The anterior communicating artery variants: a meta-analysis with a proposed classification system.

Autor: Triantafyllou G; Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str, Goudi, Athens, 11527, Greece., Tudose RC; Division of Anatomy, Faculty of Dentistry, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania., Tsiouris C; Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str, Goudi, Athens, 11527, Greece., Tsakotos G; Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str, Goudi, Athens, 11527, Greece., Loukas M; Department of Anatomical Sciences, St. George's University, Grenada, USA., Tubbs RS; Department of Anatomical Sciences, St. George's University, Grenada, USA.; Department of Neurosurgery, Tulane University School of Medicine, New Orleans, LA, USA., Kalamatianos T; Department of Neurosurgery, Evangelismos Hospital, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece., Chrissicopoulos C; Neurosurgery & Interventional Neuroradiology Department, Hygeia Hospital, Athens, Greece., Al-Nasraoui K; Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str, Goudi, Athens, 11527, Greece., Koutserimpas C; Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str, Goudi, Athens, 11527, Greece., Rusu MC; Division of Anatomy, Faculty of Dentistry, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania., Natsis K; Department of Anatomy and Surgical Anatomy, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece., Kotrotsios A; Rheumatology Clinic Iasso Thessalian Hospital, School of Medicine, University of Thessaly, Larissa, Greece., Piagkou M; Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str, Goudi, Athens, 11527, Greece. piagkoumara@gmail.com.
Jazyk: angličtina
Zdroj: Surgical and radiologic anatomy : SRA [Surg Radiol Anat] 2024 May; Vol. 46 (5), pp. 697-716. Date of Electronic Publication: 2024 Mar 01.
DOI: 10.1007/s00276-024-03336-7
Abstrakt: Morphological and morphometric variants of the anterior communicating artery (AComA) have been described by multiple studies; however, a complete classification system of all possible morphological variants with their prevalence is lacking. The current systematic review with meta-analysis combines data from different databases, concerning the AComA morphological and morphometric variants (length and diameter). Emphasis was given to the related clinical implications to highlight the clinical value of their knowledge. The typical AComA morphology occurs with a pooled prevalence (PP) of 67.3%, while the PP of atypical AComA is 32.7%. The identified AComA morphological variants (artery's hypoplasia, absence, duplication, triplication, differed shape, fenestration, and the persistence of a median artery of the corpus callosum- MACC) were classified in order of frequency. The commonest presented variants were the AComA hypoplasia (8%) and the anterior cerebral artery (ACA) fusion (5.9%), and the rarest ones were the MACC persistence (2.3%), and the AComA triplication (0.7%). The knowledge of those variants is essential, especially for neurosurgeons operating in the area. Given the high prevalence of AComA aneurysms, an adequate and complete classification of those variants is of utmost importance.
(© 2024. The Author(s).)
Databáze: MEDLINE
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