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Published on: September 25, 2009
Intraluminal septation of the basilar artery: incidence and potential clinical significance
R S Tubbs1, W A Shaffer, M Loukas
1Department of Surgery, Division of Neurosurgery, University of Alabama at Birmingham, AL, USA. rstubbs@uab.edu
Insights
A rare intraluminal septum variation in the basilar artery was found in 0.67% of cadavers. This finding is crucial for understanding cerebrovascular anatomy during surgical procedures.
Area of Science:
- Neurology
- Vascular Anatomy
- Surgical Anatomy
Background:
- Cerebrovascular variations can complicate surgical and interventional procedures.
- Intraluminal variations of the basilar artery are poorly documented in existing literature.
Purpose of the Study:
- To investigate the prevalence and characteristics of intraluminal variations within the basilar artery.
- To enhance understanding of basilar artery anatomy for improved patient safety during neurovascular interventions.
Main Methods:
- A cadaveric study involving the examination of 150 human brains.
- Longitudinal sectioning of identified basilar arteries to detect intraluminal septa.
Main Results:
- One specimen (0.67%) exhibited an intraluminal septum in the proximal basilar artery, measuring 3 mm by 1.5 mm.
- No other basilar artery anomalies were observed.
- The single specimen with the septum showed no signs of intracranial pathology.
Conclusions:
- Intraluminal septation of the basilar artery, though rare, can occur.
- Awareness of this intraluminal vascular variation is important for neurosurgeons and interventionalists.
- This anatomical knowledge may help mitigate risks associated with invasive neurovascular procedures.
Abstract:
Variations in the cerebrovascular tree can increase surgical or interventional morbidity. To date, only scant comments are to be found in the literature regarding intraluminal variations of the basilar artery. To further elucidate such anatomy, a cadaveric study was performed. One hundred and fifty human brains were evaluated for the present study. The basilar artery was identified in each and sectioned longitudinally to observe for the presence of intraluminal septa. One specimen (0.67%) was identified that harbored an intraluminal septum of the basilar artery. This wall was within the proximal basilar artery and measured 3 mm by 1.5 mm. No specimen was found to have other anomalies of the basilar artery and in the single specimen with an intraluminal septum no signs of intracranial pathology were seen. Although seemingly rare, septation of the basilar artery can be found. Knowledge of such an intraluminal vascular variation may be important during invasive and minimally invasive procedures.
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