Anatomical features of aneurysms, nature of hemorrhage, severity of angiospasm, and clinical features in Patients with Ruptured Aneurysms of the AComA
DOI:
https://doi.org/10.32782/2415-8127.2023.68.26Keywords:
anterior communicating artery, aneurysm, hemorrhage, angiospasm, subarachnoid hemorrhage, neurosurgery, hemodynamics, treatment, management, risk factors, imaging, diagnosis, clinical dataAbstract
The purpose of this study is to investigate the anatomical characteristics of hemorrhage and angiospasm in patients with ruptured aneurysms of the anterior connecting artery (AComA) and identify factors that may contribute to the development of these complications. The study is based on a review of medical records, imaging studies, and clinical data collected from patients with AComA aneurysms between 2008 and 2019. The materials and methods: A total of 98 patients were included in the study, with a mean age of 47.8±11 years. The female-to-male ratio was 1.04:1. Aneurysms were verified using computer tomography of the vessels of the head and neck, selective cerebral angiography, and MRI angiography of cerebral vessels. Results suggest that certain anatomical features of AComA aneurysms, such as size, location, and shape, may be associated with an increased risk of hemorrhage and angiospasm. Hemodynamic factors, such as blood flow velocity and turbulence, may also play a role in the development of these complications. The study highlights the importance of early diagnosis and prompt treatment of AComA aneurysms and suggests that patients with larger aneurysms or those with irregular shapes or multiple lobes may require more aggressive management strategies. Conclusion. The findings of this study may help guide clinical decision-making and improve patient outcomes, by allowing clinicians to tailor treatment strategies to the individual patient's needs and risk profile. Further research in this area is warranted to confirm and extend these findings and to develop new approaches for preventing and managing these potentially life-threatening complications.
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