Evidence map›Paper›PMID 38429407›Full record

SynthesisSurgical and radiologic anatomy : SRA2024

The anterior communicating artery variants: a meta-analysis with a proposed classification system.

George Triantafyllou, Răzvan Costin Tudose, Christos Tsiouris, George Tsakotos, Marios Loukas, R Shane Tubbs, Theodosis Kalamatianos, Christos Chrissicopoulos, Katerina Al-Nasraoui, Christos Koutserimpas and 4 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Surgical and radiologic anatomy : SRA, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Posterior communicating artery variation is linked to compromised cerebral hemodynamics in middle-aged and older adults.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

George Triantafyllou *Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str, Goudi, Athens, 11527, Greece.ORCID http://orcid.org/0009-0001-0122-2436
Răzvan Costin Tudose *Division of Anatomy, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.ORCID http://orcid.org/0009-0008-4655-4574
Christos TsiourisDepartment of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str, Goudi, Athens, 11527, Greece.ORCID http://orcid.org/0000-0003-3783-2663
George TsakotosDepartment of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str, Goudi, Athens, 11527, Greece.ORCID http://orcid.org/0000-0001-8559-8969
Marios LoukasDepartment of Anatomical Sciences, St. George's University, Grenada, USA.ORCID http://orcid.org/0000-0003-2811-6657
R Shane TubbsDepartment of Anatomical Sciences, St. George's University, Grenada, USA.ORCID http://orcid.org/0000-0003-1317-1047
Theodosis KalamatianosDepartment of Neurosurgery, Evangelismos Hospital, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece.ORCID http://orcid.org/0000-0003-4634-2965
Christos ChrissicopoulosNeurosurgery & Interventional Neuroradiology Department, Hygeia Hospital, Athens, Greece.ORCID http://orcid.org/0000-0002-1398-9626
Katerina Al-NasraouiDepartment of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str, Goudi, Athens, 11527, Greece.ORCID http://orcid.org/0009-0008-7508-5906
Christos KoutserimpasDepartment of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str, Goudi, Athens, 11527, Greece.
Mugurel Constantin RusuDivision of Anatomy, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.ORCID http://orcid.org/0000-0002-8723-0540
Konstantinos NatsisDepartment of Anatomy and Surgical Anatomy, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.ORCID http://orcid.org/0000-0002-3077-1784
Anastasios KotrotsiosRheumatology Clinic Iasso Thessalian Hospital, School of Medicine, University of Thessaly, Larissa, Greece.
Maria PiagkouDepartment of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str, Goudi, Athens, 11527, Greece. piagkoumara@gmail.com.ORCID http://orcid.org/0000-0002-4831-8005

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Morphological and morphometric variants of the anterior communicating artery (AComA) have been described by multiple studies; however, a complete classification system of all possible morphological variants with their prevalence is lacking. The current systematic review with meta-analysis combines data from different databases, concerning the AComA morphological and morphometric variants (length and diameter). Emphasis was given to the related clinical implications to highlight the clinical value of their knowledge. The typical AComA morphology occurs with a pooled prevalence (PP) of 67.3%, while the PP of atypical AComA is 32.7%. The identified AComA morphological variants (artery's hypoplasia, absence, duplication, triplication, differed shape, fenestration, and the persistence of a median artery of the corpus callosum- MACC) were classified in order of frequency. The commonest presented variants were the AComA hypoplasia (8%) and the anterior cerebral artery (ACA) fusion (5.9%), and the rarest ones were the MACC persistence (2.3%), and the AComA triplication (0.7%). The knowledge of those variants is essential, especially for neurosurgeons operating in the area. Given the high prevalence of AComA aneurysms, an adequate and complete classification of those variants is of utmost importance.

Indexed as

Anatomic VariationAnterior Cerebral ArteryHumansIntracranial AneurysmPrevalenceAnatomyAneurysmAnterior communicating arteryCerebral arterial circleMorphologyNeuroanatomyVariantVariation

Identifiers

PMID38429407
PMCPMC11074054

What OpenQuestion holds

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Registered trials

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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.