Carotid-anterior cerebral artery anastomosis

1976 ◽  
Vol 44 (3) ◽  
pp. 378-382 ◽  
Author(s):  
Stephen Nutik ◽  
Domenico Dilenge
Keyword(s):  
Optic Nerve ◽  
Cerebral Artery ◽  
Ophthalmic Artery ◽  
Internal Carotid ◽  
Anterior Cerebral Artery ◽  
Optic Chiasm ◽  
Anterior Communicating Artery ◽  
Content Type ◽  
Anatomical Features ◽  
Fine Print

✓ The angiographic and anatomical features of an anomalous communication between the intradural internal carotid artery and the anterior cerebral artery are described. Essential features of the anastomosis include an origin at, or close to, the origin of the ophthalmic artery, a course ventral to the ipsilateral optic nerve and anterior to the optic chiasm, and a termination near the anterior communicating artery. Although rare, the condition should be considered as an entity. The incidence of associated berry aneurysm and other congenital vascular anomalies is high.

Occlusion of an “accessory” distal anterior cerebral artery during treatment of anterior communicating artery aneurysms

1991 ◽  
Vol 74 (1) ◽  
pp. 133-135 ◽  
Author(s):  
Kevin Gibbons ◽  
Leo N. Hopkins ◽  
Roberto C. Heros
Keyword(s):  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Anterior Communicating Artery ◽  
Case Histories ◽  
Content Type ◽  
Anterior Communicating Artery Aneurysms ◽  
Artery Segment ◽  
Distal Anterior Cerebral Artery ◽  
Clip Occlusion ◽  
Fine Print

✓ Two cases are presented in which clip occlusion of a third distal anterior cerebral artery segment occurred during treatment of anterior communicating artery aneurysms. Case histories, angiograms, operative descriptions, and postmortem findings are presented. The incidence of this anomalous vessel is reviewed. Preoperative and intraoperative vigilance in determining the presence of this anomaly prior to clip placement is emphasized.

Microsurgical anatomy of the distal anterior cerebral artery

1978 ◽  
Vol 49 (2) ◽  
pp. 204-228 ◽  
Author(s):  
David Perlmutter ◽  
Albert L. Rhoton
Keyword(s):  
Corpus Callosum ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Internal Capsule ◽  
Optic Chiasm ◽  
Anterior Communicating Artery ◽  
Microsurgical Anatomy ◽  
Content Type ◽  
Cm Points ◽  
Distal Anterior Cerebral Artery

✓ The microsurgical anatomy of the distal anterior cerebral artery (ACA) has been defined in 50 cerebral hemispheres. The distal ACA, the portion beginning at the anterior communicating artery (ACoA), was divided into four segments (A2 through A5) according to Fischer. The distal ACA gave origin to central and cerebral branches. The central branches passed to the optic chiasm, suprachiasmatic area, and anterior forebrain below the corpus callosum. The cerebral branches were divided into cortical, subcortical, and callosal branches. The most frequent site of origin of the cortical branches was as follows: orbitofrontal and frontopolar arteries, A2; the anterior and middle internal frontal and callosomarginal arteries, A3; the paracentral artery, A4; and the superior and inferior parietal arteries, A5. The posterior internal frontal artery arose with approximately equal frequency from A3 and A4 and the callosomarginal artery. All the cortical branches arose more frequently from the pericallosal than the callosomarginal artery. Of the major cortical branches, the internal frontal and paracentral arteries arose most frequently from the callosomarginal artery. The distal ACA of one hemisphere sent branches to the contralateral hemisphere in 64% of brains. The anterior portions of the hemisphere between the 5-cm and 15-cm points on the circumferential line showed the most promise of revealing a recipient artery of sufficient size for an extracranial-intracranial artery anastomosis. The distal ACA was the principal artery supplying the corpus callosum. The recurrent artery, which arose from the A2 segment in 78% of hemispheres, sent branches into the subcortical area around the anterior limb of the internal capsule.

Ligation of an anterior cerebral artery for aneurysms of the anterior communicating artery complex

1973 ◽  
Vol 38 (4) ◽  
pp. 481-487 ◽  
Author(s):  
Michael Scott
Keyword(s):  
Clinical Data ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Anterior Communicating Artery ◽  
Content Type ◽  
Long Term Follow Up ◽  
Fine Print

✓ The clinical data on nine patients with aneurysms of the anterior communicating artery complex treated by ligation of an anterior cerebral artery are presented. The long-term follow-up angiograms on five of the eight patients who survived surgery are discussed.

Surgically verified variations in the A1 segment of the anterior cerebral artery

1991 ◽  
Vol 75 (6) ◽  
pp. 950-953 ◽  
Author(s):  
Johannes Mäurer ◽  
Elisabeth Mäurer ◽  
Axel Perneczky
Keyword(s):  
Optic Nerve ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Optic Tract ◽  
The Other ◽  
Content Type ◽  
Fine Print

✓ Two patients with rare variations of the A1 segment of the anterior cerebral artery are presented. One patient had a perforation of the optic tract by an abnormal course of the A1 segment, and the other harbored an aneurysm of the A1 segment running below the optic nerve. The authors present a summary of A1 segment variations described in the literature.

Microanatomy of the pericallosal arterial complex

2000 ◽  
Vol 93 (4) ◽  
pp. 667-675 ◽  
Author(s):  
Médard Kakou ◽  
Christophe Destrieux ◽  
Stéphane Velut
Keyword(s):  
Corpus Callosum ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Anterior Communicating Artery ◽  
Human Cadaver ◽  
Embryological Development ◽  
Content Type ◽  
Pericallosal Artery ◽  
Fine Print

Object. The pericallosal arterial complex supplies the callosal and pericallosal regions, as well as the anterior two thirds of the medial and superomedial aspects of both hemispheres. It is composed of the pericallosal artery (that is, the segment of the anterior cerebral artery located distal to the anterior communicating artery [ACoA]) and the median callosal artery (or third pericallosal artery), which originates from the ACoA. This system was studied in 46 specimens (23 human cadaver heads) injected with colored latex.Methods. After being injected with colored latex, embalmed, and bleached, the specimens were studied with the aid of optic magnification.The pericallosal artery was found to be divided into four segments (A2–A5 in the proximodistal direction). After giving rise to central, callosal, and cortical branches, it terminated near the splenium of the corpus callosum as the posterior pericallosal artery, or on the precuneus as the inferomedial parietal artery.Conclusions. The authors propose a logical classification of the different variations in the pericallosal arterial complex based on embryological development. This complex can be considered a hemodynamic solution to an abnormal regression of one of its parts, which is balanced by the development of supplemental channels from other parts.

Aneurysm of a persistent primitive olfactory artery

1995 ◽  
Vol 83 (1) ◽  
pp. 138-140 ◽  
Author(s):  
Takehisa Tsuji ◽  
Masamitsu Abe ◽  
Kazuo Tabuchi
Keyword(s):  
Carotid Artery ◽  
Olfactory Bulb ◽  
Internal Carotid Artery ◽  
Cerebral Artery ◽  
Internal Carotid ◽  
Anterior Cerebral Artery ◽  
Vascular Anomaly ◽  
Content Type ◽  
Aberrant Artery ◽  
Fine Print

✓ A ruptured anterior cerebral artery (ACA) aneurysm is reported in a patient in whom an anomalous ACA arose from the internal carotid artery at the bifurcation. The aberrant artery coursed anteriorly along the ipsilateral olfactory tract and made a hairpin turn posterior to the olfactory bulb, supplying the circulation of the ACA. Persistence of the primitive olfactory artery is suggested as an embryological origin of this vascular anomaly.

Treatment of an anterior communicating artery aneurysm through an anomalous anastomosis from the cavernous internal carotid artery

2002 ◽  
Vol 97 (6) ◽  
pp. 1432-1435 ◽  
Author(s):  
Virany Huynh Hillard ◽  
Kiran Musunuru ◽  
Chiedozie Nwagwu ◽  
Kaushik Das ◽  
Raj Murali ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Ophthalmic Artery ◽  
Internal Carotid ◽  
Anterior Cerebral Artery ◽  
Artery Aneurysm ◽  
Anterior Communicating Artery ◽  
Surgical Clipping ◽  
Content Type ◽  
Endovascular Approach

✓ Cavernous internal carotid artery (ICA)—anterior cerebral artery (ACA) anastomoses are unusual anomalies in which a duplicated A1 segment of the ACA arises from the infraoptic ICA. The authors report on a 30-year-old woman who presented with subarachnoid hemorrhage from an anterior communicating artery (ACoA) aneurysm associated with an extremely rare variant of this anastomosis. The extra A1 segment emerged from the ICA within the cavernous sinus rather than at or above the level of the ophthalmic artery. The presence of the anomalous vessel provided a straightforward endovascular approach to the ACoA and allowed the use of coil placement rather than surgical clipping to treat the aneurysm successfully.

Surgical treatment of distal anterior cerebral artery aneurysms

1979 ◽  
Vol 50 (1) ◽  
pp. 40-44 ◽  
Author(s):  
Takashi Yoshimoto ◽  
Keita Uchida ◽  
Jiro Suzuki
Keyword(s):  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Aneurysm Rupture ◽  
Anterior Communicating Artery ◽  
Parent Artery ◽  
Content Type ◽  
Aneurysm Neck ◽  
Horizontal Portion ◽  
Distal Anterior Cerebral Artery ◽  
Fine Print

✓ Between June, 1961, and September, 1975, the authors operated on 60 patients with aneurysms of the anterior cerebral artery distal to the anterior communicating artery (ACoA) by a direct intracranial approach. It is of utmost importance in the treatment of aneurysms to have control of the parent artery of the aneurysm. This makes it easier and safer to approach the aneurysm neck and to handle possible premature aneurysm rupture. The aneurysms were classified into two types, ascending and horizontal. Aneurysms arising from the origin of the ACoA and including the entire portion of the knee of the corpus callosum were designated as aneurysms of the ascending portion, whereas aneurysms beyond the genu were designated as aneurysms of the horizontal portion. For aneurysms of the ascending portion, bifrontal craniotomy was considered the safest approach. For aneurysms of the horizontal portion, a small parasagittal craniotomy was determined to be sufficient.

Revascularization of the anterior cerebral artery

1985 ◽  
Vol 62 (4) ◽  
pp. 603-606 ◽  
Author(s):  
Akira Ikeda ◽  
Tomohisa Okada ◽  
Masato Shibuya ◽  
Satoshi Noda ◽  
Masakazu Sugiura ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid ◽  
Anterior Cerebral Artery ◽  
Cerebral Arteries ◽  
The Other ◽  
Anterior Communicating Artery ◽  
Technical Aspects ◽  
Content Type ◽  
Good Filling ◽  
Fine Print

✓ Intracranial anastomosis between the distal anterior cerebral arteries (ACA's) was performed on two patients. One patient had isolated occlusion of the proximal ACA on one side causing monoparesis in the leg, and the other patient suffered from occlusion of the internal carotid artery and a small anterior communicating artery. The weakness of the legs improved immediately after surgery and cerebral angiography revealed a good filling of the bilateral ACA's. Technical aspects and indications for the procedure are discussed.

The effect of proximal anterior cerebral occlusion on anterior communicating artery aneurysms

1971 ◽  
Vol 35 (1) ◽  
pp. 16-19 ◽  
Author(s):  
Felix Durity ◽  
Valentine Logue
Keyword(s):  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Anterior Communicating Artery ◽  
Content Type ◽  
Anterior Communicating Artery Aneurysms ◽  
Fine Print

✓ The arteriographic changes occurring in the anterior communicating aneurysmal sacs in 43 cases treated by ligation of the anterior cerebral artery have been presented and discussed.

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