rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2014-0-5-19-25rentrad-45Research ArticleСтатьиПЕРСИСТИРУЮЩАЯ ТРИГЕМИНАЛЬНАЯ АРТЕРИЯ ПО ДАННЫМ МУЛЬТИСРЕЗОВОЙ КОМПЬЮТЕРНО-ТОМОГРАФИЧЕСКОЙ АНГИОГРАФИИTHE PERSISTENT TRIGEMINAL ARTERY AS EVIDENCED BY MULTISLICE SPIRAL COMPUTED TOMOGRAPHIC ANGIOGRAPHYКалмыковМ. Ю.KalmykovM. Yu.

рентгенолог, аспирант

Иваньковское шоссе, 7, Москва, 125367

ул. Б. Пироговская, 2, стр. 4, Москва, 119048

Radiologist, Postgraduate

Ivan’kovskoe shosse, 7, Moscow, 125367

ul. Bol’shaya Pirogovskaya, 2, stroenie 4, Moscow, 119048

kalmykov.m.yu@yandex.ruТерновойС. К.TernovoyS. K.

д. м. н., профессор, академик РАН 

ул. Б. Пироговская, 2, стр. 4, Москва, 119048

MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences 

ul. Bol’shaya Pirogovskaya, 2, stroenie 4, Moscow, 119048

ФБУ «Центральная клиническая больница гражданской авиации», ГБОУ ВПО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Министерства здравоохранения РФРоссияCentral Clinical Hospital of Civil Aviation, I.M. Sechenov First Moscow State Medical University, Ministry of Health of the RFRussian FederationГБОУ ВПО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Министерства здравоохранения РФРоссияI.M. Sechenov First Moscow State Medical University, Ministry of Health of the RFRussian Federation201428022016051925Copyright © Калмыков М.Ю., Терновой С.К., 20162016Калмыков М.Ю., Терновой С.К.Kalmykov M.Y., Ternovoy S.K.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/45

Цель исследования – по данным мультисрезовой компьютерно-томографической ангиографии (КТА) определить частоту встречаемости персистирующей тригеминальной артерии (ПТА), выявить связь ПТА с церебральными аневризмами и сопутствующие анатомические особенности церебральных артерий.

Материал и методы

Материал и методы. КТА брахиоцефальных артерий по различным клиническим показаниям была выполнена 1041 пациенту. На компьютерно-томографических (КТ) ангиограммах выявлялись ПТА, церебральные артериальные аневризмы и оценивались анатомические особенности строения артериального круга большого мозга.

Результаты

Результаты. ПТА была выявлена у 6 (0,58%) пациентов. Церебральная аневризма имелась только у 1 пациента с ПТА и сочеталась с гипоплазией контралатерального А1 сегмента передней мозговой артерии (ПМА). Гипоплазия базилярной артерии (БА) и обеих позвоночных артерий (ПА) наблюдалась в 3 (60%) случаях, при этом калибр ПТА в месте слияния с БА превышал 3 мм. В случае нормального калибра БА диаметр ПТА был менее 2 мм. Все ПТА были шире у основания, в дистальном направлении калибр уменьшался.

Objective

Objective: to determine the incidence of the persistent trigeminal artery (PTA) and to reveal its relationship to cerebral aneurysms, as well as the concomitant anatomic features of cerebral arteries according to the data of multislice spiral computed tomographic angiography (CTA).

Material and methods

Material and methods. A total of 1041 patients underwent brachiocephalic artery CTA according to different clinical indications. PTA and cerebral arterial aneurysms were found on the computed tomographic angiograms and the anatomic features of the structure of the circle of Willis were assessed.

Results

Results. PTA was identified in 6 (0.58%) of the 1041 patients. Cerebral aneurysm was present in only one patient with PTA and concurrent with hypoplasia of the contralateral A1 segment of the anterior cerebral artery. Hypoplasia of the basilar artery (BA) and both vertebral arteries (VA) was observed in 3 (60%) cases, with the diameter of PTA at its confluence with BA exceeding 3 mm. When the diameter of BA was normal, that of PTA was less than 2 mm. All PTAs were wider at their base, by decreasing in diameters distally.

Conclusion

Conclusion. CTA showed that the incidence of PTA was 0.58% and its lateral type according to the Salas classification and Saltzman’s type 1 were more common (5/6). In 4 cases, PTA was concurrent with VA and BA hypoplasia, with its degree being inversely related to the distal diameter of PTA. There was no convincing evidence for a relationship of PTA to cerebral aneurysms.

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The authors declare that there are no conflicts of interest present.