Anatomy of the recurrent artery of Heubner and ischemia of its territory after clipping of aneurysms of the anterior communicating artery
Authors:
F. Vokálek 1*; R. Bartoš 1,2*; A. Hejčl 1; T. Radovnický 1; P. Vachata 1,3; M. Sameš 1; D. Ospalík 4; F. Cihlář 5; V. Němcová 2
Authors‘ workplace:
František Vokálek a Robert Bartoš se, na článku podíleli stejným dílem.
*; Neurochirurgická klinika Univerzity, J. E. Purkyně, Masarykova nemocnice, KZ a. s., Ústí nad Labem
1; Anatomický ústav, 1. LF UK, Praha
2; Neurochirurgická klinika LF UK, Plzeň
3; Neurologické oddělení, Masarykova, nemocnice, KZ a. s., Ústí nad Labem
4; Radiodiagnostická klinika Univerzity, J. E. Purkyně, Masarykova nemocnice, KZ a. s., Ústí nad Labem
5
Published in:
Cesk Slov Neurol N 2024; 87(6): 402-407
Category:
Original Paper
doi:
https://doi.org/10.48095/cccsnn2024402
Overview
Aim: The work aims to describe in detail the anatomy of the recurrent artery of Heubner and determine the frequency of ischemia in its territory after clipping of aneurysms of the arteria communicans anterior. Sample and methodology: We performed a laboratory microscopic dissection of the recurrent artery of Heubner as well as literature research of a description of its varieties. In the clinical part, we evaluated post-operative brain CT images of 215 aneurysms of the anterior communicating artery treated with clipping at the Department of Neurosurgery in Ústí nad Labem between 2006–2022. Results: We documented duplication of the arteria recurrens Heubneri, occurring only in 14% of cases, and its extracerebral anastomosis with perforators of the middle cerebral artery, occurring only in 10% of cases. In the clinical part, the frequency of ischemia in the Heubneri recurrent artery territory after surgery for anterior communicating artery aneurysms was found to be 14.4%, for bleeding aneurysms it was 19.6% of cases, and for asymptomatic aneurysms it was of 6% cases. Conclusion: Arteria recurrens Heubneri is one of the arteries which precise anatomical knowledge minimizes the risk of complications when performing vascular and neuro-oncological operations in the area of its course.
Keywords:
aneurysm – ischemia – arteria recurrens Heubneri – arteria communicans anterior
Sources
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Paediatric neurology Neurosurgery NeurologyArticle was published in
Czech and Slovak Neurology and Neurosurgery
2024 Issue 6
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