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Neuroanatomy of the middle cerebral artery: implications for thrombectomy

Maksim Shapiro, Eytan Raz, Erez Nossek, Breehan Chancellor, Koto Ishida, Peter Kim Nelson

2020Journal of NeuroInterventional Surgery70 citationsDOIOpen Access PDF

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.

Topics & Concepts

MedicineMiddle cerebral arteryNeuroanatomyContext (archaeology)AnatomyCollateralPerspective (graphical)CardiologyArtificial intelligenceComputer scienceEconomicsFinanceBiologyPaleontologyIschemiaAcute Ischemic Stroke ManagementCerebrovascular and Carotid Artery DiseasesIntracranial Aneurysms: Treatment and Complications
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