Aneurysm: Prevention

To prevent aneurysm, attention must be paid to reducing individual risk factors.

Aneurysm of the vessels supplying the brain

Behavioral risk factors

  • Alcohol abuse
  • Nicotine abuse (applies to both sexes)
    • Proportion of female smokers with intracranial (“localized within the skull”) aneurysms is about four times higher than among women without aneurysms

Prevention factors

  • Genetic factors:
    • Genetic risk reduction depending on gene polymorphisms:
      • Genes/SNPs (single nucleotide polymorphism):
        • SNP: rs10757278 in an intergenic region.
          • Allele constellation: AA (0.77-fold).
  • Medications: It is possible that therapy with acetylsalicylic acid (ASA; at least 81 mg daily) slows the growth of intracranial aneurysms (brain aneurysms).

Thoracic aortic aneurysm

Behavioral risk factors

  • Nicotine abuse

Abdominal aortic aneurysm

Behavioral risk factors

  • Nicotine abuse (for older male smokers or ex-smokers, routine screening for early detection of abdominal aortic aneurysm is recommended!)

Note: All men over 65 years of age in Germany are recommended abdominal aortic aneurysm screening (BAA screening). The prevalence (disease incidence) of BAA is 1.5% annually. The mortality (death rate) of ruptured abdominal aortic aneurysm (BAA) is high, as high as 80%.

Prevention Factors

  • Genetic factors:
    • Genetic risk reduction depending on gene polymorphisms:
      • Genes/SNPs (single nucleotide polymorphism):
        • SNP: rs10757278 in an intergenic region [cerebral aneurysm and abdominal aortic aneurysm].
          • Allele constellation: AA (0.77-fold).