Prevalence of thoracic aortic aneurysms and dilatations in patients with intracranial aneurysms

Laukka, Dan; Pan, Emily; Fordell, Terhi; Alpay, Kemal; Rahi, Melissa; Hirvonen, Jussi; Rinne, Jaakko; Gunn, Jarmo

doi:10.1016/j.jvs.2019.01.066

Cited by 17 publications

(10 citation statements)

References 34 publications

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“…Endovascular repair of TAA may improve perioperative outcomes compared to open repair, 30 but one established complication of repair is postoperative stroke. Goyal and colleagues 3 and Laukka and colleagues 6 reported a prevalence of 4.7% and 7.5% of TAA in patients with IA, and suggested several risk factors for this association. There is insufficient data to categorize the observed association between IA and TAA, the data available are conflicting, 6,25 and due to their heterogeneity, it is difficult to assess the contribution of some risk factors such as hypertension and smoking.…”

Section: Methodsmentioning

confidence: 97%

“…3 Furthermore, TAA was found more often in patients with fIA than in those with sIA (18% vs. 6%), although the sample size was inadequate because most patients had an sIA (491 vs. 28) due to fIAs being inherently rarer. 6 Several studies have demonstrated an association between patients with known AA and concurrent findings of IA. [8][9][10][11][12][13] Wang and colleagues 13 showed that patients with AA had a significantly increased risk of an IA compared to matched controls without AA (p < 0.001).…”

Section: Methodsmentioning

confidence: 99%

“…It is known from current epidemiological studies that intracranial aneurysms (IA) may have a direct link to other aneurysms in the body, particularly to abdominal aortic aneurysms (AAA) and thoracic aortic aneurysms (TAA). [1][2][3][4][5][6][7][8][9][10][11][12][13] There are incidences of co-occurrence and a pattern of inheritance and familial clustering. 14 There may be common genetic and pathological determinants for the development of these aneurysmal types.…”

Section: Introductionmentioning

confidence: 99%

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Correlation of intracranial and aortic aneurysms: current trends and evidence

Moughal

Bashir

2020

Asian Cardiovasc Thorac Ann

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The correlation between intracranial and aortic aneurysms remains elusive. Data in the literature are scattered, and outcome reporting is swamped with heterogeneity and single-center bias. This calamity is adding to confusion on decision-making and delays the instigation of appropriate clinical applications. This literature review delves into the abyss of the lack of clinically driven scientific input, and highlights the trends explored thus far.

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Section: Methodsmentioning

confidence: 97%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Correlation of intracranial and aortic aneurysms: current trends and evidence

Moughal

Bashir

2020

Asian Cardiovasc Thorac Ann

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“…Miyazawa et al 20 reported a prevalence of 7.2% of abdominal aortic aneurysm in patients with IA. Laukka et al 21 showed a higher prevalence of thoracic aortic aneurysm (7.5%) in IA patients compared to the general population. Three studies suggested several risk factors (e.g., age and smoking) for this association, but we could not further analyze these factors due to the limited data.…”

Section: Qualitative Synthesismentioning

confidence: 95%

“…Three studies investigated the proportion of patients with aortic aneurysm or BAV in patients suffered from IA. [19][20][21] Ten studies reported a prevalence of IA in patients with aortopathy: two studies were in patients with BAV; 10,13 three studies considered patients with CoA; 9,11,12 three studies were conducted in patients with aortic aneurysm; 5,7,8 one study investigated aortic dissection; 3 and one study examined both aortic aneurysm and aortic dissection. 6 Seven studies were from the USA, and three studies from South Korea.…”

Section: Study Characteristicsmentioning

confidence: 99%

Prevalence of Intracranial Aneurysm in Patients with Aortopathy: A Systematic Review with Meta-Analyses

Xia

Jiang

et al. 2020

J Stroke

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Background and Purpose Patients with aortic disease might have an increased risk of intracranial aneurysm (IA). We conducted this research to assess the prevalence of IA in patients with aortopathy, considering the impact of gender, age, and cardiovascular risk factors.Methods We searched PubMed and Scopus from inception to August 2019 for epidemiological studies reporting the prevalence of IA in patients with aortopathy. Random-effect meta-analyses were performed to calculate the overall prevalence, and the effect of risk factors on the prevalence was also evaluated. Anatomical location of IAs in patients suffered from distinct aortic disease was extracted and further analyzed.Results Thirteen cross-sectional studies involving 4,041 participants were included in this systematic review. We reported an estimated prevalence of 12% (95% confidence interval [CI], 9% to 14%) of IA in patients with aortopathy. The pooled prevalence of IA in patients with bicuspid aortic valve, coarctation of the aorta, aortic aneurysm, and aortic dissection was 8% (95% CI, 6% to 10%), 10% (95% CI, 7% to 14%), 12% (95% CI, 9% to 15%), and 23% (95% CI, 12% to 34%), respectively. Gender (female) and smoking are risk factors related to an increased risk of IA. The anatomical distribution of IAs was heterogeneously between participants with different aortic disease.Conclusions According to current epidemiological evidence, the prevalence of IA in patients with aortic disease is quadrupled compared to that in the general population, which suggests that an early IA screening should be considered among patients with aortic disease for timely diagnosis and treatment of IA.

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