About this trial
The purpose of the bCAN study is to create a prospective collection of multimodal data and human samples, linked to the French Intracranial Aneurysm Registry (FRAN).
The aim of bCAN is to enable risk stratification of ruptured ICAs by redefining "intracranial aneurysm disease". The description of genotypically and phenotypically specific subgroups of cases will pave the way for improved patient management based on new diagnostic/prognostic strategies among AIC carriers, either in a familial context, or at the level of the general population.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Any adult patient consulting for a definite and typical bifurcation AIC authenticated on MRI and/or cerebral arteriography
Aneurysm discovered less than a year ago, with initial imaging (MRI and/or CTA and DSA) available
Written consent obtained for study participation
Patient covered by a social security plan
Disqualifiers
Syndromic diagnosis known to cause ICA: Marfan syndrome, OSA with SMAD 3, Elhers Danlos syndrome type II and IV, Autosomal Dominant Cystic Fibrosis, Moya-Moya syndrome
AIC with : Dissecting or fusiform, Associated with arteriovenous malformation, Blister-like, Mycotic
Cerebral white matter pathology detected on MRI evoking : Col4a1 mutation
Patient under guardianship or conservatorship
Trial design
Single group
Treatments tested in this trial
blood or saliva sample
Other interventionCollection of blood or saliva
Treatment groups
Trial outcomes
Primary outcomes
Performance of a predictive model allowing the classification of ICA subphenotypes
The performance of a predictive model allowing the classification of ICA subphenotypes will be analysed through the study of genetic results, quantitative features extracted from imaging and clinical data on rupture
Secondary outcomes
Characterization of arterial bifurcations
Quantitative morphological measurements of arterial bifurcations assessed using image processing tools enabling automatic characterization (artery diameters (in mm); artery cross-sections (in mm²); angles separating arteries (in degrees)
Characterization of aneurysmal sacs
Quantitative morphological measurements of aneurysmal sacs assessed using image processing tools enabling automatic characterization (volume (in mm³); external surface area of the envelope (mm²); neck area (mm²))
Screening of genetic mutations
Presence of genetic mutations in patients with intracranial aneurysms compared with a reference population, but also in a familial context. Genetic variations will be studied by whole exome sequencing
Correlation between genotypes and phenotypes
Correlations between genetic mutations and the different clinical and biological phenotypes described in patients with sporadic ICA
Sponsors and contacts
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Nantes University Hospital
Lead sponsor
Federation of Medical Specialties
Collaborator