PMID- 37814096
OWN - NLM
STAT- MEDLINE
DCOM- 20231106
LR  - 20231106
IS  - 1279-8517 (Electronic)
IS  - 0930-1038 (Linking)
VI  - 45
IP  - 12
DP  - 2023 Dec
TI  - Medial-type persistent trigeminal artery and ipsilateral posterior communicating 
      artery supplying bilateral posterior cerebral arteries combined with an aberrant 
      right subclavian artery and bicarotid trunk.
PG  - 1557-1561
LID - 10.1007/s00276-023-03247-z [doi]
AB  - PURPOSE: To describe a case of a medial-type persistent trigeminal artery (PTA) 
      associated with multiple arterial variations. METHODS: A 34-year-old woman with 
      multiple sclerosis underwent cranial magnetic resonance (MR) angiography from the 
      aortic arch to the neck region and intracranial region for the evaluation of an 
      unruptured cerebral aneurysm that was previously detected on MR imaging. The MR 
      machine was a 3-T scanner. RESULTS: There was an aberrant right subclavian artery 
      and bicarotid trunk, medial-type left PTA and ipsilateral posterior communicating 
      artery (PCoA) supplying bilateral posterior cerebral arteries (PCAs). The 
      unruptured aneurysm was located at the paraclinoid segment of the left internal 
      carotid artery and was treated successfully by coil embolization via a 
      transfemoral approach. CONCLUSION: Only 10% of PTAs are classified as the medial 
      type. The association with extremely large ipsilateral PCoA, which supplies the 
      bilateral PCAs, has not been previously reported. Aberrant right subclavian 
      arteries are common and are frequently associated with a bicarotid trunk. Before 
      catheterization of the cerebral arteries, the aortic arch and its branches must 
      be evaluated by MR angiography or computed tomography angiography to prevent 
      catheterization failure via the right transradial approach.
CI  - (c) 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, 
      part of Springer Nature.
FAU - Uchino, Akira
AU  - Uchino A
AD  - Department of Radiology, Saitama Sekishinkai Hospital, 2-37-20 Irumagawa, Sayama, 
      Saitama, 350-1305, Japan. auchino0528@gmail.com.
FAU - Kondo, Ryushi
AU  - Kondo R
AD  - Department of Neuroendovascular Therapy, Saitama Sekishinkai Hospital, 2-37-20 
      Irumagawa, Sayama, Saitama, 350-1305, Japan.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20231009
PL  - Germany
TA  - Surg Radiol Anat
JT  - Surgical and radiologic anatomy : SRA
JID - 8608029
RN  - Aberrant subclavian artery
SB  - IM
MH  - Female
MH  - Humans
MH  - Adult
MH  - *Subclavian Artery/diagnostic imaging
MH  - Posterior Cerebral Artery
MH  - *Intracranial Aneurysm
MH  - Cerebral Arteries
MH  - Magnetic Resonance Angiography
OTO - NOTNLM
OT  - Aberrant right subclavian artery
OT  - Arterial variations
OT  - Carotid-vertebrobasilar anastomosis
OT  - Magnetic resonance angiography
OT  - Persistent trigeminal artery
EDAT- 2023/10/10 00:42
MHDA- 2023/11/06 06:41
CRDT- 2023/10/09 23:33
PHST- 2023/07/06 00:00 [received]
PHST- 2023/09/24 00:00 [accepted]
PHST- 2023/11/06 06:41 [medline]
PHST- 2023/10/10 00:42 [pubmed]
PHST- 2023/10/09 23:33 [entrez]
AID - 10.1007/s00276-023-03247-z [pii]
AID - 10.1007/s00276-023-03247-z [doi]
PST - ppublish
SO  - Surg Radiol Anat. 2023 Dec;45(12):1557-1561. doi: 10.1007/s00276-023-03247-z. 
      Epub 2023 Oct 9.