factors for the rupture of posterior communicating artery aneurysms:Significance of fetal-type posterior cerebral artery[J]. Neurol Sci,2019,40(11):2377-2382. doi: 10.1007/s10072-019-03991-4

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