Morphological and clinical risk factors for the rupture of posterior communicating artery aneurysms: significance of fetal-type posterior cerebral artery
| العنوان: | Morphological and clinical risk factors for the rupture of posterior communicating artery aneurysms: significance of fetal-type posterior cerebral artery |
|---|---|
| المؤلفون: | ZhengHu Xu, Yong Sam Shin, Jai Ho Choi, Kwan Sung Lee, Bum-Soo Kim |
| المصدر: | Neurological Sciences. 40:2377-2382 |
| بيانات النشر: | Springer Science and Business Media LLC, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Subarachnoid hemorrhage, Dermatology, Posterior cerebral artery, Aneurysm, Ruptured, 03 medical and health sciences, 0302 clinical medicine, Aneurysm, Risk Factors, medicine.artery, Humans, Medicine, cardiovascular diseases, 030212 general & internal medicine, Posterior communicating artery, Risk factor, Aged, Retrospective Studies, Neuroradiology, Posterior Cerebral Artery, business.industry, Angiography, Digital Subtraction, Intracranial Aneurysm, General Medicine, Middle Aged, medicine.disease, Cerebral Angiography, Psychiatry and Mental health, cardiovascular system, Circle of Willis, Female, Neurology (clinical), Neurosurgery, Radiology, Bleb (medicine), Tomography, X-Ray Computed, business, Carotid Artery, Internal, 030217 neurology & neurosurgery |
| الوصف: | Posterior communicating artery (PcomA) aneurysm can be classified into sidewall or bifurcation types based on the anatomical variation of fetal-type posterior cerebral artery (fPCA). The aims of this study were to investigate the significance of fPCA as an independent risk factor for the rupture of PcomA aneurysm and to evaluate other associated morphological and clinical risk factors. We retrospectively reviewed clinical and radiological findings of 255 patients with PcomA aneurysms, which were treated in a single tertiary institute between January 2009 and December 2016. Univariate and multivariate analyses were performed to evaluate the associations between morphological and clinical variables and rupture status. Subgroup analysis was also performed based on the aneurysms with and without fPCA. Fifty-five out of 255 PcomA aneurysms (21.6%) were associated with fPCA. Multivariate logistic regression analysis showed that the superior direction of aneurysm dome (OR 9.106, p = 0.007), the presence of a bleb (OR 4.780, p |
| تدمد: | 1590-3478 1590-1874 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6e1f3e3d20981037ab528a896d9e9752Test https://doi.org/10.1007/s10072-019-03991-4Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....6e1f3e3d20981037ab528a896d9e9752 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15903478 15901874 |
|---|