Neuroanatomy of the middle cerebral artery: implications for thrombectomy. (27th February 2020)

• Record Type: Journal Article
• Authors: Shapiro, Maksim; Raz, Eytan; Nossek, Erez; Chancellor, Breehan; Ishida, Koto; Nelson, Peter Kim
• Is Part Of: Journal of neurointerventional surgery. Volume 12:Number 8(2020)
• Page Start: 768
• Page End: 773
• Publication Date: 2020-02-27
• Subjects: artery -- blood flow -- brain -- thrombectomy -- stroke; Nervous system -- Surgery -- Periodicals; Cerebrovascular disease -- Surgery -- Periodicals; 617.48
• DOI: 10.1136/neurintsurg-2019-015782
• Languages: English
• ISSNs: 1759-8478

Abstract

Abstract : Our perspective on anatomy frequently depends on how this anatomy is utilized in clinical practice, and by which methods knowledge is acquired. The thrombectomy revolution, of which the middle cerebral artery (MCA) is the most common target, is an example of a clinical paradigm shift with a unique perspective on cerebrovascular anatomy. This article reviews important features of MCA anatomy in the context of thrombectomy. Recognizing that variation, frequently explained by evolutionary concepts, is the rule when it comes to branching pattern, vessel morphology, territory, or collateral potential is key to successful thrombectomy strategy.