Is aspect ratio a reliable predictor of intracranial aneurysm rupture?

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

Neurosurgery

journal_title

Neurosurgery

authors

Nader-Sepahi A,Casimiro M,Sen J,Kitchen ND

doi

10.1227/01.neu.0000124482.03676.8b

keywords:

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

1343-7; discussion 1347-8

issue

6

eissn

0148-396X

issn

1524-4040

journal_volume

54

pub_type

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