Anatomy of the feeding arteries of the cerebral arteriovenous malformations

• Autorzy: Milatovic B. , Saponjski J. , Huseinagic H. , Moranjkic M. , Milosevic Medenica S. , Marinkovic I. , Nikolic I. , Marinkovic S.
• Języki publikacji: EN

Abstrakty

EN

Background: Identification and anatomic features of the feeding arteries of the arteriovenous malformations (AVMs) is very important due to neurologic, radiologic, and surgical reasons. Materials and methods: Seventy-seven patients with AVMs were examined by using a digital subtraction angiographic (DSA) and computerised tomographic (CT) examination, including three-dimensional reconstruction of the brain vessels. In addition, the arteries of 4 human brain stems and 8 cerebral hemispheres were microdissected. Results: The anatomic examination showed a sporadic hypoplasia, hyperplasia, early bifurcation and duplication of certain cerebral arteries. The perforating arteries varied from 1 to 8 in number. The features of the leptomeningeal and choroidal vessels were presented. The radiologic examination revealed singular (22.08%), double (32.48%) or multiple primary feeding arteries (45.45%), which were dilated and elongated in 58.44% of the patients. The feeders most often originated from the middle cerebral artery (MCA; (23.38%), less frequently from the anterior cerebral artery (ACA; 12.99%), and the posterior cerebral artery (PCA; 10.39%). Multiple feeders commonly originated from the ACA and MCA (11.69%), the MCA and PCA (10.39%), the ACA and PCA (7.79%), and the ACA, MCA and PCA (5.19%). The infratentorial feeders were found in 9.1% of the AVMs. Contribution from the middle meningeal and occipital arteries was seen in 3.9% angiograms. Two cerebral arteries had a saccular aneurysm. The AVM haemorrhage appeared in 63.6% of patients. Conclusions: The knowledge of the origin and anatomic features of the AVMs feeders is important in the explanation of neurologic signs, and in a decision regarding the endovascular embolisation, neurosurgical and radiosurgical treatments. (Folia Morphol 2018; 77, 4: 656–669)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2018
• Tom: 77
• Numer: 4
• Opis fizyczny: p.656–669,fig.,ref.

Twórcy

autor

Milatovic B.

• Faculty of Medicine, Institute of Anatomy, Dr. Subotic 4/2, 11000 Belgrade, Serbia

autor

Saponjski J.

• Clinic of Cardiovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia

autor

Huseinagic H.

• Department of Radiology, Faculty of Medicine, Kallos University, Tuzla, Bosnia and Herzegovina

autor

Moranjkic M.

• Department of Neurosurgery, Faculty of Medicine, Kallos University, Tuzla, Bosnia and Herzegovina

autor

Milosevic Medenica S.

• Centre for Radiology, Clinical Centre of Serbia, Belgrade, Serbia

autor

Marinkovic I.

• Department of Neurology, Helsinki University Central Hospital, Finland

autor

Nikolic I.

• Clinic for Neurosurgery, Clinical Centre of Serbia, Belgrade, Serbia

autor

Marinkovic S.

• Faculty of Medicine, Institute of Anatomy, University of Belgrade, Belgrade, Serbia

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Identyfikatory

DOI

10.5603/FM.a2018.0016