Angiographic Morphology of Anterior Communicating Artery Aneurysms and Their Association with Rupture Risk

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dc.authoridtetik, bora/0000-0001-7696-7785
dc.authoriddurak, mehmet akif akif/0000-0003-0827-2708
dc.authoridKAYA, AHMET TURAN/0000-0001-9803-453X
dc.authorwosidYıldırım, İsmail Okan/AFR-8243-2022
dc.authorwosidSaraç, Kaya/ABI-1091-2020
dc.authorwosidtetik, bora/AAA-8841-2021
dc.authorwosiddurak, mehmet akif akif/ABI-1169-2020
dc.authorwosidKAYA, VEYSEL/AEJ-4767-2022
dc.authorwosidKAYA, AHMET TURAN/AAD-6899-2022
dc.contributor.authorKaya, Veysel
dc.contributor.authorKolu, Mehmet
dc.contributor.authorKaya, Ahmet Turan
dc.contributor.authorGezer, Mehmet
dc.contributor.authorSarac, Kaya
dc.contributor.authorTetik, Bora
dc.contributor.authorYildirim, Ismail Okan
dc.date.accessioned2024-08-04T20:49:26Z
dc.date.available2024-08-04T20:49:26Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAIM: To estimate the rupture risk of anterior communicating artery (AComA) and AComA-related aneurysms according to their localization, angiographic architecture, and morphological features. MATERIAL and METHODS: In this study, 124 patients with AComA and AComA-related anterior system aneurysms were retrospectively evaluated. The aneurysms were classified according to their morphological appearance and angiographic architecture. The size, size ratio, angiographic architecture, and aneurysmal dome orientation of ruptured and non-ruptured aneurysms were compared using digital subtraction angiography (DSA) 3D images. RESULTS: There was a significant relationship between rupture risk and the size ratio (p=0.043), morphological properties of the aneurysm (p<0.001), aneurysm dome orientation (OR 1.29, 95% CI 1.32-6.818), and aneurysm type according to the angiographical architecture (p<0.005). CONCLUSION: In determining the rupture risk of AComA and AComA-related aneurysms, size alone is not a sufficient parameter with aneurysm morphology proving to be more efficacious. Grouping of aneurysms according to angioarchitecture, and its significant correlation with aneurysm rupture, may help to understand the underlying mechanisms in the formation and rupture of aneurysms. From this, more specific treatment protocols can be created, helping to improve the clinical evaluation of AComA aneurysms.en_US
dc.identifier.doi10.5137/1019-5149.JTN.30527-20.4
dc.identifier.endpage267en_US
dc.identifier.issn1019-5149
dc.identifier.issue2en_US
dc.identifier.pmid33372260en_US
dc.identifier.scopus2-s2.0-85103474561en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage261en_US
dc.identifier.urihttps://doi.org/10.5137/1019-5149.JTN.30527-20.4
dc.identifier.urihttps://hdl.handle.net/11616/99863
dc.identifier.volume31en_US
dc.identifier.wosWOS:000631709500017en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Neurosurgical Socen_US
dc.relation.ispartofTurkish Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAneurysmen_US
dc.subjectAnterior communicating arteryen_US
dc.subjectAngiographical architectureen_US
dc.subjectMorphologyen_US
dc.subjectDome orientationen_US
dc.titleAngiographic Morphology of Anterior Communicating Artery Aneurysms and Their Association with Rupture Risken_US
dc.typeArticleen_US

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