关于后下大脑动脉起源的形态变异性的考虑
George Triantafyllou1,2, Panagiotis Papadopoulos-Manolarakis1,3, Nikolaos-Achilleas Arkoudis4,5
1Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece.
Neuroradiology
|November 27, 2025
概括
后下脑小动脉 (PICA) 最常发生在脊椎动脉 (VA) V4段. 这项研究为PICA起源建立了新的分类,这对于神经外科和神经放射学规划至关重要.
科学领域:
- 神经外科 神经外科
- 神经辐射学神经辐射学
- 血管解剖学 血管解剖学
背景情况:
- 后下脑小动脉 (PICA) 是脊椎骨干系统的一个关键组成部分.
- 了解其解剖变异对于安全有效的神经血管程序至关重要.
研究的目的:
- 为了研究后下大脑动脉 (PICA) 的形态变异性.
- 开发PICA解剖变异的临床相关分类系统.
主要方法:
- 对500张计算机断层扫描血管造影 (CTA) 脑部扫描 (1000条动脉) 的回顾性分析.
- 基于细分起源和解剖特征的PICA起源,途径和形态变异的系统文档和分类.
主要成果:
- 最常见的PICA来源是脊椎动脉 (VA) 的内静脉 (V4) 段 (63.4%).
- 其他来源包括外外 (V3) 段 (16.4%) 和基底动脉 (BA) (15.8%).
- 变异包括PICA中的缺席 (4.4%),重复起源和脊椎动脉终止 (3.4%).
结论:
- 介绍了PICA起源和形态学的综合性放射学分类.
- 这种分类有助于术前规划,内血管接入和神经血管风险评估.
- 识别这些变异可以提高诊断准确性,手术安全性和干预策略.
相关概念视频
The Arch of Aorta
1.5K
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
1.5K
Arteries of the Head and Neck
2.9K
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
2.9K
Cerebellum: Anatomical Regions
3.9K
The cerebellum, also known as the "little brain," is located in the posterior cranial fossa, inferior to the tentorium cerebelli and dorsal to the brainstem. It plays a significant role in motor control, coordination, and proprioception.
Cerebellar Structure
Externally, the cerebellum features a highly convoluted surface with numerous folia (narrow ridges) separated by shallow sulci (grooves). The cerebellum is divided into two hemispheres by a thin median structure known as the vermis. The...
Cerebellar Structure
Externally, the cerebellum features a highly convoluted surface with numerous folia (narrow ridges) separated by shallow sulci (grooves). The cerebellum is divided into two hemispheres by a thin median structure known as the vermis. The...
3.9K
Arteries of the Upper Limbs
2.0K
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
2.0K
Arteries of Lower Limbs
4.1K
The external iliac artery transitions out of the body cavity, entering the femoral region of the lower leg, and is renamed the femoral artery at the point where it traverses the body wall. This artery is responsible for the distribution of blood to the thigh's deep muscles and the skin's ventral and lateral regions, achieved through several minor branches and the lateral deep femoral artery, which also spawns a lateral circumflex artery. The knee area receives blood from the genicular...
4.1K
Abdominal Aorta
2.0K
Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
The celiac trunk, a singular artery, divides into the left gastric artery, which...
2.0K


