Angiographic morphometry of internal carotid circulation in turkish children

Arat, Yonca Özkan; Arat, Anıl; Aydın, Kubilay

doi:10.5137/1019-5149.jtn.13788-14.1

Cited by 24 publications

(16 citation statements)

References 23 publications

(35 reference statements)

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“…Available studies document diameters slightly higher than the present study. This difference may be attributed to the inner diameter measured in the present study as compared to outer diameters measured by others [ 19 20 ].…”

Section: Discussioncontrasting

confidence: 89%

Anatomical study of petrous and cavernous parts of internal carotid artery

Vijaywargiya¹,

Deopujari²,

Athavale

2017

Anat Cell Biol

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The petrous and cavernous parts of internal carotid artery (ICA) are obscure and are not readily accessible to observation/imaging. These parts have broad biological and medical interest because of their peculiar shape. Given the their clinical importance and the scarce data available based mostly on imaging, the present study was aimed at studying these parts of ICA by dissection. The study was carried out on 56 ICAs obtained from embalmed adult cadavers and 10 ICAs from five fetuses. The foetal ICAs were studied in situ. The morphometric analysis of the adult ICA was done after its removal from cranial cavity to gain an insight into the geometry of the vessel, i.e., length, various bends, and diameters at various locations. ICAs in fetuses ran a relatively straighter course taking gentle curves at three positions (two intrapetrous, one cavernous). Adult ICAs were more tortuous and exhibited greater variability in length and angulations. The length of respective portions of the ICA correlate negatively with the measure of angles. The angles in the petrous and cavernous parts were positively correlated to each other. The carotid siphon was positively, highly significantly correlated to other angles. Longer vessels are more tortuous with acute bends. An acute carotid siphon is an indication of more tortuous ICA. The findings of the present study have created a reference data of unsuspected adult population and has potential implications for studying cause/effect relationship of vessel geometry and hemodynamic factors.

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Section: Discussioncontrasting

confidence: 89%

Anatomical study of petrous and cavernous parts of internal carotid artery

Vijaywargiya¹,

Deopujari²,

Athavale

2017

Anat Cell Biol

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“…However, it has been shown that the cranial growth is rapid during the early years of life and then slows markedly with virtual complete growth by the age of 6 years with 85% of growth complete by the age of 5 [25]. Similarly, by the age of 4 years the intracranial arteries have reached 81-99% of their adult diameters with 87% of the middle cerebral artery (MCA) diameter reached by 6 months of age [26]. Similar findings were reported by He et al [27] who dubbed it 'the rule of 5' since the vast majority of the arterial growth occurs before the age of 5.…”

Section: Dissecting and Fusiform Aneurysmsmentioning

confidence: 99%

Paediatric aneurysms – Review of endovascular treatment strategies

Bhogal

Pérez

Wendl

et al. 2017

Journal of Clinical Neuroscience

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Paediatric aneurysms are rare and represent the end result of a variety of different pathological mechanisms. They have a varied presentation and features that are distinct from their adult counterparts. The appropriate management of these aneurysms requires a multi-disciplinary team approach and detailed analysis to deal with the underlying pathology. This can involve the use of coils, adjunctive devices such as neck-bridging devices, flow diverters and liquid embolic agents, as well as microsurgical clipping. In this paper we discuss the different types of aneurysms that can present in the paediatric population and present cases that highlight the entire spectrum of paediatric aneurysmal disease and the different treatment options currently available. Treatment of paediatric intracranial aneurysms requires individualized strategies.

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“…Arat evaluated the anterior circulation in children and found a correlation between age and ICA diameters. 14 Our case met the criteria for an advanced disease and the decision was made to start IAC. Moreover, prior contralateral disease may be associated with a genetic predisposition in this particular patient.…”

Section: Discussionmentioning

confidence: 83%

Retrograde Approach for Intra-arterial Chemotherapy Delivery in Retinoblastoma

Saal‐Zapata

Durand

Ramos

et al. 2021

Journal of Clinical Interventional Radiology ISVIR

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Intra-arterial chemotherapy (IAC) is currently, the first-line treatment for retinoblastomas with successful cure rates. In difficult access or unsuccessful catheterization of the ophthalmic artery (OA), the middle meningeal artery is a second alternative followed by the Japanese technique using balloon. Nevertheless, when a well-developed posterior communicating artery is present, a retrograde approach to the OA through this vessel can be performed to deliver the chemotherapeutic drugs.We present a case of an unsuccessful catheterization of the OA through the internal carotid artery due to a challenging configuration of the OA/carotid siphon angle and describe an alternative form of navigation and catheterization through the posterior circulation.To our knowledge, this is the third report of a successful retrograde catheterization of the OA for IAC and constitutes an alternative route to deliver chemotherapy.

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Angiographic morphometry of internal carotid circulation in turkish children

Cited by 24 publications

References 23 publications

Anatomical study of petrous and cavernous parts of internal carotid artery

Anatomical study of petrous and cavernous parts of internal carotid artery

Paediatric aneurysms – Review of endovascular treatment strategies

Retrograde Approach for Intra-arterial Chemotherapy Delivery in Retinoblastoma

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