An MRI study of typical anatomical variants of the anterior communicating artery complex

Purpose This magnetic resonance imaging study examined the most frequent anatomical variants of the anterior communicating artery (ACoA) complex of the cerebral arterial circle, and aimed to determine whether they were associated with ACoA complex aneurysm. Methods The study enrolled 669 patients. U...

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Veröffentlicht in:Surgical and radiologic anatomy (English ed.) 2021-12, Vol.43 (12), p.1983-1988
Hauptverfasser: Fredon, Fabien, Baudouin, Maxime, Hardy, Jeremy, Kouirira, Assia, Jamilloux, Léa, Taïbi, Abdelkader, Mabit, Christian, Valleix, Denis, Rouchaud, Aymeric, Durand-Fontanier, Sylvaine
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container_end_page 1988
container_issue 12
container_start_page 1983
container_title Surgical and radiologic anatomy (English ed.)
container_volume 43
creator Fredon, Fabien
Baudouin, Maxime
Hardy, Jeremy
Kouirira, Assia
Jamilloux, Léa
Taïbi, Abdelkader
Mabit, Christian
Valleix, Denis
Rouchaud, Aymeric
Durand-Fontanier, Sylvaine
description Purpose This magnetic resonance imaging study examined the most frequent anatomical variants of the anterior communicating artery (ACoA) complex of the cerebral arterial circle, and aimed to determine whether they were associated with ACoA complex aneurysm. Methods The study enrolled 669 patients. Using three-dimensional time-of-flight magnetic resonance angiography, 617 patients were classified into the following groups based on the anatomical variation in the ACoA complex: no ACoA complex anomaly; ACoA complex aneurysm; and vascular anomaly distant from the cerebral arterial circle. Results Of the 617 classified subjects, the classical anatomical description applied to 48.73% in the no ACoA complex anomaly group and 37.5% in the ACoA complex aneurysm group. One variant (left anterior cerebral artery segment A1 hypoplasia) was significantly more frequent in the ACoA complex aneurysm group. There was no sex difference in the prevalence of any variant. Conclusions Anatomical variants of the ACoA complex of the cerebral arterial circle were found in almost half of the subjects. One variant seemed to be associated with a higher likelihood of an aneurysm, but causality could not be inferred.
doi_str_mv 10.1007/s00276-021-02782-x
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Methods The study enrolled 669 patients. Using three-dimensional time-of-flight magnetic resonance angiography, 617 patients were classified into the following groups based on the anatomical variation in the ACoA complex: no ACoA complex anomaly; ACoA complex aneurysm; and vascular anomaly distant from the cerebral arterial circle. Results Of the 617 classified subjects, the classical anatomical description applied to 48.73% in the no ACoA complex anomaly group and 37.5% in the ACoA complex aneurysm group. One variant (left anterior cerebral artery segment A1 hypoplasia) was significantly more frequent in the ACoA complex aneurysm group. There was no sex difference in the prevalence of any variant. Conclusions Anatomical variants of the ACoA complex of the cerebral arterial circle were found in almost half of the subjects. 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Methods The study enrolled 669 patients. Using three-dimensional time-of-flight magnetic resonance angiography, 617 patients were classified into the following groups based on the anatomical variation in the ACoA complex: no ACoA complex anomaly; ACoA complex aneurysm; and vascular anomaly distant from the cerebral arterial circle. Results Of the 617 classified subjects, the classical anatomical description applied to 48.73% in the no ACoA complex anomaly group and 37.5% in the ACoA complex aneurysm group. One variant (left anterior cerebral artery segment A1 hypoplasia) was significantly more frequent in the ACoA complex aneurysm group. There was no sex difference in the prevalence of any variant. Conclusions Anatomical variants of the ACoA complex of the cerebral arterial circle were found in almost half of the subjects. 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Methods The study enrolled 669 patients. Using three-dimensional time-of-flight magnetic resonance angiography, 617 patients were classified into the following groups based on the anatomical variation in the ACoA complex: no ACoA complex anomaly; ACoA complex aneurysm; and vascular anomaly distant from the cerebral arterial circle. Results Of the 617 classified subjects, the classical anatomical description applied to 48.73% in the no ACoA complex anomaly group and 37.5% in the ACoA complex aneurysm group. One variant (left anterior cerebral artery segment A1 hypoplasia) was significantly more frequent in the ACoA complex aneurysm group. There was no sex difference in the prevalence of any variant. Conclusions Anatomical variants of the ACoA complex of the cerebral arterial circle were found in almost half of the subjects. 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subjects Anatomy
Anatomy & Morphology
Aneurysm
Aneurysms
Angiography
Hypoplasia
Imaging
Life Sciences
Life Sciences & Biomedicine
Magnetic resonance imaging
Medicine
Medicine & Public Health
Original Article
Orthopedics
Radiology
Radiology, Nuclear Medicine & Medical Imaging
Science & Technology
Sex differences
Surgery
Veins & arteries
title An MRI study of typical anatomical variants of the anterior communicating artery complex
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