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01-04-2021 | Aneurysm | Review article

Role of the ophthalmic artery in the endovascular treatment for intracranial vascular diseases

Authors: Kun Hou, Wei Wu, Ying Liu, Lai Qu, Baofeng Xu, Jinlu Yu

Published in: Acta Neurologica Belgica | Issue 2/2021

Abstract

The ophthalmic artery (OA) is a crucial artery. Centered at the OA, there are numerous extracranial–intracranial anastomoses. The OA and its collaterals can be involved in some intracranial vascular diseases. So, it is very important to understand its specific anatomy, variation, and role in different neurovascular diseases. The OA has various anomalies both in the origin and collateral circulation. When performing endovascular treatment (EVT), the OA may suffer unexpected embolization through the numerous dangerous anastomoses. In case of a dural arteriovenous fistula or brain arteriovenous malformation mainly fed by the OA, the OA can be the passage of EVT, during which the central retinal artery could be injured. During interventional recanalization of steno-occlusive diseases of the internal carotid artery, dissection at the cavernous segment could progress to the OA segment and occlude the origin of OA. Under the circumstance of moyamoya disease, the OA can provide collateral flow to the anterior cerebral artery. When performing EVT for OA aneurysm concurrent with moyamoya disease, the parent OA should be preserved. After placement of a flow-diverting device for ophthalmic ICA aneurysm, the covered OA could experience spontaneous occlusion, leading to visual disturbance. Hence, the OA is an extremely important artery in the EVT for intracranial vascular diseases. In this article, we would extensively review the related literature to increase our understanding of the role of OA in intracranial vascular diseases. In addition, some illustrative cases would also be provided.

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Title: Role of the ophthalmic artery in the endovascular treatment for intracranial vascular diseases
Authors: Kun Hou
Wei Wu
Ying Liu
Lai Qu
Baofeng Xu
Jinlu Yu
Publication date: 01-04-2021
Publisher: Springer International Publishing
Keywords: Aneurysm
Aneurysm
Brain Arteriovenous Malformation
Published in: Acta Neurologica Belgica / Issue 2/2021
Print ISSN: 0300-9009
Electronic ISSN: 2240-2993
DOI: https://doi.org/10.1007/s13760-020-01576-z

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Role of the ophthalmic artery in the endovascular treatment for intracranial vascular diseases

Abstract

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

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