Variations of perforating arteries of anterior communicating artery in cases with anterior communicating artery aneurysms: a cadaveric anatomical study

dc.authoridTurgut Kuytu / 0000-0002-0505-3027en_US
dc.authorscopusidTurgut Kuytu / 36548277700
dc.authorwosidTurgut Kuytu / CAI-2032-2022
dc.contributor.authorKuytu, Turgut
dc.contributor.authorKocaeli, Hasan
dc.contributor.authorKorfalı, Ender
dc.date.accessioned2022-06-02T10:46:22Z
dc.date.available2022-06-02T10:46:22Z
dc.date.issued2022en_US
dc.departmentİstinye Üniversitesi, Hastaneen_US
dc.description.abstractPurpose In terms of postoperative morbidity and mortality, preservation of the perforating arteries branching from the anterior communicating artery (ACoA) during clipping is particularly imperative in patients with ACoA aneurysm. In the present study, we aimed to investigate whether perforating arteries originated from ACoA were pushed away in a diferent location in patients with ACoA aneurysm. Furthermore, if they did so, we aimed to identify the direction in which they were dislocated and how the perforating arteries could be preserved during clipping. Methods Herein, we categorized 40 brains obtained from cadavers into two groups. The frst (n=26) and second (n=14) groups included cases without and with ACoA aneurysms, respectively. After completing the preparation procedure, the brains were dissected using surgical microscope and the relevant anatomical region was examined and photographed. Finally, statistical analyses were performed on the data and the results were documented. Results In the aneurysms with posterior and superior projections, the perforators appeared to be pushed away inferiorly and were frequently noted at the anteroinferior part of the aneurysm neck. Most of the cases, where one of the A1s was larger at one side, the perforating arteries arose from the larger A1 side. Conclusion The mortality and morbidity associated with damage to the perforators can be reduced by approaching the patient from the dominant A1 side and pursuing the perforators primarily at the anteroinferior part of the aneurysm neck in the aneurysms with superior and posterior projections.en_US
dc.identifier.citationKuytu T, Kocaeli H, Korfali E. Variations of perforating arteries of anterior communicating artery in cases with anterior communicating artery aneurysms: a cadaveric anatomical study. Acta Neurochir (Wien). 2022 May 26. doi: 10.1007/s00701-022-05253-3. Epub ahead of print. PMID: 35614324.en_US
dc.identifier.doi10.1007/s00701-022-05253-3en_US
dc.identifier.issn0001-6268en_US
dc.identifier.pmid35614324en_US
dc.identifier.scopus2-s2.0-85130747637en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttp://doi.org/10.1007/s00701-022-05253-3
dc.identifier.urihttps://hdl.handle.net/20.500.12713/2786
dc.identifier.wosWOS:000800074200001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKuytu, Turgut
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofActa Neurochirurgicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnterior Communicating Arteryen_US
dc.subjectMicrosurgical Anatomyen_US
dc.subjectPerforating Branchesen_US
dc.subjectAneurysmen_US
dc.titleVariations of perforating arteries of anterior communicating artery in cases with anterior communicating artery aneurysms: a cadaveric anatomical studyen_US
dc.typeArticleen_US

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