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Geometric influence of anterior cerebral artery rotation on the formation of anterior communicating artery aneurysm
OBJECTIVE: Several particular morphological factors that contribute to the hemodynamics of the anterior communicating artery (ACoA) have been documented, but no study has investigated the role of the degree of anterior cerebral artery (ACA) rotation on the presence of ACoA aneurysms (ACoAAs). METHOD...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Society of Cerebrovascular Surgeons and Korean NeuroEndovascular Society
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10555620/ https://www.ncbi.nlm.nih.gov/pubmed/36759497 http://dx.doi.org/10.7461/jcen.2023.E2022.11.004 |
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author | Heng, Sokhoeun Lee, Sung Ho Bae, Jin Woo Choi, Young Hoon Yoo, Dong Hyun Kim, Kang Min Cho, Won-Sang Kang, Hyun-Seung Kim, Jeong Eun |
author_facet | Heng, Sokhoeun Lee, Sung Ho Bae, Jin Woo Choi, Young Hoon Yoo, Dong Hyun Kim, Kang Min Cho, Won-Sang Kang, Hyun-Seung Kim, Jeong Eun |
author_sort | Heng, Sokhoeun |
collection | PubMed |
description | OBJECTIVE: Several particular morphological factors that contribute to the hemodynamics of the anterior communicating artery (ACoA) have been documented, but no study has investigated the role of the degree of anterior cerebral artery (ACA) rotation on the presence of ACoA aneurysms (ACoAAs). METHODS: A retrospective study of an institutional aneurysm database was performed; patients with ruptured or nonruptured ACoAAs were selected. Two sex- and age-matched control groups were identified: control Group A (nonaneurysms) and control Group B (middle cerebral artery aneurysms). Measurements of ACA rotation degree were obtained by using a three-dimensional imaging tool. RESULTS: From 2015 to 2020, 315 patients were identified: 105 in the ACoAA group, 105 in control Group A, and 105 in control Group B. The average age at the time of presentation was 64 years, and 52.4% were female. The ACA rotation degree of the ACoAA group was significantly higher than that of control Group A (p <0.01). The A1 ratio and the A1A2 ratio of the ACoAA group were greater than those of control Group A (p <0.01 and p <0.01, respectively). The ACA rotation degree correlated insignificantly with aneurysm size in ACoAA patients (p=0.78). The ACA rotation degree in the ACoAA group was also insignificantly different from that in control B (p=0.11). CONCLUSIONS: The degree of ACA rotation was greater in the ACoAA group than in the nonaneurysm group, and it may serve as an imaging marker for ACoAA. |
format | Online Article Text |
id | pubmed-10555620 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Korean Society of Cerebrovascular Surgeons and Korean NeuroEndovascular Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-105556202023-10-07 Geometric influence of anterior cerebral artery rotation on the formation of anterior communicating artery aneurysm Heng, Sokhoeun Lee, Sung Ho Bae, Jin Woo Choi, Young Hoon Yoo, Dong Hyun Kim, Kang Min Cho, Won-Sang Kang, Hyun-Seung Kim, Jeong Eun J Cerebrovasc Endovasc Neurosurg Clinical Article OBJECTIVE: Several particular morphological factors that contribute to the hemodynamics of the anterior communicating artery (ACoA) have been documented, but no study has investigated the role of the degree of anterior cerebral artery (ACA) rotation on the presence of ACoA aneurysms (ACoAAs). METHODS: A retrospective study of an institutional aneurysm database was performed; patients with ruptured or nonruptured ACoAAs were selected. Two sex- and age-matched control groups were identified: control Group A (nonaneurysms) and control Group B (middle cerebral artery aneurysms). Measurements of ACA rotation degree were obtained by using a three-dimensional imaging tool. RESULTS: From 2015 to 2020, 315 patients were identified: 105 in the ACoAA group, 105 in control Group A, and 105 in control Group B. The average age at the time of presentation was 64 years, and 52.4% were female. The ACA rotation degree of the ACoAA group was significantly higher than that of control Group A (p <0.01). The A1 ratio and the A1A2 ratio of the ACoAA group were greater than those of control Group A (p <0.01 and p <0.01, respectively). The ACA rotation degree correlated insignificantly with aneurysm size in ACoAA patients (p=0.78). The ACA rotation degree in the ACoAA group was also insignificantly different from that in control B (p=0.11). CONCLUSIONS: The degree of ACA rotation was greater in the ACoAA group than in the nonaneurysm group, and it may serve as an imaging marker for ACoAA. Korean Society of Cerebrovascular Surgeons and Korean NeuroEndovascular Society 2023-09 2023-02-10 /pmc/articles/PMC10555620/ /pubmed/36759497 http://dx.doi.org/10.7461/jcen.2023.E2022.11.004 Text en Copyright © 2023 by KSCVS and KoNES https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Article Heng, Sokhoeun Lee, Sung Ho Bae, Jin Woo Choi, Young Hoon Yoo, Dong Hyun Kim, Kang Min Cho, Won-Sang Kang, Hyun-Seung Kim, Jeong Eun Geometric influence of anterior cerebral artery rotation on the formation of anterior communicating artery aneurysm |
title | Geometric influence of anterior cerebral artery rotation on the formation of anterior communicating artery aneurysm |
title_full | Geometric influence of anterior cerebral artery rotation on the formation of anterior communicating artery aneurysm |
title_fullStr | Geometric influence of anterior cerebral artery rotation on the formation of anterior communicating artery aneurysm |
title_full_unstemmed | Geometric influence of anterior cerebral artery rotation on the formation of anterior communicating artery aneurysm |
title_short | Geometric influence of anterior cerebral artery rotation on the formation of anterior communicating artery aneurysm |
title_sort | geometric influence of anterior cerebral artery rotation on the formation of anterior communicating artery aneurysm |
topic | Clinical Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10555620/ https://www.ncbi.nlm.nih.gov/pubmed/36759497 http://dx.doi.org/10.7461/jcen.2023.E2022.11.004 |
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