Comprehensive Classification of Variations of the Anterior Part of the Circle of Willis in Fresh Cadavers Anterior Communicating Artery Taze Kadavralarda Willis Halkasının Ön Bölümündeki Varyasyonların Kapsamlı Sınıflandırılması


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Nteli Chatzioglou G., Nas E., Kale A., Aktas K., COŞKUN O., GAYRETLİ Ö.

Medeniyet Medical Journal, cilt.40, sa.2, ss.61-71, 2025 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 40 Sayı: 2
  • Basım Tarihi: 2025
  • Doi Numarası: 10.4274/mmj.galenos.2025.86729
  • Dergi Adı: Medeniyet Medical Journal
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.61-71
  • Anahtar Kelimeler: Anterior communicating artery, circle of Willis, fresh cadaver, variation
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • İstanbul Üniversitesi Adresli: Evet

Özet

Objective: The goal of our study is to evaluate and classify the variations of the anterior communicating artery (AComA) on fresh cadavers from the Türkiye population. Methods: In this study, 182 fresh cadavers were analysed and classified according to the number, shape and course of the AcomA. Results: In our study, typical AcomA was the most common with a rate of 86 (47.25%), while variations of the AcomA were found in the remaining 96 (52.75%) cases. Among these variations, in 11.46% (11/96) of cases, AcomA variations were identified as distal and proximal duplications according to the number of branches they represented; 68.75% (66/96) of cases were identified by their shape (X-shaped, single/double fenestration, hypoplasia, or aplasia); and, in 19 cases, it was characterized by course (median artery or oblique course). The rate of variations was 65% (26/40) in females and 49.29% (70/142) in males. In our study, the X-shaped and single fenestration variations were recorded as the most common. Conclusions: The results of the study are important for cerebrovascular surgery and radiological interventions. It emphasises the importance of recognising and considering variations. The study will contribute to the understanding of cerebrovascular diseases and the development of treatment strategies.