Morphometric evaluation of Anterior Cerebral Artery (on Digital Subtraction Angiography)–Potential implications

Sharma, Saurabh; Dixit, Shilpi Gupta; Khera, Pushpinder Singh; Nayyar, Ashish; Ghatak, Surajit

doi:10.1016/j.morpho.2019.07.001

Cited by 3 publications

(9 citation statements)

References 14 publications

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“…Cadaveric studies of Karatas et al and Vohra et al observed both the minimum (0.05 mm) and maximum (3.4 mm) values of diameter [ 26 , 27 ]. The diameter of ACA was similar in the findings of Kamath et al, Sharma et al, Mandiola et al, Smita et al, Kardile et al, Gomes et al, Perlmutter et al (2.5 mm); whereas significant difference was obtained in the values of studies by Canaz et al and Pai et al [ 14 - 15 , 17 , 19 , 21 - 24 , 28 ]. Canaz et al came up with the diameter in the range of 1.5 mm while Pai et al had much higher value (3 mm) than the other studies [ 14 - 15 ].…”

Section: Reviewsupporting

confidence: 87%

“…Among all the included studies, minimum (8.1 mm) and maximum (21 mm) values of length of ACA were recorded in the study of Karatas et al and Shatri et al respectively [ 11 - 12 ]. Dimension of the length of ACA was similar in the studies of Orlandini et al, Canaz et al, Pai et al, Thenmozhi et al, Kamath et al, Shatri et al, and Sharma et al having the range between 13.5 mm and 14.5 mm [ 13 - 19 ]. While the findings of Mu et al, Mandiola et al, Smita BS et al and Kedia et al had the range 12- 13 mm of the length of ACA [ 20 , 21 , 22 , 23 ].…”

Section: Reviewsupporting

confidence: 70%

“…Two of the included studies considered age as the criteria for observing the length of ACA. Studies of Shatri et al and Sharma S et al supported each other’s conclusion of length being more in the younger age group [ 12 , 19 ].…”

Section: Reviewmentioning

confidence: 83%

“…Whereas, the studies of Shatri et al, Aggarwal et al, and Krabbe-Hartkamp et al concluded that the diameter of ACA is more in males [12,[29][30]. [19,[30][31]. Whereas, Shatri et al opposed these studies as their study resulted in ACA diameter being more in the older age group [12].…”

Section: Sex-wise Distribution Of Aca Diametermentioning

confidence: 99%

“…One study was found that observed the gender-wise distribution of length of ACA. Sharma S et al differed and concluded ACA length to be more in females [ 19 ].…”

Section: Reviewmentioning

confidence: 99%

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Systematic Review of Morphometric Analysis of Anterior Cerebral Artery (ACA) Emphasizing on Its Clinical Implications

Sharma¹,

Krishna²,

Dixit³

et al. 2023

Cureus

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Thorough data of morphometric measurements of arteries forming Circle of Willis (CW) is crucial for radiological and neurosurgical interventions. This systematic review has been conducted with the objective to find an effective range of length and diameter of anterior cerebral artery (ACA) and to observe whether there is any change in the length and diameter of ACA depending on age or sex. Articles based on length and diameter of ACA via any mode of study like cadaveric or radiological were considered in this systematic review. A comprehensive literature search using databases Cochrane Library, PubMed, and Scopus for relevant articles was done. Research papers which answered the focused questions were selected for data analysis. It was observed that the range of length and diameter of ACA were 8.1 mm-21 mm and 0.5 Å-3.4 mm, respectively. In majority of the studies, length and diameter of ACA were more in the younger age group (>40 years); and the length of ACA was more in females whereas the diameter of ACA was more in males. These data will be applicable for better construction and decipherment of angiographic images. This will help in the proper and guided treatment of intracranial pathologies.

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Section: Reviewsupporting

confidence: 87%

Section: Reviewsupporting

confidence: 70%

Section: Reviewmentioning

confidence: 83%

Section: Sex-wise Distribution Of Aca Diametermentioning

confidence: 99%

“…One study was found that observed the gender-wise distribution of length of ACA. Sharma S et al differed and concluded ACA length to be more in females [ 19 ].…”

Section: Reviewmentioning

confidence: 99%

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Systematic Review of Morphometric Analysis of Anterior Cerebral Artery (ACA) Emphasizing on Its Clinical Implications

Sharma¹,

Krishna²,

Dixit³

et al. 2023

Cureus

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Evaluation of unruptured aneurysm scoring systems and ratios in subarachnoid hemorrhage patients with multiple intracranial aneurysms

Boutarbouch,

Dokponou,

Bankole

et al. 2023

Surgical Neurology International

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Background: This study aims to appraise aneurysm scores and ratios’ ability to discriminate between ruptured aneurysms and unruptured intracranial aneurysms (UIAs) in subarachnoid hemorrhage (SAH) patients harboring multiple intracranial aneurysms (MICAs). We, then, investigate the most frequent risk factors associated with MICAs. Methods: We retrospectively applied unruptured intracranial aneurysm treatment score (UIATS) and population hypertension age size of aneurysm earlier SAH from another aneurysm site of aneurysm (PHASES) score, aspect, and dome-to-neck ratio to the 59 consecutive spontaneous SAH patients with MICAs admitted between January 2000 and December 2015 to the Department of Neurosurgery of the University Hospital Center “Hôpital des Spécialités” of Rabat (Morocco). Patients with at least two intracranial aneurysms (IAs) confirmed on angiography were included in the study. Results: Fifty-nine patients were harboring 128 IAs. The most frequent patient-level risk factors were arterial hypertension (AHT) 30.5 % (n = 18) and smoking status 22.0 % (n = 13). A PHASES score recommended treatment in 52 of 60 ruptured aneurysms and in six of 68 UIAs with a sensitivity of 31.67% and a specificity of 76.47%. UIATS recommended treatment in 26 of 62 ruptured aneurysms and in 35 of 55 UIAs with a sensitivity of 41.9% and a specificity of 63.6%. Aspect ratio recommended treatment in 60 of 60 ruptured aneurysms and in 63 of 68 UIAs with a sensitivity of 100% and a specificity of 88.24%. Dome-to-neck ratio recommended treatment in 45 of 60 ruptured aneurysms and in 48 of 68 UIAs with a sensitivity of 80% and a specificity of 63.24%. The aspect ratio (area under the curve [AUC] = 0.953) AUC > 0.8 has a higher discriminatory power between ruptured aneurysms and UIAs. Conclusion: AHT and smoking status were the most common risk factors for intracranial multiple aneurysms and the aspect ratio and PHASES score were the most powerful discrimination tools between ruptured aneurysms and the UIAs.

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The Anatomical Variation of the Distal Anterior Cerebral Artery: An Angiographic Study in a Greek Population Sample

Chrissicopoulos,

Mavrovounis,

Piagkou

et al. 2024

Cureus

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Objective The current retrospective angiographic study establishes the rates of variants in the distal anterior cerebral artery (DACA) in a sample of the Greek population. Methods Data were collected from 456 patients who underwent two-dimensional (2D) or three-dimensional (3D) digital subtraction angiography (DSA) of the carotid and vertebral arteries bilaterally. The study focused on patients with good visualization of the anterior and posterior circulations and employed magnetic resonance (MR) or computed tomography (CT) angiography for 3D reconstruction. The anterior cerebral artery (ACA) was classified into one of its two basic configurations, that is, with or without the callosomarginal artery (CMA). The bihemispheric, median, and azygos ACA patterns were also identified. Results The majority (373/456, 81.8%) exhibited a typical DACA pattern. The bihemispheric, median, and azygos patterns were identified in 66/456 (14.5%), 10/456 (2.2%), and 7/456 (1.5%), respectively. The CMA was present in 824/912 (90.4%) of the hemispheres, with a trend toward male predominance for bilateral presence (males: 167/192, 86.98%; females: 210/264, 79.55%; p = 0.05). In particular, the CMA was present significantly more frequently (p = 0.002) in the left hemispheres of male patients. Gender differences in CMA presence persisted in the analysis of the patients with a typical DACA pattern. Conclusion This study provides insights into the variations of the DACA in the Greek population. The observed gender differences in CMA rates suggest potential morphological variations in cerebral vasculature between males and females and contribute to a better understanding of vascular anatomy for clinical and surgical applications.

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Morphometric evaluation of Anterior Cerebral Artery (on Digital Subtraction Angiography)–Potential implications

Cited by 3 publications

References 14 publications

Systematic Review of Morphometric Analysis of Anterior Cerebral Artery (ACA) Emphasizing on Its Clinical Implications

Systematic Review of Morphometric Analysis of Anterior Cerebral Artery (ACA) Emphasizing on Its Clinical Implications

Evaluation of unruptured aneurysm scoring systems and ratios in subarachnoid hemorrhage patients with multiple intracranial aneurysms

The Anatomical Variation of the Distal Anterior Cerebral Artery: An Angiographic Study in a Greek Population Sample

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