SynthesisSurgical and radiologic anatomy : SRA2018
A systematic classification of the vertebral artery variable origin: clinical and surgical implications.
Synthesis in Surgical and radiologic anatomy : SRA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 5 of them syntheses that pooled it.
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Who cites it
55 citing papers in PubMed, 5 syntheses or guidelines pooled it, 99 citations in OpenAlex.
- Anatomical variants of the vertebral artery and their relationship with craniocervical disorders and surgical considerations: a systematic review and meta-analysis.Anatomical science international · 2026Pooled it
- Vertebral Artery Dominance Patterns in Embolic Basilar Artery Occlusion: Insights Toward Embolus Trajectory.Clinical neuroradiology · 2026Pooled it
- Prevalence of suboccipital and intradural vertebral artery variants: a systematic review with meta-analysis.Neuroradiology · 2025Pooled it
- Dual origin of vertebral artery and intimal relationship with spontaneous artery dissection: a case report and systematic review.Surgical and radiologic anatomy : SRA · 2021Pooled it
- A systematic classification of the left-sided aortic arch variants based on cadaveric studies' prevalence.Surgical and radiologic anatomy : SRA · 2021Pooled it
- Anatomical variations in the branches of the aortic arch in Japanese patients.Anatomical science international · 2026Article
- Postmortem discovery of a rare five-vessel aortic arch with aberrant right subclavian artery and bilateral vertebral artery origin variants: embryological analysis and perioperative implications.Surgical and radiologic anatomy : SRA · 2026Article
- Rare coexistence of vertebral artery lusoria and unilateral internal carotid artery agenesis: A Case Report.Neuroradiology · 2026Article
- Right vertebral artery origin from the common carotid artery associated with aberrant right subclavian artery and de novo V1 segment aneurysm: a case report.Neuroradiology · 2026Article
- A rare variant of double origin of the left vertebral artery.Anatomical science international · 2026Article
- Cadaveric analysis of a safe trail for surgical exposure of the anterior cervico-thoracic junction.BMC surgery · 2026Article
- A Systematic Review of the Literature on the Current Revascularization Strategies for Aberrant Left Vertebral Artery During Total Endovascular and Hybrid Treatment of Aortic Arch Disease.Journal of clinical medicine · 2025Review
- Transposition of an isolated left vertebral artery during aortic arch replacement for Stanford type A aortic dissection.Journal of thoracic disease · 2025Article
- Morphology and morphometry of the vertebrobasilar system intracranial segment: a computed tomography angiography study.Anatomy & cell biology · 2025Article
- Optimal Management of Isolated Left Vertebral Artery in Total Arch Replacement With Frozen Elephant Trunk for Aortic Dissection.Journal of the American Heart Association · 2025Article
- A rare variation of five major vessels arising from the aortic arch with an absence of brachiocephalic trunk.Surgical and radiologic anatomy : SRA · 2025Article
- Common origin of the right vertebral artery and the right costocervical trunk diagnosed by magnetic resonance angiography.Surgical and radiologic anatomy : SRA · 2025Article
- The subclavian artery branching patterns with emphasis on the unilateral thyrovertebral trunk: a cadaver case report.Surgical and radiologic anatomy : SRA · 2025Article
- Coexistence of a right vertebral artery originating from the right common carotid artery, an aberrant right subclavian artery and a left primitive proatlantal intersegmental artery: First case report.Radiology case reports · 2025Article
- Right vertebral artery arising from the extreme proximal right subclavian artery and entering the C3 transverse foramen diagnosed by magnetic resonance angiography.Surgical and radiologic anatomy : SRA · 2025Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Several congenital anomalies regarding the right (RVA) and left (LVA) vertebral artery have been described. The current paper aims to perform a systematic literature review of the variable vertebral artery (VA) origin from the aortic arch (AOA) and its branches. The incidence of these variants and the ensuing AOA branching pattern are highlighted. Atypical origin cases were found more commonly unilaterally, while LVA presented the majority of the aberrancies. The LVA emersion from the AOA (3.6%) and the RVA from the right common carotid artery (RCCA) (0.14%) were the commonest origin variations. Aberrant RVA origin as last branch of the AOA is very rare. Eighteen cases (0.12%) with an aberrant right subclavian artery (ARSCA) were found. Among them, the RVA originated from the RCCA and right subclavian artery in 94.4 and 5.6%, respectively. Sporadic cases had an AOA origin bilaterally; RVA and LVA had a double origin in 0.027 and 0.11%, respectively. A dual origin was detected in 0.0069%, bilaterally. The atypical VA origin may coexist with: (i) an ARSCA, (ii) a common origin of brachiocephalic artery and left common carotid artery (the misnomer bovine arch) and (iii) a bicarotid trunk. The aberrant VA origin favors hemodynamic alterations, predisposing to cerebrovascular disorders and intracranial aneurysm formation. Detailed information of VA variants is crucial for both endovascular interventionists and diagnostic radiologists involved in the treatment of patients with cerebrovascular disease. Such information may prove useful to minimize the risk of VA injury in several procedures.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.