Prevalence of basilar artery variants: a systematic review with meta-analysis of radiological studies

Uchino A, Saito N, Takahashi M et al (2013) Variations in the origin of the vertebral artery and its level of entry into the transverse foramen diagnosed by CT angiography. Neuroradiol 55:585–594. https://doi.org/10.1007/s00234-013-1142-0

Article  PubMed  Google Scholar 

Uchino A, Saito N, Watadani T et al (2012) Vertebral artery variations at the C1-2 level diagnosed by magnetic resonance angiography. In: Neuroradiol 19–23

Suwannakhan A, Sangkongmuang O, Samanchai A et al (2024) Anatomical investigation of the morphometry of the cerebral arteries using digital subtraction angiography in the Thai population. Surg Radiol Anat 46:1775–1781. https://doi.org/10.1007/s00276-024-03484-w

Article  PubMed  Google Scholar 

Standring S, Tubbs RS (2025) Gray’s anatomy: the anatomical basis of clinical practice, 43rd edn. Elsevier, London, UK

Google Scholar 

Tudose RC, Rusu MC, Hostiuc S (2023) The vertebral artery: a systematic review and a meta-analysis of the current literature. Diagnostics 13(12):2036

Papadopoulos-Manolarakis P, Triantafyllou G, Papanagiotou P et al (2025) Considerations regarding the morphological variability of the superior cerebellar artery. Neuroradiol. https://doi.org/10.1007/s00234-025-03659-1

Article  PubMed  PubMed Central  Google Scholar 

Triantafyllou G, Papadopoulos-Manoralarakis P, Tudose RC et al (2025) Prevalence of suboccipital and intradural vertebral artery variants: a systematic review with meta-analysis. Neuroradiology. https://doi.org/10.1007/s00234-025-03674-2

Article  PubMed  PubMed Central  Google Scholar 

Uchino A (2019) Carotid-vertebrobasilar anastomosis: magnetic resonance and computed tomographic angiographic demonstration. Jpn J Radiol 37:565–578. https://doi.org/10.1007/s11604-019-00847-x

Article  CAS  PubMed  Google Scholar 

Triantafyllou G, Tudose RC, Tsiouris C et al (2024) The anterior communicating artery variants: a meta-analysis with a proposed classification system. Surg Radiol Anat 46:697–716. https://doi.org/10.1007/s00276-024-03336-7

Article  PubMed  PubMed Central  Google Scholar 

Triantafyllou G, Paschopoulos I, Kamoutsis K et al (2025) Morphological variations of the anterior cerebral artery: a systematic review with meta-analysis of 85,316 patients. Diagnostics 15:1893. https://doi.org/10.3390/diagnostics15151893

Article  PubMed  PubMed Central  Google Scholar 

Sharma U, Verma S, Adithan S, Khobragade A (2024) Morphology and variations of middle cerebral artery: systematic review and meta-analysis. Anat Cell Biol 57:481–497. https://doi.org/10.5115/acb.24.005

Article  PubMed  PubMed Central  Google Scholar 

Henry BM, Tomaszewski KA, Walocha JA (2016) Methods of evidence-based anatomy: a guide to conducting systematic reviews and meta-analysis of anatomical studies. Ann Anat 205:16–21. https://doi.org/10.1016/J.AANAT.2015.12.002

Article  PubMed  Google Scholar 

Page MJ, McKenzie JE, Bossuyt PM et al (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ n71. https://doi.org/10.1136/bmj.n71

Henry BM, Tomaszewski KA, Ramakrishnan PK et al (2017) Development of the anatomical quality assessment (AQUA) tool for the quality assessment of anatomical studies included in meta-analyses and systematic reviews. Clin Anat 30:6–13. https://doi.org/10.1002/CA.22799

Article  PubMed  Google Scholar 

Furuya-Kanamori L, Barendregt JJ, Doi SAR (2018) A new improved graphical and quantitative method for detecting bias in meta-analysis. Int J Evid Based Healthc 16:195–203. https://doi.org/10.1097/XEB.0000000000000141

Article  PubMed  Google Scholar 

AkgunV, Battal B, Bozkurt Y et al (2013) Normal anatomical features and variations of the vertebrobasilar circulation and its branches: an analysis with 64-detector row CT and 3T MR angiographies. Sci World J. https://doi.org/10.1155/2013/620162

Alharbi Y, Al Saffar RAM (2024) Anatomical study of variations in the configurations of the circle of Willis in relation to age, sex, and diameters of the components. Anat Cell Biol 57:579–591. https://doi.org/10.5115/acb.24.020

Article  PubMed  PubMed Central  Google Scholar 

Allen JW, Alastra AJG, Nelson PK (2005) Proximal intracranial internal carotid artery branches: prevalence and importance for balloon occlusion test. J Neurosurg 102:45–52. https://doi.org/10.3171/jns.2005.102.1.0045

Article  PubMed  Google Scholar 

Arráez-Aybar LA, Villar-Martin A, Poyatos-Ruiperez C et al (2013) Prevalence of fenestrated basilar artery with magnetic resonance angiography: a transversal study. Surg Radiol Anat 35:487–493. https://doi.org/10.1007/s00276-012-1053-5

Article  PubMed  Google Scholar 

Arráez-Aybar L-A, Fuentes-Redondo T, Millán JM (2016) Persistent trigeminal artery: a cross-sectional study based on over 3 years conventional angiography, CT angiography and MR angiography images. Surg Radiol Anat 38:445–453. https://doi.org/10.1007/s00276-015-1578-5

Article  PubMed  Google Scholar 

Bai M, Guo Q, Li S (2013) Persistent trigeminal artery/persistent trigeminal artery variant and coexisting variants of the head and neck vessels diagnosed using 3 T MRA. Clin Radiol 68:e578–e585. https://doi.org/10.1016/j.crad.2013.05.099

Article  CAS  PubMed  Google Scholar 

Bayrak AH, Senturk S, Akay HO et al (2011) The frequency of intracranial arterial fenestrations: a study with 64-detector CT-angiography. Eur J Radiol 77:392–396. https://doi.org/10.1016/j.ejrad.2009.09.015

Article  PubMed  Google Scholar 

Bharatha A, Aviv RI, White J et al (2008) Intracranial arterial fenestrations: frequency on CT angiography and association with other vascular lesions. Surg Radiol Anat 30:397–401. https://doi.org/10.1007/s00276-008-0340-7

Article  PubMed  Google Scholar 

Bożek P, Pilch-Kowalczyk J, Kluczewska E, Zymon-Zagórska A (2012) Detection of cerebral artery fenestrations by computed tomography angiography. Neurol Neurochir Pol 46:239–244. https://doi.org/10.5114/ninp.2012.29132

Article  PubMed  Google Scholar 

Bulbuc I, Iliescu DM, Dina C et al (2025) Trigeminal artery anatomical aspects. Surg Radiol Anat 47:54. https://doi.org/10.1007/s00276-024-03553-0

Article  PubMed  PubMed Central  Google Scholar 

Chen Y-C, Li M-H, Chen S-W et al (2011) Incidental findings of persistent primitive trigeminal artery on 3-dimensional time-of-flight magnetic resonance angiography at 3.0 T: an analysis of 25 cases. J Neuroimaging 21:152–158. https://doi.org/10.1111/j.1552-6569.2010.00472.x

Article  PubMed  Google Scholar 

Czyżewski W, Hoffman Z, Szymoniuk M et al (2022) The incidence, localization and clinical relevance of arterial fenestrations and their association to brain aneurysms: a case–control study based on the STROBE guidelines. Brain Sci 12:1310. https://doi.org/10.3390/brainsci12101310

Article  PubMed  PubMed Central  Google Scholar 

Deniz MA, Turmak M, Hattapoğlu S, Tekinhatun M (2022) Persistent trigeminal artery detected on computed tomography angiography. Surg Radiol Anat 44:715–720. https://doi.org/10.1007/s00276-022-02960-5

Article  PubMed  Google Scholar 

Dodevski A, Lazareska M, Tosovska-Lazarova D et al (2011) Basilar artery fenestration. Folia Morphol (Warsz) 70:80–83

CAS  PubMed  Google Scholar 

Hamidi C, Bükte Y, Hattapoğlu S et al (2013) Display with 64-detector MDCT angiography of cerebral vascular variations. Surg Radiol Anat 35:729–736. https://doi.org/10.1007/s00276-013-1082-8

Article  PubMed  Google Scholar 

Huang W, Zhang Y, Zhuang Y et al (2023) An anatomical study of persistent trigeminal artery detected by computed tomography angiography and magnetic resonance angiography: proposal for a modified classification and a novel basilar artery grading system. Surg Radiol Anat 45:947–957. https://doi.org/10.1007/s00276-023-03164-1

Article  PubMed  Google Scholar 

Kim MJ, Kim MS (2015) Persistent primitive trigeminal artery: analysis of anatomical characteristics and clinical significances. Surg Radiol Anat 37:69–74. https://doi.org/10.1007/s00276-014-1318-2

Article  PubMed  Google Scholar 

Šaranović D (2014) Intracranial arterial variations: a comprehensive evaluation using CT angiography. Med Sci Monit 20:420–427. https://doi.org/10.12659/MSM.890265

Article  PubMed  PubMed Central  Google Scholar 

Liu Y-B, Feng P-Y, Zhang T-Z et al (2022) A study on the persistent trigeminal artery and its classification based on magnetic resonance angiograph images. J Comput Assist Tomogr 46:645–650. https://doi.org/10.1097/RCT.0000000000001309

Article  PubMed 

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