脊椎动脉 (VA) 起源的变化是否会影响脊椎动脉的主导地位? 一个回顾性,单中心的队列研究
Yuze Zhai1,2, Craig Hacking1,2
1Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.
Journal of medical imaging and radiation oncology
|February 24, 2026
概括
脊椎动脉 (VA) 起源的变化,特别是左侧VA的大动脉起源,与VA主导性密切相关. 这一发现对于了解后部循环中风风险至关重要.
科学领域:
- 神经解剖学是一个神经解剖学.
- 血管解剖学 血管解剖学
- 脑血管解剖学 脑血管解剖学
背景情况:
- 脊椎动脉 (VA) 提供后脑循环.
- 在高达5.8%的病例中,VA起源变异发生,通常来自大动脉.
- VA主导 (不平等的尺寸) 与动脉样硬化和中风风险有关.
研究的目的:
- 调查脊椎动脉 (VA) 起源变异与VA主导之间的关联.
- 为了解决关于VA原产地和主导地位之间的关系的有限研究.
主要方法:
- 追溯分析287个CT头部和部血管图.
- 确定VA的解剖起源和评估VA的主导地位.
- 在解剖学和异常的VA起源之间对VA主导模式的比较.
主要成果:
- 在7.7%的患者中观察到左侧VA的大动脉起源.
- 患有左侧VA大动脉起源的患者表现出明显向右侧VA主导 (59.1%) 的转变.
- 同主导和左侧VA主导在患有左侧VA大动脉起源的患者中较少发生.
结论:
- 左脊椎动脉的大动脉起源与右脊椎动脉主导力有很强的相关性.
- 了解这些变异对于评估脑血管疾病风险至关重要.
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