前交通动脉瘤破裂的临床及形态学因素分析。

IF 2.6 Q2 PERIPHERAL VASCULAR DISEASE
Beny Rilianto, Bambang Tri Prasetyo, Ricky Gusanto Kurniawan, Kelvin Theandro Gotama, Pratiwi Raissa Windiani, Abrar Arham, Muhammad Kusdiansah
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引用次数: 0

摘要

简介:前交通动脉(ACoA)动脉瘤是最常见的脑动脉瘤破裂,其临床负担很大,但在印度尼西亚影响其破裂的因素有限。本研究旨在确定印尼人与非ACoA动脉瘤相比,ACoA破裂的临床和形态学特征。患者和方法:我们回顾性回顾了本中心2019年1月至2022年12月的动脉瘤患者登记,并通过单因素和多因素分析比较了ACoA动脉瘤破裂与其他地方动脉瘤破裂的临床和形态学特征。结果:292例动脉瘤破裂325例,ACoA 89例。患者平均年龄54.99岁,非ACoA组以女性为主(非ACoA组:73.31%,ACoA组:46.07%)。单因素分析,年龄≥60岁[年龄60-69岁:OR = 0.311 (0.111-0.869), p=0.026;年龄≥70岁:OR = 0.215 (0.056 ~ 0.819), p=0.024,女性[OR = 0.311 (0.182 ~ 0.533), pp=0.022]与ACoA动脉瘤破裂有显著相关性。在多因素分析中,只有女性与ACoA动脉瘤破裂独立相关(aOR 0.355 [0.436-1.961], p=0.001)。结论:在我们的研究中,ACoA动脉瘤破裂与高龄、女性、存在女儿动脉瘤呈负相关,并与吸烟直接相关。多因素调整后,女性与ACoA动脉瘤破裂有独立的相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Clinical and Morphological Factors for Ruptured Anterior Communicating Artery Aneurysms.

Clinical and Morphological Factors for Ruptured Anterior Communicating Artery Aneurysms.

Introduction: The anterior communicating artery (ACoA) aneurysm, the most frequent cerebral aneurysm to rupture, carries a significant clinical burden, yet the factors influencing its rupture are limited in Indonesia. This study aims to determine the clinical and morphological features associated with ruptured ACoA compared to non-AcoA aneurysms among Indonesians.

Patients and methods: We retrospectively reviewed our center's aneurysm patient registry from January 2019 to December 2022, and compared the clinical and morphological features between ruptured ACoA aneurysms and ruptured aneurysms elsewhere with univariate and multivariate analyses.

Results: Of the 292 patients with 325 ruptured aneurysms, 89 were from ACoA. The mean age of patients was 54.99 years, with female preponderance in the non-ACoA group (non-ACoA: 73.31%, ACoA: 46.07%). On univariate analysis, ages ≥60 [ages 60-69: OR = 0.311 (0.111-0.869), p=0.026; ages ≥70: OR = 0.215 (0.056-0.819), p=0.024], female gender [OR = 0.311 (0.182-0.533), p<0.001], and smoking [OR=2.069 (1.036-4.057), p=0.022] exhibited significant association with ruptured ACoA aneurysm. On multivariate analysis, only the female gender was independently associated with ruptured ACoA aneurysm (aOR 0.355 [0.436-1.961], p=0.001).

Conclusion: In our study, ruptured ACoA aneurysm was inversely associated with advanced age, female gender, presence of daughter aneurysm, and directly associated with smoking. After multivariate adjustment, the female gender showed an independent association with ruptured ACoA aneurysm.

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来源期刊
Vascular Health and Risk Management
Vascular Health and Risk Management PERIPHERAL VASCULAR DISEASE-
CiteScore
4.20
自引率
3.40%
发文量
109
审稿时长
16 weeks
期刊介绍: An international, peer-reviewed journal of therapeutics and risk management, focusing on concise rapid reporting of clinical studies on the processes involved in the maintenance of vascular health; the monitoring, prevention, and treatment of vascular disease and its sequelae; and the involvement of metabolic disorders, particularly diabetes. In addition, the journal will also seek to define drug usage in terms of ultimate uptake and acceptance by the patient and healthcare professional.
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