• World Neurosurg · Jul 2022

    Review

    Internal Carotid Artery Classification Systems: An Illustrative Review.

    • Jhon E Bocanegra-Becerra, Gokhan Canaz, Cvetina Vatcheva, and Jack Wellington.
    • School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru. Electronic address: jhon.bocanegra.b@upch.pe.
    • World Neurosurg. 2022 Jul 1; 163: 41-49.

    AbstractThe internal carotid artery (ICA) course has been discussed extensively. Several classification systems have attempted to delineate an accurate and helpful trajectory for microsurgical and endoscopic guidance, thus allowing a better neurosurgical performance while avoiding intraoperative complications. Also, the practicality of the classification systems has been emphasized for scholarly communication among disciplines. Nevertheless, the nomenclature of the ICA remains heterogeneous and confusing for health care professionals, trainees, and students. We present an illustrative review of 8 notable ICA classification systems using lateral and anterior views as a rapid tool for neuroanatomic consultation. The appraisal of the vessel anatomy from different perspectives while recognizing their usefulness and limitations might provide a comprehensive understanding of the ICA, optimize the intraoperative performance, and facilitate communication.Copyright © 2022 Elsevier Inc. All rights reserved.

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