Abstract:
OBJECTIVE:This study was undertaken to assess the reliability of the aspect ratio (AR) (i.e., aneurysm depth to aneurysm neck) in predicting aneurysm rupture. It has been shown that the AR is a key factor in predicting intraaneurysmal blood flow and aneurysm rupture. METHODS:Seventy-five patients with subarachnoid hemorrhage and multiple aneurysms were studied. The sizes of the aneurysms and their ARs were determined by examining the angiographic films. By comparing the difference between ruptured and unruptured aneurysms in the same individual, each patient in effect served as his or her own control. Each ruptured aneurysm was confirmed during surgery. RESULTS:There were 75 ruptured and 107 unruptured aneurysms. The mean AR was 2.70 for ruptured aneurysms, compared with 1.8 for unruptured aneurysms. This difference between the ARs was statistically significant (P < 0.001). The difference in aneurysm sizes in the two groups also was significant (P < 0.001). CONCLUSION:AR on its own is as reliable a variable as the size of the aneurysm for predicting aneurysm rupture.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Nader-Sepahi A,Casimiro M,Sen J,Kitchen NDdoi
10.1227/01.neu.0000124482.03676.8bkeywords:
subject
Has Abstractpub_date
2004-06-01 00:00:00pages
1343-7; discussion 1347-8issue
6eissn
0148-396Xissn
1524-4040journal_volume
54pub_type
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