后交通动脉开放与椎动脉颅内段发育间关系的MRA研究

Abstract

Abstract:

Objective To investigate the relationship between the posterior communicating artery (PCoA) and the development of intracranial segment of vertebral artery.　Methods　A total of 115 subjects underwent 3.0 T magnetic resonance angiographic (MRA) were involved in this study. The development of vertebral artery and the state of PCoA were observed. The diameter of intracranial segment of vertebral artery, the diameter and length of PCoA were measured. As well, the correlation between them was analyzed.　Results　①the frequency of hypoplastic left and right vertebral arteries were respectively 15.65% (18/115) and 39.13%（45/115）, and the absence of the right vertebral artery were in 0.87%（1/115）, the hypoplasia of bilateral vertebral artery were in 2.61%(3/115). 72 patients demonstrated single or bilateral development of the posterior communicating artery, among them 35 cases were bilateral developed, 23 were the left and 14 were the right developed. ③The developing of PCoA was correlated with the development of intracranial segment of vertebral artery（r=0.677，P=0.000）.　Conclusions　The hypoplasia of intracranial segment of vertebral artery leads to the compensatory developing of the posterior communicating artery.

Key words: Vertebral artery, Posterior communicating artery, Magnetic resonance angiography

CLC Number:

R322
R814.42

CHEN Chi, LV Fa-Jin, TAO Kai-Qing, LI Jian-Qiu, LE Dou-Xiao-Lan. MRA study on the relationship between posterior communicating artery and the development of intracranial segment of vertebral artery[J]. Chinese Journal Of Clinical Anatomy, 2012, 30(2): 189-192.

References

[1] Park JH, Kim JM, Roh JK.Hypoplastic vertebral artery: frequency and associations with ischaemic stroke territory
[J]. Neurol Neurosurg Psychiatry, 2007, 78(9):954- 958.

[2] Perren F, Poglia D, Landis T, et al.Vertebral artery hypoplasia: a predisposing factor for posterior circulation stroke?
[J] .Neurology, 2007 ,68(1):65-67.

[3] George B,Laurian C. The Vertebral artery pathology and surgery
[M]. New York:springer-verlag, 1987.

[4] Jeng JS, Yip PK.Evaluation of vertebral artery hypoplasia and asymmetry by color-coded duplex ultrasonography
[J]. Ultrasound Med Biol, 2004,30(5):605-609.

[5] 申敬顺,韩杰,王莹,等.多层螺旋CT血管成像在椎基底动脉短暂性脑缺血发作诊断中的价值
[J].卒中与神经疾病杂志,2006,13(2):87-89.

[6] Hoksbergen AW, Fülesdi B, Legemate DA, et al . Collateral configuration of the circle of Willis: transcranial color-coded duplex ultrasonography and comparison with postmortem anatomy
[J]. Stroke, 2000, 31(6):1346-1351.　

[7] van Raamt AF, Mali WP, van Laar PJ, et al. The fetal variant of the circle of Willis and its influence on the cerebral collateral circulation
[J]. Cerebrovasc Dis, 2006,22(4):217-224.

[8] 张致身.人脑血管解剖与临床
[M].第2版. 北京：科学技术文献出版社，2004.

[9] Seidel E, Eicke BM, Tettenborn B, et al. Reference values for vertebral artery flow volume by duplex sonography in young and elderly adults
[J].Stroke，1999, 30（12）:2692–2696.

[10]Bartels E, ed. Vertebral sonography. Color-coded duplex ultrasonography of the cerebral vessels:atlas and manual
[M]. Stuttgart: Schattauer, 1999:113–155.

[11]叶莹莹,张伟国,陈蓉,等.64层螺旋CT血管成像诊断胚胎型大脑后动脉及与DSA诊断的对比研究
[J].现代生物医学进展,2008,8(2):302-304．

[12]叶莹莹,张伟国,陈蓉,等.64层螺旋CTA显示胚胎型大脑后动脉伴发Willis环多血管段变异的价值
[J].中国医学影像技术,2007,23(12):1173-1176．

[13] Morovic S, Skaric-Juric T, Demarin V. Morphologic and hemodynamic characteristics of vertebral arteries in men and women
[J]. Rad Medical Science, 2007, 497: 121-127.

[14]Willinek WA, Born M, Simon B,et al. Time-of-flight MR angiography: comparison of 3.0-T imaging and 1.5-T imaging--initial experience
[J]. Radiology,2003,229(3):913-920.

[15]Choi CG, Lee DH, Lee JH, et al. Detection of intracranial atherosclerotic steno-occlusive disease with 3D time-of-flight magnetic resonance angiography with sensitivity encoding at 3T
[J]. Am J Neuroradiol, 2007,28(3):439-446.

[16]李晖,刘怀军,李靖武,等.应用MRA评价后交通动脉开放与后循环形态的关系
[J].中国医学影像技术,2010,26(8):1456-1459.

[17]石建成,刘怀军,赵林,等. 3.0T磁共振血管成像研究生理状态下国人脑血管形态学类型
[J].中国临床解剖学杂志,2011, 29(1) :58-62.

MRA study on the relationship between posterior communicating artery and the development of intracranial segment of vertebral artery

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 13

Metrics

Comments

Recommended 0

[1]	Lian Peirong, Chen Hu, Yi Honglei, Feng Zhibin, Tu Qing, Xia Hong. Review of classification of the course variation of the suboccipital vertebral artery and its clinical application [J]. Chinese Journal of Clinical Anatomy, 2023, 41(6): 746-750.
[2]	Song Zhanfeng, Wu Zhanyong, Ye Qibin, Lu Zhifang. Study on the anatomical factors of cervical sympathetic nerve and second cervical nerve in the occurrence of upper cervical vertigo [J]. Chinese Journal of Clinical Anatomy, 2022, 40(1): 1-3.
[3]	Du Xinru, Kong Xiangyu, Guo Sen , Wang Jiajia. Morphological characteristics of the vertebral artery and the first cervical nerve through dura meter and its relation to occipital pain in hypertension [J]. Chinese Journal of Clinical Anatomy, 2021, 39(4): 379-383.
[4]	KONG Xiang-yu, DU Xin-ru, LIU Hong-wei , WANG Jia-jia. Anatomical observation on vertebral artery-dura mater arterial ductal ligament and its clinical significance [J]. Chinese Journal of Clinical Anatomy, 2020, 38(6): 635-638.
[5]	DU Xin-ru, KONG Xiang-yu, GUO Sen, MA Quan, LIU Ying-dong . The anatomical relationship between the vertebral artery and the Ⅸ to Ⅻ cranial nerves and its clinical significance [J]. Chinese Journal of Clinical Anatomy, 2020, 38(1): 1-5.
[6]	ZHANG Fa-yao, FENG Min-shan, ZHU Li-guo. Influence of different end-range upper cervical rotation on the vertebral artery lumen [J]. Chinese Journal Of Clinical Anatomy, 2018, 36(1): 71-76.
[7]	LAN Hui, HU Ying， LV Fa-jin, LI Kang. The study of posterior communicating artery on volume computed tomography digital subtraction angiography [J]. Chinese Journal Of Clinical Anatomy, 2017, 35(5): 504-507.
[8]	SHU Xiao-Hua, CA Chang-Beng, HUANG Xiao-Hua, XIE Xin-Guo, SHU Jian-Jun. Magnetic resonance angiographic study of the relationship between the development of A1 segment of anterior cerebral artery and communicating artery [J]. Chinese Journal Of Clinical Anatomy, 2014, 32(4): 423-426.
[9]	MENG Lian-Hui, LI Shu-Jing, WANG Gui-Yang, LIU Fu-Jun. MRI study of pelvic veins of healthy women in their reproductive years [J]. Chinese Journal Of Clinical Anatomy, 2013, 31(6): 677-679.
[10]	WANG Zhong-Beng, LI Yong-Mei, OU Yang-Hu, LV Fa-Jin, LUO Tian-You, CHEN Xuan, CENG Chun, HOU Huan-Xin, HUANG Fu-Hong. Anatomic evaluation of the lingual artery using magnetic resonance 3D-Tricks technique [J]. Chinese Journal Of Clinical Anatomy, 2012, 30(2): 181-184.
[11]	LIU Yin-She, YUAN 　Fei, DONG Shao-Xi, GU 　Xin, FENG Kai-Lin. Fenestration of vertebro-basilar artery detected by the head and carotid angiography under 64-slice multidetector spiral CT [J]. Chinese Journal Of Clinical Anatomy, 2010, 28(5): 543-.
[12]	HE Zhen-Rong, DIAO 　Liang. Imageology and clinical significance of cervical spondylotic vertebral artery insufficiency [J]. Chinese Journal Of Clinical Anatomy, 2010, 28(4): 417-.
[13]	LIAO Xu-Yu, 　Yang-Qiang-Guo, 　Hua-Xin-Yi, 　Zhang-Yin-Shun, 　Han-Chun, 　Xie-Yang-Lin. Anatomy and imageology of the vertebral artery foramen and its adjacency of the lower cervical vertebrae [J]. Chinese Journal Of Clinical Anatomy, 2009, 27(6): 647-.