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Neuroangiography patterns and anomalies of middle cerebral artery: A systematic review

BACKGROUND: As the largest and most complex cerebral artery, the middle cerebral artery (MCA) patterns and anomalies are not fully reported. At present, there is confusion about the criteria for the different subtypes. The study of MCA patterns and anomalies is important because variants such as acc...

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Autores principales: Fauzi, Asra Al, Aji, Yunus Kuntawi, Gunawan, Rudy, Suroto, Nur Setiawan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8247664/
https://www.ncbi.nlm.nih.gov/pubmed/34221566
http://dx.doi.org/10.25259/SNI_125_2021
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author Fauzi, Asra Al
Aji, Yunus Kuntawi
Gunawan, Rudy
Suroto, Nur Setiawan
author_facet Fauzi, Asra Al
Aji, Yunus Kuntawi
Gunawan, Rudy
Suroto, Nur Setiawan
author_sort Fauzi, Asra Al
collection PubMed
description BACKGROUND: As the largest and most complex cerebral artery, the middle cerebral artery (MCA) patterns and anomalies are not fully reported. At present, there is confusion about the criteria for the different subtypes. The study of MCA patterns and anomalies is important because variants such as accessories or duplicates represent a high risk of failure during endovascular embolization or navigation during treatment for ischemic stroke. This study conducted a systematic review of studies on the neuroangiography patterns and anomalies of MCA. METHODS: We conducted a systematic review of four articles online databases and included English articles from PubMed, the Cochrane Library, Directory of Open Access Journals, and EBSCOhost. RESULTS: The proportion of the MCA branching pattern was 1.9% (range from 0% to 6.3%) for monofurcation, 1.0% (range from 0% to 1.4%) for tetrafurcation, 69.9% (range from 58.1% to 92.7%) for bifurcation, and 27% (ranging from 7.3% to 40.4%) for trifurcation. The proportion of MCA anomalies for accessory is 0.03% (range from 0% to 1%), duplication is 0.17% (range from 0% to 3%), and fenestration is 0.15% (range from 0% to 2%). CONCLUSION: The proportions of the branching pattern and anomalies of MCA based on the systematic review are described in this study. This study is the first to systematically review the neuroangiography pattern of MCA and neuroangiography variations/anomalies of MCA in the literature.
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spelling pubmed-82476642021-07-02 Neuroangiography patterns and anomalies of middle cerebral artery: A systematic review Fauzi, Asra Al Aji, Yunus Kuntawi Gunawan, Rudy Suroto, Nur Setiawan Surg Neurol Int Review Article BACKGROUND: As the largest and most complex cerebral artery, the middle cerebral artery (MCA) patterns and anomalies are not fully reported. At present, there is confusion about the criteria for the different subtypes. The study of MCA patterns and anomalies is important because variants such as accessories or duplicates represent a high risk of failure during endovascular embolization or navigation during treatment for ischemic stroke. This study conducted a systematic review of studies on the neuroangiography patterns and anomalies of MCA. METHODS: We conducted a systematic review of four articles online databases and included English articles from PubMed, the Cochrane Library, Directory of Open Access Journals, and EBSCOhost. RESULTS: The proportion of the MCA branching pattern was 1.9% (range from 0% to 6.3%) for monofurcation, 1.0% (range from 0% to 1.4%) for tetrafurcation, 69.9% (range from 58.1% to 92.7%) for bifurcation, and 27% (ranging from 7.3% to 40.4%) for trifurcation. The proportion of MCA anomalies for accessory is 0.03% (range from 0% to 1%), duplication is 0.17% (range from 0% to 3%), and fenestration is 0.15% (range from 0% to 2%). CONCLUSION: The proportions of the branching pattern and anomalies of MCA based on the systematic review are described in this study. This study is the first to systematically review the neuroangiography pattern of MCA and neuroangiography variations/anomalies of MCA in the literature. Scientific Scholar 2021-05-25 /pmc/articles/PMC8247664/ /pubmed/34221566 http://dx.doi.org/10.25259/SNI_125_2021 Text en Copyright: © 2021 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Review Article
Fauzi, Asra Al
Aji, Yunus Kuntawi
Gunawan, Rudy
Suroto, Nur Setiawan
Neuroangiography patterns and anomalies of middle cerebral artery: A systematic review
title Neuroangiography patterns and anomalies of middle cerebral artery: A systematic review
title_full Neuroangiography patterns and anomalies of middle cerebral artery: A systematic review
title_fullStr Neuroangiography patterns and anomalies of middle cerebral artery: A systematic review
title_full_unstemmed Neuroangiography patterns and anomalies of middle cerebral artery: A systematic review
title_short Neuroangiography patterns and anomalies of middle cerebral artery: A systematic review
title_sort neuroangiography patterns and anomalies of middle cerebral artery: a systematic review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8247664/
https://www.ncbi.nlm.nih.gov/pubmed/34221566
http://dx.doi.org/10.25259/SNI_125_2021
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