Imaging Characteristics of Persistent Carotid-Vertebrobasilar Anastomoses Detected by Ultrasound

IF 2.4 4区 医学 Q2 ACOUSTICS
Xiang Li MD, Qiuping Li MD, Liyong Du MD, Yumeng Luo MD, Jie Yang MD, Tieying Zhang MD, Jiabin Liu MD
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Abstract

In this case series, we aimed to evaluate the ultrasonic characteristics of 35 patients with persistent carotid-vertebrobasilar anastomoses (PCVBA), a rare variant between the anterior and posterior cerebral circulation. Ultrasound detected seven (30.4%, 7/23) primitive trigeminal arteries (PTA), eight (100%, 8/8) primitive hypoglossal arteries (PHA), and four (100%, 4/4) proatlantal intersegmental arteries (PIA). PHA and PIA can be observed as abnormal branches arising from the internal or external carotid artery, most likely accompanied by hypoplastic vertebral arteries with low velocities and high resistances. Still, the basilar arteries had normal blood flows in stark contrast to the vertebral arteries.

Abstract Image

持续颈动脉-椎基底动脉吻合的超声影像特征:一个病例系列。
在本病例系列中,我们旨在评估35例持续性颈动脉-椎基底动脉吻合(PCVBA)患者的超声特征,PCVBA是脑循环前后之间的一种罕见变异。超声检出三叉原始动脉(PTA) 7条(30.4%,7/23),舌下原始动脉(PHA) 8条(100%,8/8),颏前节段间动脉(PIA) 4条(100%,4/4)。PHA和PIA可观察到颈内或颈外动脉的异常分支,最可能伴有椎动脉发育不全,流速低,阻力大。尽管如此,与椎动脉形成鲜明对比的是,基底动脉的血流量正常。
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来源期刊
CiteScore
5.10
自引率
4.30%
发文量
205
审稿时长
1.5 months
期刊介绍: The Journal of Ultrasound in Medicine (JUM) is dedicated to the rapid, accurate publication of original articles dealing with all aspects of medical ultrasound, particularly its direct application to patient care but also relevant basic science, advances in instrumentation, and biological effects. The journal is an official publication of the American Institute of Ultrasound in Medicine and publishes articles in a variety of categories, including Original Research papers, Review Articles, Pictorial Essays, Technical Innovations, Case Series, Letters to the Editor, and more, from an international bevy of countries in a continual effort to showcase and promote advances in the ultrasound community. Represented through these efforts are a wide variety of disciplines of ultrasound, including, but not limited to: -Basic Science- Breast Ultrasound- Contrast-Enhanced Ultrasound- Dermatology- Echocardiography- Elastography- Emergency Medicine- Fetal Echocardiography- Gastrointestinal Ultrasound- General and Abdominal Ultrasound- Genitourinary Ultrasound- Gynecologic Ultrasound- Head and Neck Ultrasound- High Frequency Clinical and Preclinical Imaging- Interventional-Intraoperative Ultrasound- Musculoskeletal Ultrasound- Neurosonology- Obstetric Ultrasound- Ophthalmologic Ultrasound- Pediatric Ultrasound- Point-of-Care Ultrasound- Public Policy- Superficial Structures- Therapeutic Ultrasound- Ultrasound Education- Ultrasound in Global Health- Urologic Ultrasound- Vascular Ultrasound
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