A study of the gross anatomy of posterior communicating artery

Background: The posterior communicating artery is the main collateral channel between internal carotid artery and verteberobasilar system. There are considerable variations in the posterior communicating artery which have both surgical and endovascular implications. Objectives: The present study aim...

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Main Author: Narayanan Sunitha
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:National Journal of Clinical Anatomy
Subjects:
Online Access:http://www.njca.info/article.asp?issn=2277-4025;year=2017;volume=6;issue=2;spage=105;epage=111;aulast=Sunitha
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author Narayanan Sunitha
author_facet Narayanan Sunitha
author_sort Narayanan Sunitha
collection DOAJ
description Background: The posterior communicating artery is the main collateral channel between internal carotid artery and verteberobasilar system. There are considerable variations in the posterior communicating artery which have both surgical and endovascular implications. Objectives: The present study aims to study the variations of posterior communicating artery such as hypoplasia and absence of the artery. The incidences of the three types of configurations of posterior communicating artery were also noted. Materials and methods: The study was conducted in 60 randomly selected brain specimens fixed in 10% formalin for 10 days in the department of Anatomy. The posterior communicating artery was carefully dissected and observed. Photographs were taken to document the observations. Results: The Posterior Communicating Artery was normal in 13 circles unilaterally [21.7%- Rt. 13% and Lt.9.7%] and bilaterally in 30 circles [50%]. It was hypoplastic in 15% of circles unilaterally and in 10% of circles bilaterally. It was absent in 6.7% of circles unilaterally. Of the three configurations of posterior communicating artery, adult configuration was more common. The other two variant configurations, fetal and transitional were observed in 15% of cases unilaterally. Conclusions: An intact circle of Willis is essential for the stable and constant blood flow to the encephalon. Any changes in its morphology may condition the appearance and the severity of syndromes of vascular insufficiency in adults.
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spelling doaj.art-8e6ec4fed87a420caeccc2f2a68125712022-12-21T22:25:50ZengWolters Kluwer Medknow PublicationsNational Journal of Clinical Anatomy2277-40252321-27802017-01-016210511110.4103/2277-4025.295927A study of the gross anatomy of posterior communicating arteryNarayanan SunithaBackground: The posterior communicating artery is the main collateral channel between internal carotid artery and verteberobasilar system. There are considerable variations in the posterior communicating artery which have both surgical and endovascular implications. Objectives: The present study aims to study the variations of posterior communicating artery such as hypoplasia and absence of the artery. The incidences of the three types of configurations of posterior communicating artery were also noted. Materials and methods: The study was conducted in 60 randomly selected brain specimens fixed in 10% formalin for 10 days in the department of Anatomy. The posterior communicating artery was carefully dissected and observed. Photographs were taken to document the observations. Results: The Posterior Communicating Artery was normal in 13 circles unilaterally [21.7%- Rt. 13% and Lt.9.7%] and bilaterally in 30 circles [50%]. It was hypoplastic in 15% of circles unilaterally and in 10% of circles bilaterally. It was absent in 6.7% of circles unilaterally. Of the three configurations of posterior communicating artery, adult configuration was more common. The other two variant configurations, fetal and transitional were observed in 15% of cases unilaterally. Conclusions: An intact circle of Willis is essential for the stable and constant blood flow to the encephalon. Any changes in its morphology may condition the appearance and the severity of syndromes of vascular insufficiency in adults.http://www.njca.info/article.asp?issn=2277-4025;year=2017;volume=6;issue=2;spage=105;epage=111;aulast=Sunithaposterior communicating arterycollateralconfiguration
spellingShingle Narayanan Sunitha
A study of the gross anatomy of posterior communicating artery
National Journal of Clinical Anatomy
posterior communicating artery
collateral
configuration
title A study of the gross anatomy of posterior communicating artery
title_full A study of the gross anatomy of posterior communicating artery
title_fullStr A study of the gross anatomy of posterior communicating artery
title_full_unstemmed A study of the gross anatomy of posterior communicating artery
title_short A study of the gross anatomy of posterior communicating artery
title_sort study of the gross anatomy of posterior communicating artery
topic posterior communicating artery
collateral
configuration
url http://www.njca.info/article.asp?issn=2277-4025;year=2017;volume=6;issue=2;spage=105;epage=111;aulast=Sunitha
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