Document Detail


The influence of hemodynamic stress factors on intracranial aneurysm formation.
MedLine Citation:
PMID:  11702865     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECT: Applanation tonometry is a noninvasive method of assessing both peripheral and central arterial blood pressure (BP) profiles. In this study the authors examine whether there are differences in these profiles in patients with intracranial aneurysms when compared with age-matched controls. METHODS: Carotid artery (CA) and derived aortic BP waveforms were obtained using a pulse wave analysis system. The ratio of the pressure wave amplitude above the systolic shoulder to the total systolic BP (augmentation index [AI]) was recorded. One hundred seventy-three patients with intracranial aneurysms (23 unruptured lesions) and 173 healthy control volunteers were examined. For the patients with aneurysms the right and left CA AIs (mean +/- standard deviation) were 125.6 +/- 23.1% and 128.3 +/- 22.1%, respectively. Corresponding values for the control group were 118.4 +/- 22.6% and 119.4 +/- 21.8%. The calculated AI for the ascending aorta was 29.8 +/- 10.5% and 25.6 +/- 12.2% for patients with aneurysms and control volunteers, respectively. Significant asymmetry in CA AI was seen in patients with aneurysms, the left being greater (p = 0.002). No significant differences were seen in mean BP (108 +/- 14 mm Hg in patients with aneurysms compared with 106 +/- 16 mm Hg in controls; p = 0.2). Multivariate analysis excluded the influence of BP and other potential confounding vascular risk factors for increased AI. CONCLUSIONS: Significant differences in AI, both in magnitude and symmetry, were identified in patients with intracranial aneurysms when compared with matched controls.
Authors:
C L Turner; S Tebbs; P Smielewski; P J Kirkpatrick
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  95     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2001 Nov 
Date Detail:
Created Date:  2001-11-12     Completed Date:  2001-12-04     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  764-70     Citation Subset:  AIM; IM    
Affiliation:
University Department of Neurosurgery, Addenbrooke's Hospital, Cambridge, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Aorta / physiopathology
Blood Pressure
Carotid Arteries / physiopathology
Female
Hemodynamics*
Humans
Intracranial Aneurysm / etiology*,  physiopathology
Male
Middle Aged
Multivariate Analysis
Pulse
Reference Values
Risk Factors
Stress, Physiological / complications*
Systole
Tonometry, Ocular / methods

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


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