Angiographic Features of Intracranial Aneurysms in Ecuador

Samaniego, Edgar A; Roa, Jorge A; Martinez-Burbano, Braulio; Ortega‐Gutiérrez, Santiago; Hasan, David; Jibaja, Manuel; Torner, James C.; Maldonado, Nelson

doi:10.1016/j.jstrokecerebrovasdis.2018.11.020

Cited by 6 publications

(2 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Even so, the posterior circulation still accounted for a relatively large proportion of aneurysms involvement in MMD, which was very different from aneurysms not associated with MMD. 18 The aneurysms originating from posterior circulation in MMD were believed to be partly associated with hemodynamic stress due to the occlusion or narrowing of anterior circulation arteries. 6 However, there were also other potential reasons that could increase the incidence of aneurysms formation in MMD patients.…”

Section: Discussionmentioning

confidence: 99%

Clinical features of and risk factors for intracranial aneurysms associated with moyamoya disease

Yang

Zhang

Wang

et al. 2020

International Journal of Stroke

View full text Add to dashboard Cite

Background The clinical features of aneurysms associated with moyamoya disease (MMD) and risk factors for the formation and rupture of aneurysms are not well defined. Aims In this study, we retrospectively analyzed clinical data of MMD patients and examined the potential risk factors for the formation and rupture of aneurysms in these patients. Methods The medical records of all MMD patients in our hospital from April 2012 to May 2019 were reviewed. The logistic regression analysis was used to determine the independent association between various potential risk factors and the presence or rupture of intracranial aneurysms in MMD patients. Results Of 2230 MMD patients, 182 (8.2%) cases had intracranial aneurysms. The mean age of onset in patients with aneurysms was 47.2 years, which was significantly higher when compared with those without aneurysms ( p < 0.001). In logistic regression analysis, age of onset remained significantly associated with the presence of intracranial aneurysms, while female gender, hypertension, diabetes mellitus, and coronary artery disease were not. Besides, intracranial aneurysms were significantly associated with intracranial hemorrhage in MMD patients (odds ratio [OR] = 5.19; 95% confidence interval [CI], 3.80–7.09). About 60% aneurysms >5 mm in size, and 62.1% aneurysms with irregularly shaped morphology were ruptured. Aneurysms located in basilar tip, collateral or moyamoya vessels were more likely to present with rupture. Conclusions Age was an important risk factor for intracranial aneurysms formation in MMD patients. Aneurysms increased the risk of intracerebral hemorrhage in MMD patients, and their ruptures were correlated with aneurysms size, location, and morphology.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical features of and risk factors for intracranial aneurysms associated with moyamoya disease

Yang

Zhang

Wang

et al. 2020

International Journal of Stroke

View full text Add to dashboard Cite

show abstract

“…Scores such as the PHASES score created to predict a patient's 5-year risk of aneurysm rupture based on patient characteristics and aneurysm morphology are not routinely used in clinical practice. 3 Moreover, aneurysm characteristics may vary among different regions of the world, 4 limiting the use of scores that have not been validated worldwide.…”

Section: Introductionmentioning

confidence: 99%

Vessel wall imaging in intracranial aneurysms

Samaniego

Roa

Hasan

2019

J NeuroIntervent Surg

Self Cite

View full text Add to dashboard Cite

High-resolution vessel wall imaging (HR-vwi) is becoming a useful tool in the characterization and identification of unstable unruptured brain aneurysms. However, it has not been validated for clinical use. The current evidence on HR-vwi techniques for characterization of brain aneurysms is described in this review. Specific imaging approaches such as aneurysm wall contrast enhancement, MRi-quantitative susceptibility mapping, and 7T MRi are described in detail.

show abstract