PURPOSE: The purpose of this study is to investigate whether hemodynamics of unruptured, irregular small intracranial aneurysms (SIAs) are different from those of regular ones and large intracranial aneurysms (LIAs) in ophthalmic artery segment of internal carotid artery (ICA). METHODS: Between April 2015 and June 2018, 106 carotid-ophthalmic artery aneurysms were retrospectively analyzed using 3D angiographic images and computational fluid dynamics (CFD). Three categories were stratified: regular SIAs, irregular SIAs and LIAs. Statistical comparisons of the differences in clinical, morphological and hemodynamic parameters among regular SIA, irregular SIA and LIA groups were performed by one-way analysis of variance (ANOVA) or Kruskal-Wallis Test. RESULTS: The median maximal height of regular SIA, irregular SIA and LIA were 3.03 (interquartile range: 2.49-4.22) mm, 4.59 (interquartile range: 3.86-5.32) mm and 11.06 (interquartile range: 9.28-13.69) mm, all P < 0.05). Low shear-stress area percentage (LSA%) and oscillatory shear index (OSI) of irregular SIAs and LIAs were not significantly different (P = 0.72, P = 0.27 respectively), and were significantly higher than those of regular SIAs (all P < 0.01). Wall shear stress (WSS) and normalized wall shear stress (NWSS) of irregular SIAs were significantly higher than those of LIAs (P < 0.01, P < 0.01 respectively), but lower than those of regular SIAs (P < 0.01, P < 0.01 respectively). CONCLUSIONS: Special unruptured irregular SIAs share a similarity of hemodynamic characteristics with LIAs in high LSA% and high OSI, and are different from regular SIAs in hemodynamics.
PURPOSE: The purpose of this study is to investigate whether hemodynamics of unruptured, irregular small intracranial aneurysms (SIAs) are different from those of regular ones and large intracranial aneurysms (LIAs) in ophthalmic artery segment of internal carotid artery (ICA). METHODS: Between April 2015 and June 2018, 106 carotid-ophthalmic artery aneurysms were retrospectively analyzed using 3D angiographic images and computational fluid dynamics (CFD). Three categories were stratified: regular SIAs, irregular SIAs and LIAs. Statistical comparisons of the differences in clinical, morphological and hemodynamic parameters among regular SIA, irregular SIA and LIA groups were performed by one-way analysis of variance (ANOVA) or Kruskal-Wallis Test. RESULTS: The median maximal height of regular SIA, irregular SIA and LIA were 3.03 (interquartile range: 2.49-4.22) mm, 4.59 (interquartile range: 3.86-5.32) mm and 11.06 (interquartile range: 9.28-13.69) mm, all P < 0.05). Low shear-stress area percentage (LSA%) and oscillatory shear index (OSI) of irregular SIAs and LIAs were not significantly different (P = 0.72, P = 0.27 respectively), and were significantly higher than those of regular SIAs (all P < 0.01). Wall shear stress (WSS) and normalized wall shear stress (NWSS) of irregular SIAs were significantly higher than those of LIAs (P < 0.01, P < 0.01 respectively), but lower than those of regular SIAs (P < 0.01, P < 0.01 respectively). CONCLUSIONS: Special unruptured irregular SIAs share a similarity of hemodynamic characteristics with LIAs in high LSA% and high OSI, and are different from regular SIAs in hemodynamics.
Entities:
Keywords:
Hemodynamics; Morphology; Rupture; Small intracranial aneurysms; Wall shear stress
Authors: J R Cebral; F Detmer; B J Chung; J Choque-Velasquez; B Rezai; H Lehto; R Tulamo; J Hernesniemi; M Niemela; A Yu; R Williamson; K Aziz; S Shakur; S Amin-Hanjani; F Charbel; Y Tobe; A Robertson; J Frösen Journal: AJNR Am J Neuroradiol Date: 2019-02-07 Impact factor: 3.825
Authors: Juhana Frösen; Riikka Tulamo; Anders Paetau; Elisa Laaksamo; Miikka Korja; Aki Laakso; Mika Niemelä; Juha Hernesniemi Journal: Acta Neuropathol Date: 2012-01-17 Impact factor: 17.088
Authors: Maryam Rahman; Christopher S Ogilvy; Gregory J Zipfel; Colin P Derdeyn; Adnan H Siddiqui; Ketan R Bulsara; Louis J Kim; Howard A Riina; J Mocco; Brian L Hoh Journal: Neurosurgery Date: 2011-01 Impact factor: 4.654
Authors: Jianping Xiang; Sabareesh K Natarajan; Markus Tremmel; Ding Ma; J Mocco; L Nelson Hopkins; Adnan H Siddiqui; Elad I Levy; Hui Meng Journal: Stroke Date: 2010-11-24 Impact factor: 7.914
Authors: Brian V Nahed; Michael L DiLuna; Thomas Morgan; Eylem Ocal; Abigail A Hawkins; Koray Ozduman; Kristopher T Kahle; Andrea Chamberlain; Arun P Amar; Murat Gunel Journal: Neurosurgery Date: 2005-10 Impact factor: 4.654
Authors: David O Wiebers; J P Whisnant; J Huston; I Meissner; R D Brown; D G Piepgras; G S Forbes; K Thielen; D Nichols; W M O'Fallon; J Peacock; L Jaeger; N F Kassell; G L Kongable-Beckman; J C Torner Journal: Lancet Date: 2003-07-12 Impact factor: 79.321