Anatomical Variants of Anterior Cerebral Arterial Circle: A Study by Multidetector Computerized 3D Tomographic Angiography

SUMMARY: One of the most common causes of stroke is rupture of aneurysms whose approach requires knowledge of anatomical variants. The aim of this study was to determine the prevalence of anatomical variants of the anterior cerebral artery (ACA) and the anterior communicating artery (AComA) by 3D co...

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Autores principales: Jiménez Sosa, Michelle Stephanie, Cantú González, Juan Ramón, Morales Avalos, Rodolfo, De la Garza Castro, Oscar, Quiroga Garza, Alejandro, Pinales Razo, Ricardo, Elizondo Riojas, Guillermo, Elizondo Omaña, Rodrigo Enrique, Guzmán López, Santos
Formato: Artículo
Lenguaje:inglés
Publicado: 2017
Acceso en línea:http://eprints.uanl.mx/17553/1/342.pdf
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author Jiménez Sosa, Michelle Stephanie
Cantú González, Juan Ramón
Morales Avalos, Rodolfo
De la Garza Castro, Oscar
Quiroga Garza, Alejandro
Pinales Razo, Ricardo
Elizondo Riojas, Guillermo
Elizondo Omaña, Rodrigo Enrique
Guzmán López, Santos
author_facet Jiménez Sosa, Michelle Stephanie
Cantú González, Juan Ramón
Morales Avalos, Rodolfo
De la Garza Castro, Oscar
Quiroga Garza, Alejandro
Pinales Razo, Ricardo
Elizondo Riojas, Guillermo
Elizondo Omaña, Rodrigo Enrique
Guzmán López, Santos
author_sort Jiménez Sosa, Michelle Stephanie
collection Repositorio Institucional
description SUMMARY: One of the most common causes of stroke is rupture of aneurysms whose approach requires knowledge of anatomical variants. The aim of this study was to determine the prevalence of anatomical variants of the anterior cerebral artery (ACA) and the anterior communicating artery (AComA) by 3D computed tomography angiography (3D CTA) in Mexican individuals. A retrospective, observational, cross-sectional descriptive study of 283 patients, independent of sex or age, in which morphometric measurements of cerebral vessels were evaluated using contrasted 3D CTA from a period of two years was performed. We found at least one "atypical" variant in a third of the study population (33.93 %). The most common "atypical" variant was the absence of the AComA (14.1 %). A significant association between the hypoplastic variant of the right A1 segment and hypoplasia of the left A1 and the right A2 was found, while hypoplasia of the left A1 was associated with hypoplasia of the right A2. There is a difference in the prevalence of anatomical variants of the ACA-AComA complex in Mexican population in relation to other populations. The typical variant is the most prevalent form in the study population. However, the presence of atypical variants represents an important number that should be taken into account in clinical and surgical procedures. KEY WORDS: Anterior cerebral artery; Anatomical variant; Anterior communicating artery; Cerebral arterial circle; Subarachnoid hemorrhage; Cerebral endovascular surgery.
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spelling eprints-175532021-12-03T17:35:31Z http://eprints.uanl.mx/17553/ Anatomical Variants of Anterior Cerebral Arterial Circle: A Study by Multidetector Computerized 3D Tomographic Angiography Jiménez Sosa, Michelle Stephanie Cantú González, Juan Ramón Morales Avalos, Rodolfo De la Garza Castro, Oscar Quiroga Garza, Alejandro Pinales Razo, Ricardo Elizondo Riojas, Guillermo Elizondo Omaña, Rodrigo Enrique Guzmán López, Santos SUMMARY: One of the most common causes of stroke is rupture of aneurysms whose approach requires knowledge of anatomical variants. The aim of this study was to determine the prevalence of anatomical variants of the anterior cerebral artery (ACA) and the anterior communicating artery (AComA) by 3D computed tomography angiography (3D CTA) in Mexican individuals. A retrospective, observational, cross-sectional descriptive study of 283 patients, independent of sex or age, in which morphometric measurements of cerebral vessels were evaluated using contrasted 3D CTA from a period of two years was performed. We found at least one "atypical" variant in a third of the study population (33.93 %). The most common "atypical" variant was the absence of the AComA (14.1 %). A significant association between the hypoplastic variant of the right A1 segment and hypoplasia of the left A1 and the right A2 was found, while hypoplasia of the left A1 was associated with hypoplasia of the right A2. There is a difference in the prevalence of anatomical variants of the ACA-AComA complex in Mexican population in relation to other populations. The typical variant is the most prevalent form in the study population. However, the presence of atypical variants represents an important number that should be taken into account in clinical and surgical procedures. KEY WORDS: Anterior cerebral artery; Anatomical variant; Anterior communicating artery; Cerebral arterial circle; Subarachnoid hemorrhage; Cerebral endovascular surgery. 2017 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/17553/1/342.pdf http://eprints.uanl.mx/17553/1.haspreviewThumbnailVersion/342.pdf Jiménez Sosa, Michelle Stephanie y Cantú González, Juan Ramón y Morales Avalos, Rodolfo y De la Garza Castro, Oscar y Quiroga Garza, Alejandro y Pinales Razo, Ricardo y Elizondo Riojas, Guillermo y Elizondo Omaña, Rodrigo Enrique y Guzmán López, Santos (2017) Anatomical Variants of Anterior Cerebral Arterial Circle: A Study by Multidetector Computerized 3D Tomographic Angiography. International Journal of Morphology, 35 (3). pp. 1121-1128. ISSN 0717-9502 http://doi.org/10.4067/S0717-95022017000300049 doi:10.4067/S0717-95022017000300049
spellingShingle Jiménez Sosa, Michelle Stephanie
Cantú González, Juan Ramón
Morales Avalos, Rodolfo
De la Garza Castro, Oscar
Quiroga Garza, Alejandro
Pinales Razo, Ricardo
Elizondo Riojas, Guillermo
Elizondo Omaña, Rodrigo Enrique
Guzmán López, Santos
Anatomical Variants of Anterior Cerebral Arterial Circle: A Study by Multidetector Computerized 3D Tomographic Angiography
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Anatomical Variants of Anterior Cerebral Arterial Circle: A Study by Multidetector Computerized 3D Tomographic Angiography
title_full Anatomical Variants of Anterior Cerebral Arterial Circle: A Study by Multidetector Computerized 3D Tomographic Angiography
title_fullStr Anatomical Variants of Anterior Cerebral Arterial Circle: A Study by Multidetector Computerized 3D Tomographic Angiography
title_full_unstemmed Anatomical Variants of Anterior Cerebral Arterial Circle: A Study by Multidetector Computerized 3D Tomographic Angiography
title_short Anatomical Variants of Anterior Cerebral Arterial Circle: A Study by Multidetector Computerized 3D Tomographic Angiography
title_sort anatomical variants of anterior cerebral arterial circle a study by multidetector computerized 3d tomographic angiography
url http://eprints.uanl.mx/17553/1/342.pdf
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