Distribution of the Middle Meningeal Artery Variants in Patients Undergoing Embolization for Chronic Subdural Hematoma.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-10-23 DOI:10.1016/j.wneu.2024.09.137

Sandra A Pilawska, Magdalena Dębicka, Roger M Krzyżewski, Urszula Zacharska, Jarosław Polak, Bartłomiej Łasocha, Tadeusz J Popiela, Borys M Kwinta

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引用次数: 0

Abstract

Background: The middle meningeal artery (MMA) is a major dural vessel that plays a significant role in developing chronic subdural hematomas (cSDHs). Understanding its variable anatomy is essential for the effective management of cSDH and the prevention of complications.

Methods: MMA anatomy was retrospectively assessed in a population of 92 patients who underwent digital subtraction angiography of cerebral vessels before MMA embolization for cSDH.

Results: We assessed 121 MMAs in 92 patients who underwent digital subtraction angiography for cSDH treatment from October 2020 to July 2023. The most common type in the extended Adachi classification was IC (19.82%) and the rarest was IB (6.31%). The anterior branch of the MMA was the most frequently dominant, while the most common origin of the posterior branch was observed in the distal segment. We reported 4 cases (3.31%) of the MMA arising from the ophthalmic artery.

Conclusions: The most common configuration of MMA was Adachi-type IC. The MMA most often originated from the maxillary artery. The posterior branch of the MMA was typically dominant and most frequently originated from the distal segment. There was no significant impact of Adachi type on treatment results or fluoroscopy time.

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接受慢性硬膜下血肿栓塞术的患者脑膜中动脉变异体的分布。

简介：脑膜中动脉（MMA）是主要的硬脑膜血管，在慢性硬脑膜下血肿（cSDH）的发生中起着重要作用。了解其多变的解剖结构对有效治疗 cSDH 和预防并发症至关重要：方法：我们对92名在脑膜中动脉栓塞治疗慢性硬膜下血肿前接受脑血管数字减影血管造影术的患者的脑膜中动脉解剖进行了回顾性评估：我们对2020年10月至2023年7月期间接受数字减影血管造影术治疗慢性硬膜下血肿的92例患者的121条脑膜中动脉进行了评估。在阿达奇扩展分类中，最常见的类型是 IC（19.82%），最罕见的是 IB（6.31%）。最常见的是 MMA 的前支，而最常见的后支起源于远段。我们报告了 4 例（3.31%）MMA 由眼部动脉引起：结论：最常见的 MMA 结构是 Adachi-type IC。结论：最常见的 MMA 形态为 Adachi-type IC，最常见的 MMA 起源于上颌动脉。MMA的前支通常占主导地位，后支最常起源于远段。阿达奇型对治疗效果和透视时间没有明显影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.