Li Jianqiu,Chen Li,Yao Kaiqing,Ledu Xiaolan,Lu Fajin.Morphological features of intracranial aneurysm and its rupture risk assessment[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(15):1552-1555.
Li Jianqiu,Chen Li,Yao Kaiqing,Ledu Xiaolan,Lu Fajin.Morphological features of intracranial aneurysm and its rupture risk assessment[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(15):1552-1555.DOI:
Morphological features of intracranial aneurysm and its rupture risk assessment
Objective To determine the relationship between the morphological features and rupture risk of intracerebral aneurysm. Methods An retrospective analysis was carried out on the clinical data of 194 intracranial aneurysms in 154 patients (61 with 82 ruptured aneurysms and 93 with 112 ruptured) who diagnosed in our hospital from December 2009 to June 2011. Their three-dimensional geometries were evaluated for a range of morphological parameters. The parameters included depth
neck width
aspect ratio (AR)
with daughter sac or not
and number and position of daughter sac. Results The mean depth
mean neck width and mean AR were 4.95±4.80 mm
3.55±3.10 mm
1.21±0.68 respectively for the patients with ruptured aneurysms
and 2.75±2.65 mm
2.85±1.90 mm
and 0.96±0.55 respectively for those with unruptured aneurysms. Significant difference was found in the aneurysms with daughter sac or not between the ruptured and unruptured groups (P<0.05). The critical values of depth
neck width and AR in intracranial aneurysms for rupture risk were 3.65 mm
3.35 mm and 1.135 respectively. The aneurysms with depth over 3.65 mm had the risk of rupture by 3.76 times higher than those with lesser depth. The aneurysms with neck width less than 3.35 mm had the risk by 2.05 times higher than those with width larger. When AR was over 1.135
the risk of rupture was increased by 3.18 times. The aneurysms with daughter sac had the risk of 5.64 times higher than those without. Conclusion The depth
neck width and AR of intracerebral aneurysm are risk factors for aneurysm rupture. Longer depth
narrow neck width
larger AR and having daughter sac contribute to the risk of rupture.
Early identification of delayed cerebral ischemia following aneurysmal subarachnoid hemorrhage: development and validation of a multifactorial clinical prediction model
Application of AI-assisted head and neck CT angiography in diagnosis of intracranial aneurysms
Risk factors for delayed cerebral infarction after intracranial aneurysm clipping
Efficacy of Complex coils in embolization of intracranial lobulated aneurysms: a clinical analysis of 34 cases
Early hybrid surgery for management of complex anterior circulation aneurysm with hematoma: analysis of 11 cases
Related Author
TAO Yihao
JI Xiang
MA Ying
ZHENG Hui
陈维娟
陈金华
周治明
吴博涵
Related Institution
Department of Neurosurgery, the Second Affiliated Hospital of Chongqing Medical University