{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:09:03Z","timestamp":1787760543745,"version":"build-2784847793"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"Chung-Ang University Medical Center"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neurosurg Rev"],"DOI":"10.1007\/s10143-025-03902-6","type":"journal-article","created":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:09:42Z","timestamp":1761955782000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Association of anterior communicating artery location with rupture in small intracranial aneurysms less than 5\u00a0mm: a retrospective analysis"],"prefix":"10.1007","volume":"48","author":[{"given":"Shin Heon","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyoung Min","family":"Jang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taek Kyun","family":"Nam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyun Ho","family":"Choi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,1]]},"reference":[{"issue":"2","key":"3902_CR1","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1159\/000346087","volume":"35","author":"T Steiner","year":"2013","unstructured":"Steiner T, Juvela S, Unterberg A, Jung C, Forsting M, Rinkel G (2013) European stroke organization guidelines for the management of intracranial aneurysms and subarachnoid haemorrhage. Cerebrovasc Dis 35(2):93\u2013112","journal-title":"Cerebrovasc Dis"},{"issue":"3","key":"3902_CR2","doi-asserted-by":"publisher","first-page":"217","DOI":"10.7461\/jcen.2015.17.3.217","volume":"17","author":"GJ Lee","year":"2015","unstructured":"Lee GJ, Eom KS, Lee C, Kim DW, Kang SD (2015) Rupture of very small intracranial aneurysms: incidence and clinical characteristics. J Cerebrovasc Endovasc Neurosurg 17(3):217\u2013222","journal-title":"J Cerebrovasc Endovasc Neurosurg"},{"issue":"11","key":"3902_CR3","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0142330","volume":"10","author":"H Kang","year":"2015","unstructured":"Kang H, Ji W, Qian Z, Li Y, Jiang C, Wu Z et al (2015) Aneurysm characteristics associated with the rupture risk of intracranial aneurysms: a self-controlled study. PLoS ONE 10(11):e0142330","journal-title":"PLoS ONE"},{"key":"3902_CR4","doi-asserted-by":"publisher","first-page":"610","DOI":"10.1016\/j.wneu.2016.12.053","volume":"99","author":"T Abboud","year":"2017","unstructured":"Abboud T, Rustom J, Bester M, Czorlich P, Vittorazzi E, Pinnschmidt HO et al (2017) Morphology of ruptured and unruptured intracranial aneurysms. World Neurosurg 99:610\u2013617","journal-title":"World Neurosurg"},{"issue":"11","key":"3902_CR5","doi-asserted-by":"publisher","first-page":"3018","DOI":"10.1161\/STROKEAHA.113.001667","volume":"44","author":"P Bijlenga","year":"2013","unstructured":"Bijlenga P, Ebeling C, Jaegersberg M, Summers P, Rogers A, Waterworth A et al (2013) Risk of rupture of small anterior communicating artery aneurysms is similar to posterior circulation aneurysms. Stroke 44(11):3018\u20133026","journal-title":"Stroke"},{"issue":"1","key":"3902_CR6","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1161\/STROKEAHA.109.566356","volume":"41","author":"W Brinjikji","year":"2010","unstructured":"Brinjikji W, Lanzino G, Cloft HJ, Rabinstein A, Kallmes DF (2010) Endovascular treatment of very small (3\u00a0mm or smaller) intracranial aneurysms: report of a consecutive series and a meta-analysis. Stroke 41(1):116\u2013121","journal-title":"Stroke"},{"issue":"9378","key":"3902_CR7","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1016\/S0140-6736(03)13860-3","volume":"362","author":"DO Wiebers","year":"2003","unstructured":"Wiebers DO, Whisnant JP, Huston J 3rd, Meissner I, Brown RD Jr., Piepgras DG et al (2003) Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet 362(9378):103\u2013110","journal-title":"Lancet"},{"issue":"2","key":"3902_CR8","doi-asserted-by":"publisher","first-page":"85","DOI":"10.3340\/jkns.2009.45.2.85","volume":"45","author":"SW Joo","year":"2009","unstructured":"Joo SW, Lee SI, Noh SJ, Jeong YG, Kim MS, Jeong YT (2009) What is the significance of a large number of ruptured aneurysms smaller than 7 mm in diameter? J Korean Neurosurg Soc 45(2):85\u201389","journal-title":"J Korean Neurosurg Soc"},{"issue":"6","key":"3902_CR9","doi-asserted-by":"publisher","first-page":"1322","DOI":"10.1097\/00006123-200112000-00006","volume":"49","author":"TR Forget Jr","year":"2001","unstructured":"Forget TR Jr., Benitez R, Veznedaroglu E, Sharan A, Mitchell W, Silva M et al (2001) A review of size and location of ruptured intracranial aneurysms. Neurosurgery 49(6):1322\u20131325","journal-title":"Neurosurgery"},{"issue":"26","key":"3902_CR10","doi-asserted-by":"publisher","first-page":"2474","DOI":"10.1056\/NEJMoa1113260","volume":"366","author":"A Morita","year":"2012","unstructured":"Morita A, Kirino T, Hashi K, Aoki N, Fukuhara S, Hashimoto N et al (2012) The natural course of unruptured cerebral aneurysms in a Japanese cohort. N Engl J Med 366(26):2474\u20132482","journal-title":"N Engl J Med"},{"issue":"1","key":"3902_CR11","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1016\/j.surneu.2005.05.019","volume":"65","author":"J Beck","year":"2006","unstructured":"Beck J, Rohde S, Berkefeld J, Seifert V, Raabe A (2006) Size and location of ruptured and unruptured intracranial aneurysms measured by 3-dimensional rotational angiography. Surg Neurol 65(1):18\u201325","journal-title":"Surg Neurol"},{"issue":"3","key":"3902_CR12","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1016\/S0090-3019(03)00427-0","volume":"61","author":"Y Ohashi","year":"2004","unstructured":"Ohashi Y, Horikoshi T, Sugita M, Yagishita T, Nukui H (2004) Size of cerebral aneurysms and related factors in patients with subarachnoid hemorrhage. Surg Neurol 61(3):239\u2013245","journal-title":"Surg Neurol"},{"issue":"4","key":"3902_CR13","doi-asserted-by":"publisher","first-page":"692","DOI":"10.1093\/neuros\/nyx484","volume":"83","author":"MT Bender","year":"2018","unstructured":"Bender MT, Wendt H, Monarch T, Beaty N, Lin LM, Huang J et al (2018) Small aneurysms account for the majority and increasing percentage of aneurysmal subarachnoid hemorrhage: a 25-year, single institution study. Neurosurgery 83(4):692\u2013699","journal-title":"Neurosurgery"},{"issue":"1","key":"3902_CR14","doi-asserted-by":"publisher","first-page":"69","DOI":"10.3171\/2018.9.JNS181736","volume":"132","author":"F Ikawa","year":"2020","unstructured":"Ikawa F, Morita A, Tominari S, Nakayama T, Shiokawa Y, Date I et al (2020) Rupture risk of small unruptured cerebral aneurysms. J Neurosurg 132(1):69\u201378","journal-title":"J Neurosurg"},{"issue":"9342","key":"3902_CR15","doi-asserted-by":"publisher","first-page":"1267","DOI":"10.1016\/S0140-6736(02)11314-6","volume":"360","author":"A Molyneux","year":"2002","unstructured":"Molyneux A, Kerr R, Stratton I, Sandercock P, Clarke M, Shrimpton J et al (2002) International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial. Lancet 360(9342):1267\u20131274","journal-title":"Lancet"},{"issue":"6","key":"3902_CR16","doi-asserted-by":"publisher","first-page":"1694","DOI":"10.3171\/2021.5.JNS204389","volume":"136","author":"A Lauric","year":"2022","unstructured":"Lauric A, Silveira L, Lesha E, Breton JM, Malek AM (2022) Aneurysm presence at the anterior communicating artery bifurcation is associated with caliber tapering of the A1 segment. J Neurosurg 136(6):1694\u20131704","journal-title":"J Neurosurg"},{"issue":"10","key":"3902_CR17","doi-asserted-by":"publisher","first-page":"2906","DOI":"10.1161\/STROKEAHA.114.006055","volume":"45","author":"W Kaspera","year":"2014","unstructured":"Kaspera W, \u0141adzi\u0144ski P, Larysz P, Hebda A, Ptaszkiewicz K, Kopera M et al (2014) Morphological, hemodynamic, and clinical independent risk factors for anterior communicating artery aneurysms. Stroke 45(10):2906\u20132911","journal-title":"Stroke"},{"issue":"4","key":"3902_CR18","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1097\/RCT.0b013e3182574dea","volume":"36","author":"L Xu","year":"2012","unstructured":"Xu L, Zhang F, Wang H, Yu Y (2012) Contribution of the hemodynamics of A1 dysplasia or hypoplasia to anterior communicating artery aneurysms: a 3-dimensional numerical simulation study. J Comput Assist Tomogr 36(4):421\u2013426","journal-title":"J Comput Assist Tomogr"},{"issue":"12","key":"3902_CR19","doi-asserted-by":"publisher","first-page":"3376","DOI":"10.1161\/STROKEAHA.111.625871","volume":"42","author":"K Sato","year":"2011","unstructured":"Sato K, Yoshimoto Y (2011) Risk profile of intracranial aneurysms: rupture rate is not constant after formation. Stroke 42(12):3376\u20133381","journal-title":"Stroke"},{"issue":"1","key":"3902_CR20","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1016\/S1474-4422(13)70263-1","volume":"13","author":"JP Greving","year":"2014","unstructured":"Greving JP, Wermer MJ, Brown RD Jr., Morita A, Juvela S, Yonekura M et al (2014) Development of the PHASES score for prediction of risk of rupture of intracranial aneurysms: a pooled analysis of six prospective cohort studies. Lancet Neurol 13(1):59\u201366","journal-title":"Lancet Neurol"},{"key":"3902_CR21","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2024.1396701","volume":"15","author":"B Li","year":"2024","unstructured":"Li B, Zhang K, Yu J (2024) Current state of endovascular treatment of anterior cerebral artery aneurysms. Front Neurol 15:1396701","journal-title":"Front Neurol"},{"key":"3902_CR22","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2022.913653","volume":"13","author":"L Li","year":"2022","unstructured":"Li L, Gao BL, Shao QJ, Zhang GL, Wang ZL, Li TX et al (2022) Small unruptured intracranial aneurysms can be effectively treated with flow-diverting devices. Front Neurol 13:913653","journal-title":"Front Neurol"},{"issue":"4","key":"3902_CR23","first-page":"CD013312","volume":"2019","author":"FGDB Pontes","year":"2019","unstructured":"Pontes FGDB, Vasconcelos V, Baptista-Silva JCC, da Silva EMK (2019) Treatments for unruptured intracranial aneurysms. Cochrane Database Syst Rev 2019(4):CD013312","journal-title":"Cochrane Database Syst Rev"},{"issue":"2","key":"3902_CR24","doi-asserted-by":"publisher","first-page":"176","DOI":"10.3174\/ajnr.A7392","volume":"43","author":"AT Boltyenkov","year":"2022","unstructured":"Boltyenkov AT, Wang JJ, Malhotra A, Katz JM, Dehdashti AR, White TG et al (2022) Optimizing small, low-risk, unruptured intracranial aneurysm treatment using game theory. AJNR Am J Neuroradiol 43(2):176\u2013180","journal-title":"AJNR Am J Neuroradiol"},{"issue":"11","key":"3902_CR25","doi-asserted-by":"publisher","DOI":"10.3390\/brainsci12111524","volume":"12","author":"M Piano","year":"2022","unstructured":"Piano M, Trombatore P, Lozupone E, Pero G, Cervo A, Macera A et al (2022) Flow diverter devices in the treatment of anterior communicating artery region aneurysms: would the regional anatomy and the aneurysm location affect the outcomes? Brain Sci 12(11):1524","journal-title":"Brain Sci"},{"issue":"1","key":"3902_CR26","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1177\/19714009231212360","volume":"37","author":"H Zhang","year":"2024","unstructured":"Zhang H, Liang S, Zang B, Lv X (2024) Classification of anterior communicating aneurysms on a basis of endovascular treatments. Neuroradiol J 37(1):68\u201373","journal-title":"Neuroradiol J"}],"container-title":["Neurosurgical Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10143-025-03902-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10143-025-03902-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10143-025-03902-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T04:21:13Z","timestamp":1772079673000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10143-025-03902-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,1]]},"references-count":26,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3902"],"URL":"https:\/\/doi.org\/10.1007\/s10143-025-03902-6","relation":{},"ISSN":["1437-2320"],"issn-type":[{"value":"1437-2320","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,1]]},"assertion":[{"value":"13 September 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 October 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 October 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 November 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Institutional Review Board in accordance with the Declaration of Helsinki (approval No. 2508-031-19591).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"The requirement for informed consent was waived due to the retrospective study design.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests\u00a0"}}],"article-number":"751"}}