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Published on: February 7, 2025
A 9-Year Longitudinal Study of Basilar Artery Diameter
Mariko Takeuchi1, Kaori Miwa2, Makiko Tanaka3
11 Department of Neurology and Stroke Center Osaka University Graduate School of Medicine Suita, Osaka Japan.
A smaller longitudinal change in basilar artery (BA) diameter is linked to a higher incidence of cardiovascular events (CVEs). BA diameter generally increases over time, but this progression varies based on sex and initial BA size.
Area of Science:
- Neuroimaging
- Cardiovascular Medicine
- Epidemiology
Background:
- Basilar artery (BA) dilatation is a known predictor of cardiovascular events (CVEs).
- The association between the longitudinal change in BA diameter (Δ BA) and CVEs remains unclear.
- Understanding BA diameter changes may offer new insights into cardiovascular risk.
Purpose of the Study:
- To evaluate the relationship between longitudinal changes in BA diameter (Δ BA) and the incidence of CVEs.
- To assess the time course of BA diameter in a cohort with vascular risk factors.
Main Methods:
- Observational study of Japanese participants with vascular risk factors.
- Basilar artery (BA) diameter measured at the midpons level using T2-weighted MRI.
- Time-dependent Cox proportional hazards model and linear regression analysis used for evaluation.
Main Results:
- A smaller Δ BA was independently associated with a higher incidence of CVEs (HR, 0.36; P=0.010).
- Over a mean follow-up of 8.7 years, 105 out of 493 patients developed CVEs.
- BA diameter increased over time (mean Δ BA of 0.41±0.46 mm over 9.4 years), influenced by sex and initial BA diameter.
Conclusions:
- Longitudinal changes in BA diameter are inversely associated with cardiovascular event incidence.
- Basilar artery diameter generally increases over time, with variations observed.
- Findings suggest Δ BA is a significant, independent predictor of CVEs.
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