Morphological and Hemodynamic Parameters for Middle Cerebral Artery Bifurcation Aneurysm Rupture Risk Assessment.
10.3340/jkns.2017.0101.009
- Author:
Hao QIN
1
;
Qixia YANG
;
Qiang ZHUANG
;
Jianwu LONG
;
Fan YANG
;
Hongqi ZHANG
Author Information
1. Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China. xwzhanghq@163.com
- Publication Type:Original Article
- Keywords:
Biomarkers;
Middle cerebral artery aneurysm;
Risk assessment;
Receiver operating characteristics curve;
Angiography;
Digital subtraction
- MeSH:
Aneurysm*;
Angiography;
Angiography, Digital Subtraction;
Biomarkers;
Hemodynamics*;
Humans;
Intracranial Aneurysm;
Middle Cerebral Artery*;
Neck;
Retrospective Studies;
Risk Assessment*;
ROC Curve;
Rupture*
- From:Journal of Korean Neurosurgical Society
2017;60(5):504-510
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To investigate the morphological and hemodynamic parameters associated with middle cerebral artery (MCA)bifurcation aneurysm rupture. METHODS: A retrospective study of 67 consecutive patients was carried out based on 3D digital subtraction angiography data. Morphological and hemodynamic parameters including aneurysm size parameters (dome width, height, and perpendicular height), longest dimension from the aneurysm neck to the dome tip, neck width, aneurysm area, aspect ratio, Longest dimension from the aneurysm neck to the dome tip (Dmax) to dome width, and height-width, Bottleneck factor, as well as wall shear stress (WSS), low WSS area (LSA), percentage of LSA (LSA%) and energy loss (EL) were estimated. Parameters between ruptured and un-ruptured groups were analyzed. Receiver operating characteristics were generated to check prediction performance of all significant variables. RESULTS: Sixty-seven patients with MCA bifurcation aneurysm were included (31 unruptured, 36 ruptured). Dmax (p=0.008) was greater in ruptured group than that in un-ruptured group. D/W (p<0.001) and the percentage of the low WSS area (0.09±0.13 vs. 0.01±0.03, p<0.001) were also greater in the ruptured group. Moreover, the EL in ruptured group was higher than that in un-ruptured group (6.39±5.04 vs. 1.53±0.86, p<0.001). Multivariate regression analysis suggested D/W and EL were significant predictors of rupture of MCA bifurcation aneurysms. Correlation analyses revealed the D/W value was positively associated with the EL (R=0.442, p<0.01). CONCLUSION: D/W and EL might be the most two favorable factors to predict rupture risk of MCA bifurcation aneurysms.
