A retrospective anatomical study of the cerebral dural venous sinus outflow pathways utilizing three-dimensional rotational venography
OBJECTIVE: Proper blood flow is essential for the maintenance of homeostasis for the human cerebrum. The dural venous sinuses comprise the dominant cerebral venous outflow path. Understanding the spatial configuration of the dural venous sinuses can provide valuable insight into several pathological...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Brain Circulation |
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| Online Access: | http://www.braincirculation.org/article.asp?issn=2394-8108;year=2022;volume=8;issue=1;spage=38;epage=44;aulast=Anand |
| _version_ | 1811271861246361600 |
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| author | AdrishAnand Samantha Claire Crowley AdityaSrivatsan Visish M Srinivasan GouthamiChintalapani PeterKan Jeremiah N Johnson |
| author_facet | AdrishAnand Samantha Claire Crowley AdityaSrivatsan Visish M Srinivasan GouthamiChintalapani PeterKan Jeremiah N Johnson |
| author_sort | AdrishAnand |
| collection | DOAJ |
| description | OBJECTIVE: Proper blood flow is essential for the maintenance of homeostasis for the human cerebrum. The dural venous sinuses comprise the dominant cerebral venous outflow path. Understanding the spatial configuration of the dural venous sinuses can provide valuable insight into several pathological conditions. Previously, only two-dimensional or cadaveric data have been used to understand cerebral outflow. For the first time, we applied three-dimensional rotational venography (3D-RV) to study and provide detailed quantitative morphological measurements of the terminal cerebral venous sinus system in several pathological states.
SUBJECTS ANDMETHODS: Patients who underwent a 3D-RV procedure were identified by reviewing our local institution's endovascular database. Patients with high-quality angiographic images were selected. Eighteen patients were included (37.1 ± 3.8 years). Sinuses were divided into four segments, starting at the torcula and ending at the internal jugular vein. Segment length, 3D displacement, and cross-sectional area were measured.
RESULTS: The transverse sinus (60.2 mm) was the longest segment, followed by the sigmoid sinus (55.1 mm). Cross-sectional areas were smallest at the middle of the transverse sinus (21.3 mm2) but increased at the sigmoid sinus (33.5 mm2) and at the jugular bulb (49.7 mm2). The only variation in displacements of venous flow was at the sigmoid-jugular junction, where 55% of cases had lateral displacements versus 45% medial, and 78% superior versus 22% inferior.
CONCLUSIONS: We describe the terminal venous sinus system of patients with a variety of diagnoses, detailing segment length, cross-sectional area, and 3D path. |
| first_indexed | 2024-04-12T22:29:44Z |
| format | Article |
| id | doaj.art-a2954129222c472aaf9aabc9b63e2398 |
| institution | Directory Open Access Journal |
| issn | 2455-4626 |
| language | English |
| last_indexed | 2024-04-12T22:29:44Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Brain Circulation |
| spelling | doaj.art-a2954129222c472aaf9aabc9b63e23982022-12-22T03:14:01ZengWolters Kluwer Medknow PublicationsBrain Circulation2455-46262022-01-0181384410.4103/bc.bc_76_21A retrospective anatomical study of the cerebral dural venous sinus outflow pathways utilizing three-dimensional rotational venographyAdrishAnandSamantha Claire CrowleyAdityaSrivatsanVisish M SrinivasanGouthamiChintalapaniPeterKanJeremiah N JohnsonOBJECTIVE: Proper blood flow is essential for the maintenance of homeostasis for the human cerebrum. The dural venous sinuses comprise the dominant cerebral venous outflow path. Understanding the spatial configuration of the dural venous sinuses can provide valuable insight into several pathological conditions. Previously, only two-dimensional or cadaveric data have been used to understand cerebral outflow. For the first time, we applied three-dimensional rotational venography (3D-RV) to study and provide detailed quantitative morphological measurements of the terminal cerebral venous sinus system in several pathological states. SUBJECTS ANDMETHODS: Patients who underwent a 3D-RV procedure were identified by reviewing our local institution's endovascular database. Patients with high-quality angiographic images were selected. Eighteen patients were included (37.1 ± 3.8 years). Sinuses were divided into four segments, starting at the torcula and ending at the internal jugular vein. Segment length, 3D displacement, and cross-sectional area were measured. RESULTS: The transverse sinus (60.2 mm) was the longest segment, followed by the sigmoid sinus (55.1 mm). Cross-sectional areas were smallest at the middle of the transverse sinus (21.3 mm2) but increased at the sigmoid sinus (33.5 mm2) and at the jugular bulb (49.7 mm2). The only variation in displacements of venous flow was at the sigmoid-jugular junction, where 55% of cases had lateral displacements versus 45% medial, and 78% superior versus 22% inferior. CONCLUSIONS: We describe the terminal venous sinus system of patients with a variety of diagnoses, detailing segment length, cross-sectional area, and 3D path.http://www.braincirculation.org/article.asp?issn=2394-8108;year=2022;volume=8;issue=1;spage=38;epage=44;aulast=Anandcone-beam cerebral venographydural sinus nomenclature systemthree-dimensional rotational angiographyvenous sinus outflow |
| spellingShingle | AdrishAnand Samantha Claire Crowley AdityaSrivatsan Visish M Srinivasan GouthamiChintalapani PeterKan Jeremiah N Johnson A retrospective anatomical study of the cerebral dural venous sinus outflow pathways utilizing three-dimensional rotational venography Brain Circulation cone-beam cerebral venography dural sinus nomenclature system three-dimensional rotational angiography venous sinus outflow |
| title | A retrospective anatomical study of the cerebral dural venous sinus outflow pathways utilizing three-dimensional rotational venography |
| title_full | A retrospective anatomical study of the cerebral dural venous sinus outflow pathways utilizing three-dimensional rotational venography |
| title_fullStr | A retrospective anatomical study of the cerebral dural venous sinus outflow pathways utilizing three-dimensional rotational venography |
| title_full_unstemmed | A retrospective anatomical study of the cerebral dural venous sinus outflow pathways utilizing three-dimensional rotational venography |
| title_short | A retrospective anatomical study of the cerebral dural venous sinus outflow pathways utilizing three-dimensional rotational venography |
| title_sort | retrospective anatomical study of the cerebral dural venous sinus outflow pathways utilizing three dimensional rotational venography |
| topic | cone-beam cerebral venography dural sinus nomenclature system three-dimensional rotational angiography venous sinus outflow |
| url | http://www.braincirculation.org/article.asp?issn=2394-8108;year=2022;volume=8;issue=1;spage=38;epage=44;aulast=Anand |
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