CTA Characteristics of the Circle of Willis and Intracranial Aneurysm in a Chinese Crowd with Family History of Stroke

Background and Purpose. The vascular morphology in crowd with family history of stroke remains unclear. The present study clarified the characteristics of the intracranial vascular CoW and prevalence of intracranial aneurysms in subjects with family history of stroke. Methods. A stratified cluster,...

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Veröffentlicht in:BioMed research international 2016-01, Vol.2016, p.1743794-11
Hauptverfasser: Jin, Zhang-ning, Dong, Wen-tao, Cai, Xin-wang, Zhang, Zhen, Zhang, Li-tong, Gao, Feng, Kang, Xiao-kui, Li, Jia, Wang, Hai-ning, Gao, Nan-nan, Ning, Xian-jia, Tu, Jun, Li, Feng-tan, Zhang, Jing, Jiang, Ying-jian, Li, Nai-xin, Yang, Shu-yuan, Zhang, Jian-ning, Wang, Jing-hua, Yang, Xin-yu
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container_issue
container_start_page 1743794
container_title BioMed research international
container_volume 2016
creator Jin, Zhang-ning
Dong, Wen-tao
Cai, Xin-wang
Zhang, Zhen
Zhang, Li-tong
Gao, Feng
Kang, Xiao-kui
Li, Jia
Wang, Hai-ning
Gao, Nan-nan
Ning, Xian-jia
Tu, Jun
Li, Feng-tan
Zhang, Jing
Jiang, Ying-jian
Li, Nai-xin
Yang, Shu-yuan
Zhang, Jian-ning
Wang, Jing-hua
Yang, Xin-yu
description Background and Purpose. The vascular morphology in crowd with family history of stroke remains unclear. The present study clarified the characteristics of the intracranial vascular CoW and prevalence of intracranial aneurysms in subjects with family history of stroke. Methods. A stratified cluster, random sampling method was used for subjects with family history of stroke among rural residents in Jixian, Tianjin, China. All the subjects underwent a physical examination, head computed tomography (CT) scan, and cephalic and cervical computed tomography angiography (CTA) scan. Anatomic variations in the Circle of Willis and cerebrovascular disease in this population were analyzed. Results. In the crowd with similar living environment, stable genetic background, and family history of stroke and without obvious nerve function impairment (1) hypoplasia or absence of A1 segment was significantly different in gender (male versus female: 9.8% versus 18.8%, p=0.031), especially the right-side A1 (male versus female: 5.9% versus 16.4%, p=0.004). (2) Hypoplasia or absence of bilateral posterior communicating arteries was more common in men than women (58.2% versus 45.3%, p=0.032). Unilateral fetal posterior cerebral artery was observed more often in women than men (17.2% versus 8.5%, p=0.028). (3) The percentage of subjects with incomplete CoW did not increase significantly with age. Compared to healthy Chinese people, the crowd had a higher percentage of incomplete CoW (p
doi_str_mv 10.1155/2016/1743794
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The vascular morphology in crowd with family history of stroke remains unclear. The present study clarified the characteristics of the intracranial vascular CoW and prevalence of intracranial aneurysms in subjects with family history of stroke. Methods. A stratified cluster, random sampling method was used for subjects with family history of stroke among rural residents in Jixian, Tianjin, China. All the subjects underwent a physical examination, head computed tomography (CT) scan, and cephalic and cervical computed tomography angiography (CTA) scan. Anatomic variations in the Circle of Willis and cerebrovascular disease in this population were analyzed. Results. In the crowd with similar living environment, stable genetic background, and family history of stroke and without obvious nerve function impairment (1) hypoplasia or absence of A1 segment was significantly different in gender (male versus female: 9.8% versus 18.8%, p=0.031), especially the right-side A1 (male versus female: 5.9% versus 16.4%, p=0.004). (2) Hypoplasia or absence of bilateral posterior communicating arteries was more common in men than women (58.2% versus 45.3%, p=0.032). Unilateral fetal posterior cerebral artery was observed more often in women than men (17.2% versus 8.5%, p=0.028). (3) The percentage of subjects with incomplete CoW did not increase significantly with age. Compared to healthy Chinese people, the crowd had a higher percentage of incomplete CoW (p&lt;0.001). (4) No obvious correlation between risk factors and CoW was found. (5) The prevalence of aneurysm was 10.3% in the special crowd. Conclusions. The certain variations of CoW showed significant relation to gender, but not to age in people with family history of stroke. The incomplete circle may be a dangerous factor that is independent of common risk factors for stroke and tend to lead to cerebral ischemia in the crowd with family history of stroke. The prevalence of intracranial aneurysm is comparatively high in the present subjects compared to other people.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2016/1743794</identifier><identifier>PMID: 26881211</identifier><language>eng</language><publisher>United States: Hindawi Publishing Corporation</publisher><subject>Adult ; Aged ; Aneurysms ; Cattle ; Cerebral Angiography ; Cerebrovascular Disorders - diagnostic imaging ; Cerebrovascular Disorders - epidemiology ; Cerebrovascular Disorders - pathology ; China ; Circle of Willis - diagnostic imaging ; CT imaging ; Diagnostic imaging ; Family ; Female ; Health risk assessment ; Humans ; Intracranial Aneurysm - diagnostic imaging ; Intracranial Aneurysm - epidemiology ; Intracranial Aneurysm - pathology ; Intracranial aneurysms ; Male ; Middle Aged ; Pedigree ; Risk Factors ; Stroke ; Stroke (Disease) ; Stroke - epidemiology ; Stroke - pathology ; Studies ; Surveys and Questionnaires ; Tomography, X-Ray Computed ; Veins &amp; arteries</subject><ispartof>BioMed research international, 2016-01, Vol.2016, p.1743794-11</ispartof><rights>Copyright © 2016 Zhang-ning Jin et al.</rights><rights>COPYRIGHT 2016 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2016 Zhang-ning Jin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2016 Zhang-ning Jin et al. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c579t-9cfb8486bd4875d95e3d67a46cf6a4e9d6b1c58e990152fc91e799cf5c4e6c6e3</citedby><cites>FETCH-LOGICAL-c579t-9cfb8486bd4875d95e3d67a46cf6a4e9d6b1c58e990152fc91e799cf5c4e6c6e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4736327/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4736327/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26881211$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Dumont, Aaron S.</contributor><creatorcontrib>Jin, Zhang-ning</creatorcontrib><creatorcontrib>Dong, Wen-tao</creatorcontrib><creatorcontrib>Cai, Xin-wang</creatorcontrib><creatorcontrib>Zhang, Zhen</creatorcontrib><creatorcontrib>Zhang, Li-tong</creatorcontrib><creatorcontrib>Gao, Feng</creatorcontrib><creatorcontrib>Kang, Xiao-kui</creatorcontrib><creatorcontrib>Li, Jia</creatorcontrib><creatorcontrib>Wang, Hai-ning</creatorcontrib><creatorcontrib>Gao, Nan-nan</creatorcontrib><creatorcontrib>Ning, Xian-jia</creatorcontrib><creatorcontrib>Tu, Jun</creatorcontrib><creatorcontrib>Li, Feng-tan</creatorcontrib><creatorcontrib>Zhang, Jing</creatorcontrib><creatorcontrib>Jiang, Ying-jian</creatorcontrib><creatorcontrib>Li, Nai-xin</creatorcontrib><creatorcontrib>Yang, Shu-yuan</creatorcontrib><creatorcontrib>Zhang, Jian-ning</creatorcontrib><creatorcontrib>Wang, Jing-hua</creatorcontrib><creatorcontrib>Yang, Xin-yu</creatorcontrib><title>CTA Characteristics of the Circle of Willis and Intracranial Aneurysm in a Chinese Crowd with Family History of Stroke</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Background and Purpose. The vascular morphology in crowd with family history of stroke remains unclear. The present study clarified the characteristics of the intracranial vascular CoW and prevalence of intracranial aneurysms in subjects with family history of stroke. Methods. A stratified cluster, random sampling method was used for subjects with family history of stroke among rural residents in Jixian, Tianjin, China. All the subjects underwent a physical examination, head computed tomography (CT) scan, and cephalic and cervical computed tomography angiography (CTA) scan. Anatomic variations in the Circle of Willis and cerebrovascular disease in this population were analyzed. Results. In the crowd with similar living environment, stable genetic background, and family history of stroke and without obvious nerve function impairment (1) hypoplasia or absence of A1 segment was significantly different in gender (male versus female: 9.8% versus 18.8%, p=0.031), especially the right-side A1 (male versus female: 5.9% versus 16.4%, p=0.004). (2) Hypoplasia or absence of bilateral posterior communicating arteries was more common in men than women (58.2% versus 45.3%, p=0.032). Unilateral fetal posterior cerebral artery was observed more often in women than men (17.2% versus 8.5%, p=0.028). (3) The percentage of subjects with incomplete CoW did not increase significantly with age. Compared to healthy Chinese people, the crowd had a higher percentage of incomplete CoW (p&lt;0.001). (4) No obvious correlation between risk factors and CoW was found. (5) The prevalence of aneurysm was 10.3% in the special crowd. Conclusions. The certain variations of CoW showed significant relation to gender, but not to age in people with family history of stroke. The incomplete circle may be a dangerous factor that is independent of common risk factors for stroke and tend to lead to cerebral ischemia in the crowd with family history of stroke. The prevalence of intracranial aneurysm is comparatively high in the present subjects compared to other people.</description><subject>Adult</subject><subject>Aged</subject><subject>Aneurysms</subject><subject>Cattle</subject><subject>Cerebral Angiography</subject><subject>Cerebrovascular Disorders - diagnostic imaging</subject><subject>Cerebrovascular Disorders - epidemiology</subject><subject>Cerebrovascular Disorders - pathology</subject><subject>China</subject><subject>Circle of Willis - diagnostic imaging</subject><subject>CT imaging</subject><subject>Diagnostic imaging</subject><subject>Family</subject><subject>Female</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Intracranial Aneurysm - diagnostic imaging</subject><subject>Intracranial Aneurysm - epidemiology</subject><subject>Intracranial Aneurysm - pathology</subject><subject>Intracranial aneurysms</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pedigree</subject><subject>Risk Factors</subject><subject>Stroke</subject><subject>Stroke (Disease)</subject><subject>Stroke - epidemiology</subject><subject>Stroke - pathology</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Tomography, X-Ray Computed</subject><subject>Veins &amp; 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Dong, Wen-tao ; Cai, Xin-wang ; Zhang, Zhen ; Zhang, Li-tong ; Gao, Feng ; Kang, Xiao-kui ; Li, Jia ; Wang, Hai-ning ; Gao, Nan-nan ; Ning, Xian-jia ; Tu, Jun ; Li, Feng-tan ; Zhang, Jing ; Jiang, Ying-jian ; Li, Nai-xin ; Yang, Shu-yuan ; Zhang, Jian-ning ; Wang, Jing-hua ; Yang, Xin-yu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c579t-9cfb8486bd4875d95e3d67a46cf6a4e9d6b1c58e990152fc91e799cf5c4e6c6e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aneurysms</topic><topic>Cattle</topic><topic>Cerebral Angiography</topic><topic>Cerebrovascular Disorders - diagnostic imaging</topic><topic>Cerebrovascular Disorders - epidemiology</topic><topic>Cerebrovascular Disorders - pathology</topic><topic>China</topic><topic>Circle of Willis - diagnostic imaging</topic><topic>CT imaging</topic><topic>Diagnostic imaging</topic><topic>Family</topic><topic>Female</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Intracranial Aneurysm - diagnostic imaging</topic><topic>Intracranial Aneurysm - epidemiology</topic><topic>Intracranial Aneurysm - pathology</topic><topic>Intracranial aneurysms</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pedigree</topic><topic>Risk Factors</topic><topic>Stroke</topic><topic>Stroke (Disease)</topic><topic>Stroke - epidemiology</topic><topic>Stroke - pathology</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Tomography, X-Ray Computed</topic><topic>Veins &amp; 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The vascular morphology in crowd with family history of stroke remains unclear. The present study clarified the characteristics of the intracranial vascular CoW and prevalence of intracranial aneurysms in subjects with family history of stroke. Methods. A stratified cluster, random sampling method was used for subjects with family history of stroke among rural residents in Jixian, Tianjin, China. All the subjects underwent a physical examination, head computed tomography (CT) scan, and cephalic and cervical computed tomography angiography (CTA) scan. Anatomic variations in the Circle of Willis and cerebrovascular disease in this population were analyzed. Results. In the crowd with similar living environment, stable genetic background, and family history of stroke and without obvious nerve function impairment (1) hypoplasia or absence of A1 segment was significantly different in gender (male versus female: 9.8% versus 18.8%, p=0.031), especially the right-side A1 (male versus female: 5.9% versus 16.4%, p=0.004). (2) Hypoplasia or absence of bilateral posterior communicating arteries was more common in men than women (58.2% versus 45.3%, p=0.032). Unilateral fetal posterior cerebral artery was observed more often in women than men (17.2% versus 8.5%, p=0.028). (3) The percentage of subjects with incomplete CoW did not increase significantly with age. Compared to healthy Chinese people, the crowd had a higher percentage of incomplete CoW (p&lt;0.001). (4) No obvious correlation between risk factors and CoW was found. (5) The prevalence of aneurysm was 10.3% in the special crowd. Conclusions. The certain variations of CoW showed significant relation to gender, but not to age in people with family history of stroke. The incomplete circle may be a dangerous factor that is independent of common risk factors for stroke and tend to lead to cerebral ischemia in the crowd with family history of stroke. The prevalence of intracranial aneurysm is comparatively high in the present subjects compared to other people.</abstract><cop>United States</cop><pub>Hindawi Publishing Corporation</pub><pmid>26881211</pmid><doi>10.1155/2016/1743794</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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2314-6141
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4736327
source MEDLINE; PubMed Central Open Access; Wiley Online Library (Open Access Collection); PubMed Central; Alma/SFX Local Collection
subjects Adult
Aged
Aneurysms
Cattle
Cerebral Angiography
Cerebrovascular Disorders - diagnostic imaging
Cerebrovascular Disorders - epidemiology
Cerebrovascular Disorders - pathology
China
Circle of Willis - diagnostic imaging
CT imaging
Diagnostic imaging
Family
Female
Health risk assessment
Humans
Intracranial Aneurysm - diagnostic imaging
Intracranial Aneurysm - epidemiology
Intracranial Aneurysm - pathology
Intracranial aneurysms
Male
Middle Aged
Pedigree
Risk Factors
Stroke
Stroke (Disease)
Stroke - epidemiology
Stroke - pathology
Studies
Surveys and Questionnaires
Tomography, X-Ray Computed
Veins & arteries
title CTA Characteristics of the Circle of Willis and Intracranial Aneurysm in a Chinese Crowd with Family History of Stroke
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