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Czasopismo

2004 | 63 | 4 |

Tytuł artykułu

A morphological study of the posterior communicating artery

Autorzy

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
This study aims to identify and yield a better understanding of the origin of the posterior communicating artery, its perforating branches and the relations in the vicinity of that artery. In 30 brains filled with a mixture of latex through the internal carotid and basilar arteries the posterior communicating artery originated from the posterior aspect of the C4 part of the internal carotid artery in 20 hemispheres (66.6%) and from its postero-lateral part in 8 hemispheres (26.6%). In 2 hemispheres (6.6%), however, it originated from the anterior aspect of the internal carotid artery. In 8 hemispheres (26.6%) a foetal type of posterior communicating artery was observed. It was 11.94 mm (8.03–15.07 mm) in length from the origin of the PCoA to the point of union with the posterior cerebral artery. The PCoA gave 5, 8 perforating branches (4–9). The distance of the origin of these branches from the origin of the PCoA was 3.30 mm (0.06–9.05) and the area occupied by the origins of the perforating branches was 4.53 mm (0.01–9.07). The perforating branches of the posterior communicating artery were generally dense in the initial 2/3 of the artery. Consequently, the posterior third of the posterior communicating artery seems to be a safer area during surgical operations. As the perforating branches are dense in the initial 2/3 of the artery, this region is at highest risk of damage during operations.

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

63

Numer

4

Opis fizyczny

p.397-399,fig.,ref.

Twórcy

autor
  • Ankara University School of Medicine, Ankara, Turkey
autor

Bibliografia

  • 1. Bisaria KK (1984) Anomalies of the posterior communicating artery and their potential clinical significance. J Neurosurgery, 60: 572–576.
  • 2. Caruso G, Vincetelli F, Rebehanta P, Giudicelli G, Griseli F (1991) Anomalies of the posterior cerebral artery: Early bifurcation or duplication, fenestration, common trunk with the superior cerebellar artery. Acta Neurochir (Wien), 100: 66–67.
  • 3. Gibo H, Lenkey C, Rhoton AL (1981) Microsurgical anatomy of the supraclinoid position of the internal carotid artery. J Neurosurgery, 55: 560–574.
  • 4. Gabrovsky N (2002) Microanatomical bases for intraoperative division of the posterior communicating artery. Acta Neurochir, 144: 1205–1211.
  • 5. Gonzalez-Darder JM, Feliu R, Pesudo JV, Borras JM, Gomez R, Diaz C, Lazaro S, Redondo M, Garcia-Vila JH (2003) Surgical management of posterior communicating artery aneurysms based on computed tomographic angiography with three-dimensional reconstruction and without preoperative angiography. Neurocirugia (Astur), 14: 207–215.
  • 6. Key A, Retzius G (1875) Studies in der Anatomie des Nervensystems und des Bindegewebs. Vol. 1, Norstad, Stockholm.
  • 7. Lang J (1995) Skull Base and Related Structures: Atlas of clinical anatomy. Schattauer, Stuttgart, pp. 25–29.
  • 8. Pedroza A, Dujovny M, Artero JC, Umansky F, Berman KS, Diaz FG, Ausman JI, Mirchandani HG (1987) Microanatomy of the posterior communicating artery. Neurosurgery, 20: 228–235.
  • 9. Rhoton AL (1980) Anatomy of saccular aneurysms. Surg Neurol, 14: 59–66.
  • 10. Saeki M, Rhoton AL (1977) Microsurgical anatomy of the upper basilar artery and the posterior circle of Willis. J Neurosurg, 46: 563–578.
  • 11. Stephens RB, Stilwell DI (1969) Arteries and veins of the human brain. Thomas, Springfield/III, p. 12.
  • 12. Tanaka Y, Kobayashi S, Sugita K, Gibo H, Kyoshima K, Nagasaki T (1995) Characteristics of pterional routes to basilar bifurcation aneurysm. Neurosurgery, 36: 533–538.
  • 13. Vincetelli F, Griseli F, Rebehanta P, Andriamamonjy C, Gouaze A (1990) Microsurgical anatomy of the cisternal course of the posterior communicating artery. Neurosurgery, 26: 824–831.
  • 14. Yas¸argil MG (1984) Microsurgery. Georgia Thieme, Stuttgart and New York, Vol. 1, 4: pp. 60–66.

Typ dokumentu

Bibliografia

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Identyfikator YADDA

bwmeta1.element.agro-article-d1297662-0262-4950-85e5-5151d706772b
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