The anterior communicating artery variants: a meta-analysis with a proposed classification system

• DOI: 10.1007/s00276-024-03336-7
• Publication Date: 2024-03-01T19:04:39Z
• Authors: George Triantafyllou; Răzvan Costin Tudose; Christos Tsiouris; George Tsakotos; Marios Loukas; R. Shane Tubbs; Theodosis Kalamat...; Christos Chrissic...; Katerina Al-Nasraoui; Christos Koutseri...; Mugurel Constanti...; Konstantinos Natsis; Anastasios Kotrot...; Maria Piagkou
• Keywords: Anterior communicating artery; Anterior cerebral artery

Abstract Morphological and morphometric variants of the anterior communicating artery (AComA) have been described by multiple studies; however, a complete classification system all possible morphological with their prevalence is lacking. The current systematic review meta-analysis combines data from different databases, concerning AComA (length diameter). Emphasis was given to related clinical implications highlight value knowledge. typical morphology occurs pooled (PP) 67.3%, while PP atypical 32.7%. identified (artery’s hypoplasia, absence, duplication, triplication, differed shape, fenestration, persistence median corpus callosum- MACC) were classified in order frequency. commonest presented hypoplasia (8%) cerebral (ACA) fusion (5.9%), rarest ones MACC (2.3%), triplication (0.7%). knowledge those essential, especially for neurosurgeons operating area. Given high aneurysms, an adequate utmost importance.