Anatomical variations of the anterior communicating artery complex: a multidetector CT angiographic study

Introduction: The anterior communicating artery (ACoA) complex of the cerebral circulation, an area with great anatomical diversity, forms part of the communicating arterial supply to the brain. As brain tissues are susceptible to ischemic death, knowledge of this variability is important in diagnos...

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Main Authors: ,, Soe ei phyu, Buyong, Zunariah, Hassan, Radhiana, Jamalludin, Ab Rahman, Che Mohamed, Siti Kamariah
Format: Article
Language:English
Published: Kulliyyah of Medicine, International Islamic University Malaysia 2016
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Online Access:http://irep.iium.edu.my/60146/
http://irep.iium.edu.my/60146/
http://irep.iium.edu.my/60146/7/60146_Anatomical%20variations%20of%20the%20anterior%20communicatin_complete.pdf
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spelling iium-601462017-12-20T03:09:29Z http://irep.iium.edu.my/60146/ Anatomical variations of the anterior communicating artery complex: a multidetector CT angiographic study ,, Soe ei phyu Buyong, Zunariah Hassan, Radhiana Jamalludin, Ab Rahman Che Mohamed, Siti Kamariah R Medicine (General) Introduction: The anterior communicating artery (ACoA) complex of the cerebral circulation, an area with great anatomical diversity, forms part of the communicating arterial supply to the brain. As brain tissues are susceptible to ischemic death, knowledge of this variability is important in diagnosis and management of diseases affecting brain circulation. The aim of the study is to measure the prevalence and to describe these variations. Methods: All patients who underwent CT angiography (CTA) scanning in HTAA from January 2009 to August 2015 were selected. A cross-sectional study was done to study these variations in 81 reconstructed CTA images. Results: Eleven types of variations were described (typical pattern; hypoplasia, aplasia, and duplication of ACoA; hypoplasia, and aplasia of A1 segment of the anterior cerebral artery (ACA); hypoplasia, and aplasia of A2 segment of ACA; A2 segments of ACA arising from a common trunk; the third A2 segment; bihemispheric ACA). A1 segment is the part of ACA from the internal carotid artery to ACoA, and A2 segment is the part of ACA from ACoA to the junction between the rostrum and genu of the corpus callosum. The typical pattern was seen in 35.8%, and the cases with other variation types constituted 64.2%, which is higher compared to previous studies. The variations in ACoA alone were 43.2%, and the most common variation was the ACoA aplasia, accounting for 28.4%. Conclusions: This study shows the high prevalence of anatomical variations in the ACoA complex, and the probable difference of this figure in different populations. Kulliyyah of Medicine, International Islamic University Malaysia 2016-12 Article PeerReviewed application/pdf en http://irep.iium.edu.my/60146/7/60146_Anatomical%20variations%20of%20the%20anterior%20communicatin_complete.pdf ,, Soe ei phyu and Buyong, Zunariah and Hassan, Radhiana and Jamalludin, Ab Rahman and Che Mohamed, Siti Kamariah (2016) Anatomical variations of the anterior communicating artery complex: a multidetector CT angiographic study. International Medical Journal Malaysia ( IMJM), 15 (Supplementary Issue No.1). p. 51. ISSN 1823-4631 http://iiumedic.net/imjm/v1/vol-15-supplement-issue/
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
,, Soe ei phyu
Buyong, Zunariah
Hassan, Radhiana
Jamalludin, Ab Rahman
Che Mohamed, Siti Kamariah
Anatomical variations of the anterior communicating artery complex: a multidetector CT angiographic study
description Introduction: The anterior communicating artery (ACoA) complex of the cerebral circulation, an area with great anatomical diversity, forms part of the communicating arterial supply to the brain. As brain tissues are susceptible to ischemic death, knowledge of this variability is important in diagnosis and management of diseases affecting brain circulation. The aim of the study is to measure the prevalence and to describe these variations. Methods: All patients who underwent CT angiography (CTA) scanning in HTAA from January 2009 to August 2015 were selected. A cross-sectional study was done to study these variations in 81 reconstructed CTA images. Results: Eleven types of variations were described (typical pattern; hypoplasia, aplasia, and duplication of ACoA; hypoplasia, and aplasia of A1 segment of the anterior cerebral artery (ACA); hypoplasia, and aplasia of A2 segment of ACA; A2 segments of ACA arising from a common trunk; the third A2 segment; bihemispheric ACA). A1 segment is the part of ACA from the internal carotid artery to ACoA, and A2 segment is the part of ACA from ACoA to the junction between the rostrum and genu of the corpus callosum. The typical pattern was seen in 35.8%, and the cases with other variation types constituted 64.2%, which is higher compared to previous studies. The variations in ACoA alone were 43.2%, and the most common variation was the ACoA aplasia, accounting for 28.4%. Conclusions: This study shows the high prevalence of anatomical variations in the ACoA complex, and the probable difference of this figure in different populations.
format Article
author ,, Soe ei phyu
Buyong, Zunariah
Hassan, Radhiana
Jamalludin, Ab Rahman
Che Mohamed, Siti Kamariah
author_facet ,, Soe ei phyu
Buyong, Zunariah
Hassan, Radhiana
Jamalludin, Ab Rahman
Che Mohamed, Siti Kamariah
author_sort ,, Soe ei phyu
title Anatomical variations of the anterior communicating artery complex: a multidetector CT angiographic study
title_short Anatomical variations of the anterior communicating artery complex: a multidetector CT angiographic study
title_full Anatomical variations of the anterior communicating artery complex: a multidetector CT angiographic study
title_fullStr Anatomical variations of the anterior communicating artery complex: a multidetector CT angiographic study
title_full_unstemmed Anatomical variations of the anterior communicating artery complex: a multidetector CT angiographic study
title_sort anatomical variations of the anterior communicating artery complex: a multidetector ct angiographic study
publisher Kulliyyah of Medicine, International Islamic University Malaysia
publishDate 2016
url http://irep.iium.edu.my/60146/
http://irep.iium.edu.my/60146/
http://irep.iium.edu.my/60146/7/60146_Anatomical%20variations%20of%20the%20anterior%20communicatin_complete.pdf
first_indexed 2023-09-18T21:25:15Z
last_indexed 2023-09-18T21:25:15Z
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