Atlas of Vascular Anatomy: An Angiographic Approach by Renan Uflacker MD

By Renan Uflacker MD

This atlas information the vascular anatomy obvious on angiographic photographs and within the new imaging modalities. The booklet offers the full anatomy of the arteries, veins, and lymphatic process by means of physique quarter. Full-color drawings are correlated with angiographic pictures to steer review and administration of vascular affliction and function of endovascular procedures.

For this moment variation, Dr. Uflacker has extra greater than a hundred photos and commonly reviewed the anatomical description of the vascular procedure. He has accelerated the cardiac bankruptcy with new CTA and MRI pictures, extra percutaneous entry the place wanted, and improved the assurance of decrease extremity anatomy.

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1) Near the junction with each other to form the basilar artery there is the origin of the branch from each vertebral artery, caudally and medially oriented. These branches join at the midline and generally fuse about 2 cm from the origin, thereby forming the anterior spinal artery. The anterior spinal artery extends the length of the spinal cord, in close relationship to the anterior median fissure, presenting various sizes according to the segment observed. Posterolateral Spinal Arteries The posterior spinal arteries may originate from the posterior inferior cerebellar artery or from the intradural portion of the vertebral artery.

46) The middle cerebral artery supplies the entire superficial lateral surface of the cerebral hemisphere in the frontal, temporal, parietal, and occipital lobes. Twelve branches of the middle cerebral artery may be identified. These branches arise separately from the trunk of the middle cerebral artery or from one of the two or three principal trunks in a bifurcation or trifurcating divisional pattern. Branches Orbitofrontal Artery Prefrontal Artery Precentral Artery Central Arteries Anterior Parietal Artery Posterior Parietal Artery Angular Artery (Terminal Artery) Temporo-occipital Artery Posterior Temporal Artery Middle Temporal Artery Anterior Temporal Artery Temporal Polar Artery Orbitofrontal Artery This artery arises directly from the horizontal segment of the middle cerebral artery or from a common trunk with the prefrontal artery.

Collateral flow to the brain may occur from extracranial sources, from the external carotid artery, to the internal carotid artery, or from intracranial sources by anastomoses in the subarachnoid space and the leptomeninges. Intracranial subarachnoid collateralization occurs through the circle of Willis, in the terminal branches of the cerebral arteries, and in embryonic connections between the basilar and carotid arteries. The most common intracranial collateral pathway is the circle of Willis, anteriorly made of the A1 segment of the anterior cerebral arteries, the supraclinoid segment of the internal carotid arteries, and the anterior communicating artery.

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