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Scientific paper - Original scientific paper
Clinical Characteristics and Morphological Parameters Associated with Rupture of Anterior Communicating Artery Aneurysms
Acta clinica Croatica, 61 (2022), 2; 284-294. https://doi.org/10.20471/acc.2022.61.02.15
Vitošević, Filip; Milošević Medenica, Svetlana; Kalousek, Vladimir; Mandić-Rajčević, Stefan; Vitošević, Mina; Lepić, Milan; Rotim, Krešimir; Rasulić, Lukas

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Vitošević, F., Milošević Medenica, S., Kalousek, V., Mandić Rajčević, S., Vitošević, M., Lepić, M. ... Rasulić, L. (2022). Clinical Characteristics and Morphological Parameters Associated with Rupture of Anterior Communicating Artery Aneurysms. Acta clinica Croatica, 61. (2), 284-294. doi: 10.20471/acc.2022.61.02.15

Vitošević, Filip, et al. "Clinical Characteristics and Morphological Parameters Associated with Rupture of Anterior Communicating Artery Aneurysms." Acta clinica Croatica, vol. 61, no. 2, 2022, pp. 284-294. https://doi.org/10.20471/acc.2022.61.02.15

Vitošević, Filip, Svetlana Milošević Medenica, Vladimir Kalousek, Stefan Mandić Rajčević, Mina Vitošević, Milan Lepić, Krešimir Rotim and Lukas Rasulić. "Clinical Characteristics and Morphological Parameters Associated with Rupture of Anterior Communicating Artery Aneurysms." Acta clinica Croatica 61, no. 2 (2022): 284-294. https://doi.org/10.20471/acc.2022.61.02.15

Vitošević, F., et al. (2022) 'Clinical Characteristics and Morphological Parameters Associated with Rupture of Anterior Communicating Artery Aneurysms', Acta clinica Croatica, 61(2), pp. 284-294. doi: 10.20471/acc.2022.61.02.15

Vitošević F, Milošević Medenica S, Kalousek V, Mandić Rajčević S, Vitošević M, Lepić M, and sur.. Clinical Characteristics and Morphological Parameters Associated with Rupture of Anterior Communicating Artery Aneurysms. Acta clinica Croatica [Internet]. 2022 [cited 2025 April 01];61(2):284-294. doi: 10.20471/acc.2022.61.02.15

F. Vitošević, et al., "Clinical Characteristics and Morphological Parameters Associated with Rupture of Anterior Communicating Artery Aneurysms", Acta clinica Croatica, vol. 61, no. 2, pp. 284-294, 2022. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:650209. [Accessed: 01 April 2025]

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Title (english)Clinical Characteristics and Morphological Parameters Associated with Rupture of Anterior Communicating Artery Aneurysms
Title (croatian)Povezanost kliničkih karakteristika i morfoloških parametara s rupturom aneurizme prednje komunikacijske arterije
AuthorFilip Vitošević
AuthorSvetlana Milošević Medenica
AuthorVladimir Kalousek
AuthorStefan Mandić-Rajčević
AuthorMina Vitošević
AuthorMilan Lepić
AuthorKrešimir Rotim
AuthorLukas Rasulić
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Neurology
Abstract (english)
We analyzed aneurysm morphology, demographic and clinical characteristics in patients with anterior communicating artery (ACoA) aneurysms to investigate the risk factors contributing to aneurysm rupture. A total of 219 patients with ACoA aneurysms were admitted to our hospital between January 2016 and December 2020, and morphological and clinical characteristics were analysed retrospectively in 153 patients (112 ruptured and 41 unruptured). Medical records were reviewed to obtain demographic... More and clinical data on age, gender, presence of hemorrhage, history of hypertension, diabetes, heart disease, and kidney disease. Morphological parameters examined on 3-dimensional digital subtraction angiography included aneurysm size, neck diameter, aspect ratio, size ratio, bottleneck ratio, height/width ratio, aneurysm angle, (in)flow angle, branching angle, number of aneurysms per patient, shape of the aneurysm, aneurysm wall morphology, variation of the A1 segment, and direction of the aneurysm. Male gender, aspect ratio, height/width ratio, non-spherical and irregular shape were associated with higher odds of rupture, whilst controlled hypertension was associated with lower odds of rupture, when tested using univariate logistic regression model. In multivariate model, controlled hypertension, presence of multiple aneurysms, and larger neck diameter reduced the odds of rupture, while irregular wall morphology increased the risk of rupture. Regulated hypertension represented a significant protective factor from ACoA aneurysm rupture. We found that ACoA aneurysms in male patients and those with greater aspect ratios and height/width ratios, larger aneurysm angles, presence of daughter sacs and irregular and non-spherical shapes were at a higher risk of rupture. Less
Abstract (croatian)
Analizirali smo morfologiju aneurizme, demografske i kliničke karakteristike u bolesnika s aneurizmom prednje komunikacijske arterije (ACoA) kako bismo istražili čimbenike rizika koji doprinose rupturi aneurizme. Ukupno je 219 bolesnika s aneurizmom ACoA primljeno u našu bolnicu u razdoblju od siječnja 2016. do prosinca 2020. godine, a morfološke i kliničke karakteristike analizirane su retrospektivno u 153 bolesnika (112 puknutih i 41 neprekinuta). Pregledani su medicinski zapisi kako bi... More se dobili demografski i klinički podaci za dob, spol, prisutnost krvarenja, povijest hipertenzije, dijabetes, srčane bolesti i bolesti bubrega. Morfološki parametri ispitani na trodimenzionalnoj digitalnoj subtrakcijskoj angiografiji uključivali su veličinu aneurizme, promjer vrata, odnos između normalne visine aneurizme i širine vrata aneurizme (aspect ratio), odnos između visine aneurizme i prosječnog promjera svih krvnih žila povezanih s aneurizmom (size ratio), odnos između širine fundusa aneurizme i širine vrata aneurizme (bottleneck ratio), odnos između najveće normalne visine aneurizme i širine aneurizme (height/width ratio), kut aneurizme, ugao ulaska tijeka krvne struje u fundus aneurizme (inflow angle), kut grananja, broj aneurizma po bolesniku, oblik aneurizme, morfologiju stijenke aneurizme, varijaciju segmenta A1 i smjer aneurizme. Muški spol, odnos između normalne visine aneurizme i širine vrata aneurizme, odnos između najveće normalne visine aneurizme i širine aneurizme, nesferičan i nepravilan oblik bili su povezani s većim izgledima za puknuće, dok je kontrolirana hipertenzija bila povezana s manjom vjerojatnosti puknuća kada je testirano primjenom modela s univarijatnom logističkom regresijom. U multivarijatnom modelu su kontrolirana hipertenzija, prisutnost više aneurizma i veći promjer vrata smanjili izglede za puknuće, dok je nepravilna morfologija stijenke povećala rizik od puknuća. Regulirana hipertenzija predstavlja značajan zaštitni čimbenik od pucanja aneurizme ACoA. Utvrdili smo da su aneurizme ACoA u muških bolesnika i one s većim odnosom između normalne visine aneurizme i širine vrata aneurizme te one s većim odnosom između najveće normalne visine aneurizme i širine aneurizme, većim kutovima aneurizme, prisutnošću kćeri vrećica te nepravilnim i nesferičnim oblicima u većem riziku od puknuća. Less
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 61, no. 2, pp. 284-294
p-ISSN0353-9466
e-ISSN1333-9451
DOIhttps://doi.org/10.20471/acc.2022.61.02.15
URN:NBNurn:nbn:hr:220:650209
Publication2022
Document URLhttps://hrcak.srce.hr/284789
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2024-06-25 06:59:40
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