Document Detail


Aneurysm Volume-to-Ostium Area Ratio: A Parameter Useful for Discriminating the Rupture Status of Intracranial Aneurysms.
MedLine Citation:
PMID:  21135739     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: : Slow or stagnant flow is a hemodynamic feature that has been linked to the risk of aneurysm rupture.
OBJECTIVE: : To assess the potential value of the ratio of the volume of an aneurysm to the area of its ostium (VOR) as an indicator of intra-aneurysmal slow flow and, thus, in turn, the risk of rupture.
METHODS: : Using a sample defined from internal databases, a retrospective analysis of aneurysm size, aspect ratio (AR), and VOR was performed on a series of 155 consecutive aneurysms having undergone 3-dimensional digital subtraction angiography as a part of their evaluation. Measurements were obtained from 3-dimensional digital subtraction angiography studies using commercial software. Aneurysm size, AR, and VOR were correlated with rupture status (ruptured or unruptured). A multiple logistic regression model that best correlated with rupture status was generated to evaluate which of these parameters was the most useful to discriminate rupture status. This model was validated using an independent database of 62 consecutive aneurysms acquired outside the retrospective study interval.
RESULTS: : VOR showed better discrimination for rupture status than did size and AR. The best logistic regression model, which included VOR rather than size or AR, determined rupture status correctly in 80.6% of subjects. The reproducibility calculating AR and VOR was excellent.
CONCLUSION: : Determination of VOR was easily done and reproducible using widely available commercial equipment. It may be a more robust parameter to discriminate rupture status than AR.
Authors:
Ryuta Yasuda; Charles M Strother; Waro Taki; Kazuhiko Shinki; Kevin Royalty; Kari Pulfer; Christof Karmonik
Related Documents :
12501079 - Venoarterial communication as a mechanism for localized signaling in the rat uterine ci...
14562969 - Ovarian artery: angiographic appearance, embolization and relevance to uterine fibroid ...
7724109 - Uterine artery doppler velocimetry in relation to trophoblast migration into the myomet...
8238179 - Absent umbilical artery diastolic flow in a fetus with a partial mole at 18 weeks' gest...
16754159 - Uterine artery occlusion for the treatment of symptomatic fibroids: endoscopic, radiolo...
16862469 - Variation in doppler indices along the length of the cord from the intraabdominal to th...
2607699 - Successful correction of a collett edwards type ii truncus arteriosus after bilateral p...
16989669 - Clinical review: alternative vascular access techniques for continuous hemofiltration.
20409959 - Transient stenotic-like occlusions as a possible mechanism for renovascular hypertensio...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  68     ISSN:  1524-4040     ISO Abbreviation:  Neurosurgery     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-06-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  310-8     Citation Subset:  IM    
Affiliation:
*Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; †Department of Neurosurgery, Mie University, School of Medicine, Mie, Japan; ‡Department of Statistics, University of Wisconsin, Madison, Wisconsin; §Siemens HealthCare, Malvern, Pennsylvania; ∥The Methodist Hospital, Houston, Texas.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The craniovertebral junction area and the role of the ligaments and membranes.
Next Document:  Neurotrophin 3 improves delayed reconstruction of sensory pathways after cervical dorsal root injury...