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Czasopismo

2014 | 73 | 3 |

Tytuł artykułu

The posterior communicating artery: morphometric study in 3D angio-computed tomography reconstruction. The proof of the mathematical definition of the hypoplasia

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: The aim of this study was to investigate the morphometry of the posterior communicating artery (PCoA), on the basis of angio-computed tomography (CT), and to give proof of the mathematical definition of the term “hypoplasia of the PCoA“. Materials and methods: One hundred 3-dimensional (3D) angio-CT images, performed in adult patients with bilateral reconstruction of the PCoA (200 results) were used to calculate the morphometry of the vessel. Results: The average length of the vessel on the right side was 14.48 ± 3.47 mm, and on the left side 14.98 ± 4.77 mm (in women 14.75 mm, in men 14.70 mm). The mean of the diameter at the “proximal” point (the junction with P1) on the right side was 1.49 ± 0.51 mm, and on the left 1.46 ± 0.47 mm (in women 1.44 mm and in men 1.51 mm). The mean of the diameter in the “distal” part (the connection with ICA) on the right side was 1.4 ± 0.49 mm, and on the left 1.37 ± 0.41 mm (in women 1.38 mm, and in men 1.39 mm). No statistical correlation between the length and the diameter of the PCoA in relation to the sex and side was shown. On the basis of our measurements, we defined the hypoplasia of the artery as the estimated value less than the average diameter minus the standard deviation. The percentage distribution was as follows: the left artery 15.5%, the right artery 24%, women 11.5%, and the men 9%. Similarly to the above parameters, we have not found any statistical differences. The presence of the foetal origin was noted in 25% of the radiological examinations. The infundibular widening was visualised in 11.5% of cases of 3D reconstructions. The agenesis of PCoA was found in 9% (never bilaterally), and in 1 case the unilateral duplication of the artery was observed. No statistical differences between those parameters in relation to sex and the examined side were revealed. Conclusions: Morphological calculation of the PCoA on the basis of angio-CT from adult patients did not show any statistical differences depending on sex or the investigated side. The presented method of the calculations proved to be useful for the mathematical definition of the term “hypoplasia of the PCoA”. (Folia Morphol 2014; 73, 3: 286–291)

Słowa kluczowe

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-

Czasopismo

Rocznik

Tom

73

Numer

3

Opis fizyczny

p.286-291,ref.

Twórcy

  • Department of Neurosurgery, Medical University of Gdansk, Gdansk, Poland
autor
  • Department of Radiology, Medical University of Gdansk, Gdansk, Poland
  • Department of Neurosurgery, Medical University of Gdansk, Gdansk, Poland
  • Department of Pathology, Medical University of Gdansk, Gdansk, Poland
  • Department of Radiology, Medical University of Gdansk, Gdansk, Poland
autor
  • Department of Radiological Informatics and Statistics, Medical University of Gdansk, Gdansk, Poland
autor
  • Department of Neurosurgery, Medical University of Gdansk, Gdansk, Poland

Bibliografia

  • 1. Bisaria KK (1984) Anomalies of the posterior communicating artery and their potential clinical significance. J Neurosurg, 60: 572–576.
  • 2. Chuang YM, Liu CY, Pan PJ, Lin CP (2008) Posterior communicating artery hypoplasia as a risk factor for acute ischemic stroke in the absence of carotid artery occlusion. J Clin Neurosci, 15: 1376–1381.
  • 3. Conijn M, Hendrikse J, Zwanenburg J, Takahara T, Geerlings M, Mali W, Luijten P (2009) Perforating arteries originating from the posterior communicating artery; a 7.0-Tesla MRI study. Eur Radiol, 19: 2986–2992.
  • 4. De Silva KR, Silva R, Gunasekera WS, Jayesekera RW (2009) Prevalence of typical circle of Willis and the variation in the anterior communicating artery: a study of a Sri Lankan population. Ann Indian Acad Neurol, 12: 157–161.
  • 5. Endo S, Furuichi S, Takab M, Hirashima Y, Nishijima M, Takaku A (1995) Clinical study of enlarged infundibular dilatation of the origin of the posterior communicating artery. J Neurosurg, 83: 421–425.
  • 6. Ferriera M, de Oliveira E, Tedeschi H, Wen H, Rhoton A (2004) Microsurgical anatomy of the anterior cerebral circulation. In: Le Roux P, Winn R, Newell D eds. Management of the cerebral aneurysm. Saudres, Philadelphia, pp. 27–50.
  • 7. Gaborovsky N (2002) Microanatomical bases for intraoperative division of the posterior communicating artery. Acta Neurochir, 144: 1205–1211.
  • 8. Gibo H, Lenkey C, Rhoton AL Jr (1981) Microsurgical anatomy of the supraclinoid portion of the internal carotid artery. J Neurosurg, 55: 560–574.
  • 9. Hoksbergen A, Legemate DA, Csiba L, Csati G, Siro P, Fulesdi B (2003) Absent collateral function of the circle of Willis as risk factor for ischemic stroke. Cerebrovasc Dis, 16: 191–198.
  • 10. Orosz L, Hoksbergen AW, Molnar C, Siró P, Cassot F, Marc-Vergens JP, Fulesdi B (2009) Clinical applicability of a mathematical model in assessing the functional ability of the communicating arteries of the circle of Willis. J Neurol Sci, 287: 94–99.
  • 11. Pedroza A, Dujoyny M, Artero J, Umansy F, Berman SK, Diaz F, Ausman J, Mirchandani H (1987) Microanatomy of the posterior communicating artery. Neurosurgery, 20: 228–235.
  • 12. Rhoton A (2003) Cranial anatomy and surgical approaches. Lippincott Williams & Wilkins, Illinois, pp. 81–148.
  • 13. Schomer D, Marks M, Steinberg G, Johnstone I, Boothroyd D, Ross M, Pelc N, Enzmann D (1994) The anatomy of the posterior communicating artery as a risk factor for ischemic cerebral infarction. N Engl J Med, 330: 1565–1570.
  • 14. Uz A, Mine E (2004) A morphological study of the posterior communicating artery. Folia Morphol, 63: 397–399.
  • 15. Vincentelli F, Caruso G, Grisoli F, Rabehanta P, Adriamamonjy C, Gouaze A (1990) Microsurgical anatomy of the cisternal course of the perforating branches of the posterior communicating artery. Neurosurgery, 26: 824–831.
  • 16. Żmuda A, Gielicki JS (2007) A novel formula for the classification of blood vessels according to symmetry, asymmetry and hypoplasia. Folia Morphol, 66: 339–345.

Typ dokumentu

Bibliografia

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