[1]张学敬,韩思勤,杨 磊.临床少见大脑动脉瘤及其动脉分叉的形态学特点[J].介入放射学杂志,2024,33(02):182-185.
 ZHANG Xuejing,HAN Siqin,YANG Lei..Morphological characteristics of clinically rare cerebral aneurysms and arterial bifurcations[J].journal interventional radiology,2024,33(02):182-185.
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临床少见大脑动脉瘤及其动脉分叉的形态学特点()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
33
期数:
2024年02
页码:
182-185
栏目:
临床研究
出版日期:
2024-03-08

文章信息/Info

Title:
Morphological characteristics of clinically rare cerebral aneurysms and arterial bifurcations
作者:
张学敬 韩思勤 杨 磊
Author(s):
ZHANG Xuejing HAN Siqin YANG Lei.
Shijiazhuang People’s Hospital, Shijiazhuang, Hebei Province 050011, China
关键词:
【关键词】 脑动脉瘤 临床少见 形态学参数 分叉角度 血管曲度
文献标志码:
A
摘要:
【摘要】 目的 了解3种临床少见大脑动脉瘤及其动脉分叉的形态学特点。方法 纳入2017年1月至2020年4月石家庄市人民医院收治的大脑前动脉- 胼周动脉(ACA- PA)动脉瘤患者8例,颈内动脉- 脉络膜前动脉(ICA- AChA)分叉动脉瘤患者5例,椎动脉- 小脑后下动脉(VA- PICA)分叉动脉瘤患者4例。记录患者的临床基线资料并测量形态学参数。分叉顶角和小、大外侧角分别定义为φ1、φ2和φ3,D1、S1和T1分别代表主干血管的直径、横截面面积和曲度;D2、S2和T2定义为与主干血管形成小外侧角一侧分支血管的相应参数;D3、S3和T3则为对侧分支血管的相对应形态学参数。结果 ICA- AChA和VA- PICA分叉动脉瘤均为D型动脉瘤,且朝向小外侧角;6例患者的ACA- PA分叉动脉瘤为C型动脉瘤,其中5例患者的C型动脉瘤朝向小外侧角。ACA- PA和ICA- AChA动脉瘤患者的S2和φ2均显著小于S3和φ3(P<0.05),而T2显著大于T3(P<0.05); VA- PICA分叉动脉瘤亦具有相似趋势。结论 3种动脉瘤多朝向小外侧角,且小外侧角及其同侧分支血管的直径、横截面面积均小于对侧,而曲度大于对侧分支血管。

参考文献/References:

[1] Pei Y, Xu Z, Liang G, et al. Risk factors of anterior circulation intracranial aneurysm rupture: extracranial carotid artery tortuosity and aneurysm morphologic parameters[J]. Front Neurol, 2021,12:693549.
[2] 蒙宏亮, 李振均, 曾 恒,等. 支架辅助弹簧圈栓塞治疗急性期颅内破裂宽颈动脉瘤的安全性和有效性观察[J]. 中华神经医学杂志, 2021,20:584- 589.
[3] Hao W, Yang L, Cao X, et al. Cerebral arterial bifurcations harboring D type aneurysm are more asymmetrical than those with C type aneurysm[J]. J Stroke Cerebrovasc Dis, 2021,30:105972.
[4] Song J, Zhu F, Qian Y, et al. Morphological and hemodynamic differences between aneurysmal middle cerebral artery bifurcation and contralateral nonaneurysmal anatomy[J]. Neurosurgery, 2017, 81:779- 786.
[5] Tutuncu F, Schimansky S, Baharoglu MI, et al. Widening of the basilar bifurcation angle: association with presence of intracranial aneurysm, age, and female sex[J]. J Neurosurg, 2014, 121:1401- 1410.
[6] Nagaraj A, Majmundar N, Jumah F, et al. Interhemispheric approach for clipping of a pericallosal artery aneurysm: 2- dimensional operative video[J]. World Neurosurg, 2022,161:90.
[7] Andre A, Boch AL, Di Maria F, et al. Complication risk factors in anterior choroidal artery aneurysm treatment[J]. Clin Neuroradiol, 2018,28:345- 356.
[8] 向 祥, 何朝晖. 脉络膜前动脉动脉瘤夹闭术后缺血并发症的相关研究进展[J]. 重庆医科大学学报, 2018, 43:1011- 1014.
[9] Fatehi M, Rizzuto MA, Prakash S, et al. Functional outcomes after treatment of posterior inferior cerebellar artery aneurysms[J]. Cureus, 2020, 12:e11746.
[10] Parker LP, Powell JT, Kelsey LJ, et al. Morphology and hemodynamics in isolated common iliac artery aneurysms impacts proximal aortic remodeling[J]. Arterioscler Thromb Vasc Biol, 2019, 39:1125- 1136.
[11] 杨 磊, 韩思勤, 郝伟丽,等. 不对称的大脑中动脉分叉结构与动脉瘤形成的相关性分析[J]. 中华神经医学杂志 2021, 20:578- 583.
[12] 张学敬, 郝伟丽, 杨松涛,等. 分支血管异常增大的血流动力学应力促进前交通动脉瘤形成[J]. 介入放射学杂志, 2019,28:625- 629.
[13] Chalouhi N, Hoh BL, Hasan D. Review of cerebral aneurysm formation, growth, and rupture[J]. Stroke, 2013,44:3613- 3622.
[14] Alnaes MS,Isaksen J,Mardal KA,et al. Computation of hemody- namics in the circle of Willis[J]. Stroke, 2007,38:2500- 2505.
[15] Sadatomo T, Yuki K, Migita K, et al. Differences between middle cerebral artery bifurcations with normal anatomy and those with aneurysms[J]. Neurosurg Rev, 2013,36:437- 445.
[16] Zhang X, Hao W, Han S, et al. Middle cerebral arterial bifurcation aneurysms are associated with bifurcation angle and high tortuosity[J]. J Neuroradiol, 2022,49:392- 397.
[17] Meng H, Wang Z, Hoi Y, et al. Complex hemodynamics at the apex of an arterial bifurcation induces vascular remodeling resembling cerebral aneurysm initiation[J]. Stroke, 2007,38:1924- 1931.
[18] Burlakoti A, Kumaratilake J, Taylor DJ, et al. Quantifying asymmetry of anterior cerebral arteries as a predictor of anterior communicating artery complex aneurysm[J]. BMJ Surg Interv Health Technol, 2020,2:e000059.
[19] 滕碧云, 王 哲, 周治军,等. 基于曲率的破裂腹主动脉瘤计算流体力学研究[J]. 介入放射学杂志, 2022, 31:664- 668.

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备注/Memo

备注/Memo:
(收稿日期:2023- 01- 28)
(本文编辑:新 宇)
更新日期/Last Update: 2024-03-08