The Relationship between the Permanent Trigeminal Artery and Cerebrovascular Disease: A Meta-Analysis
-
Jingyan Zhang
,
Yan Wang
,
Yongliang Gai
,
Hanmei Cui
,
Bo Liu
,
Jie Li
,
Yuguang Wang
,
Juncheng Lv
,
Shaosen Chen
Abstract
Background: We aimed to analyze the variability of the permanent trigeminal artery (PTA) and its relationship with cerebrovascular disease.
Methods: To analyze the variability of the PTA and its relationship with cerebrovascular disease by using the terms "primitive trigeminal artery", "persistent primitive trigeminal artery", " persistent trigeminal artery variant", "PPTA", "PTAV", "carotid- basilar anastomoses", "carotid-vertebrobasilar anastomoses", "persisting embryonic vessels" were used as keywords, and the English-language literature related to PTA and cerebrovascular diseases published in PubMed, EMBAS, and Web of Science databases from 2000 to 2022 were searched by using "subject terms + free words". A meta-analysis of the collected data was performed using stata14.0 statistical software to assess the relationship between the immortal trigeminal artery and cerebrovascular-related diseases.
Results: A total of 1908 relevant articles were initially retrieved for this study. Ten papers were initially screened according to the inclusion and exclusion criteria, while the literature was then read one by one to exclude duplicates, reviews, case reports, and conference abstracts, and six papers were finally included for meta-analysis. The six papers included in this paper were all cross-sectional studies with 39,355 subjects, of which 206 subjects had PTA, with a variation rate of approximately 0.52%, including 77 males and 129 females, 117 left-sided variants and 87 right-sided variants. In contrast, of the 206 subjects with a PTA, 52 had cerebrovascular disease, with an overall prevalence of approximately 25.24%.
Conclusion: The PTA could influence the development of cerebrovascular disease.
1. Sato H, Haraguchi K, Takahashi Y, et al (2019). Flow-Diverter Stent for an Un-ruptured Aneurysm at the Junction of the Internal Carotid Artery and Persis-tent Primitive Trigeminal Artery: Case Report and Literature Review. World Neurosurg, 132: 329-332.
2. Park JS, Shin BS, Kang HG (2021). Endo-vascular treatment for acute basilar ar-tery occlusion via persistent primitive hypoglossal artery: A case report. Medi-cine (Baltimore), 100(48): e27998.
3. Lin CM, Chang CH, Wong HF (2021). Man-agement of intracranial vertebral artery stenosis with ipsilateral vertebral artery hypoplasia and contralateral vertebral artery occlusion via type 2 proatlantal intersegmental arteryp. Biomed J, 44(3): 369-372.
4. Rodriguez-Hernandez LA, Martinez P, Bar-acaldo I, et al (2022). Persistent trigemi-nal artery associated with an occipital arteriovenous malformation: a case re-port and literature review. Surg Radiol Anat, 44(9): 1271-1275.
5. Ishiguro T, Satow T, Okada A, et al (2019). Spontaneous Persistent Primitive Tri-geminal Artery−Cavernous Sinus Fistula Successfully Treated by Multipronged Coil Embolization: Case Report and Literature Review. World Neurosurg, 128: 122-126.
6. Ohshima T, Kawaguchi R, Miyachi S, et al (2019). Traumatic Carotid-Cavernous Fis-tula Associated with Persistent Primitive Trigeminal Artery Successfully Treated using In stent Coil Embolization: A Case Report. World Neurosurg, 128: 360-364.
7. Siddiqui A, Touska P, Josifova D, et al (2021). Persistent Trigeminal Artery: A Novel Imaging Finding in CHARGE Syndrome. AJNR Am J Neuroradiol, 42(10): 1898-1903.
8. Komiyama M (2019). Persistent trigeminal artery and its variants. Interv Neuroradiol, 25(6): 635-637.
9. Sadashiva N (2021). Microvascular Decom-pression for Trigeminal Neuralgia with Concomitant Persistent Primitive Tri-geminal Artery. Neurol India, 69(4): 826-828.
10. Diana F, Mangiafico S, Valente V, et al (2019). Persistent trigeminal artery aneu-rysms: case report and systematic re-view. J Neurointerv Surg, 11(12): 1261-1265.
11. Watanabe D, Endo H, Nakamura H (2022). Persistent trigeminal artery variant asso-ciated with ipsilateral hypoplasia of the internal carotid artery. Surg Radiol Anat, 44(6): 947-950.
12. Wan Z, Meng H, Xu N, et al (2019). Coil embolisation of multiple cerebral aneu-rysms with lateral type I persistent prim-itive trigeminal artery: A case report and literature review. Interv Neuroradiol, 25(6): 628-634.
13. Xu Y, Kong Y, Xu Y, Wang P (2019). The protective effect of persistent trigeminal artery in patients with ischemic stroke. BMC Neurol, 19(1): 158.
14. Gaughen JR, Starke RM, Durst CR, et al (2014). Persistent trigeminal artery: in situ thrombosis and associated perforat-ing vessel infarction. J Clin Neurosci, 21(6): 1075-1077.
15. Wang Y, Yu J (2022). Clinical Importance of the Persistent Primitive Trigeminal Artery in Vascular Lesions and Its Role in Endovascular Treatment. Front Neurol, 13: 928608.
16. Lam JJH, Shah MTBM, Chung SL, Ho CL (2013). Intracranial Aneurysm Associated With Persistent Primitive Trigeminal Ar-tery. Neurosurg Q, 23(3): 175-180.
17. Weon YC, Choi SH, Hwang JC, et al (2011). Classification of persistent primitive tri-geminal artery (PPTA): a reconsidera-tion based on MRA. Acta Radiol, 52(9):1043-1051.
18. Chen YC, Li MH, Chen SW, et al (2011). In-cidental findings of persistent primitive trigeminal artery on 3-dimensional time-of-flight magnetic resonance angi-ography at 3.0 T: an analysis of 25 cases. J Neuroimaging, 21(2): 152-158.
19. Bai M, Guo Q, Li S (2013). Persistent tri-geminal artery/persistent trigeminal ar-tery variant and coexisting variants of the head and neck vessels diagnosed us-ing 3 T MRA. Clin Radiol, 68(11): e578-85.
20. Arráez-Aybar LA, Fuentes-Redondo T, Mil-lán JM (2016). Persistent trigeminal ar-tery: a cross-sectional study based on over 3 years conventional angiography, CT angiography and MR angiography images. Surg Radiol Anat, 38(4): 445-453.
21. O'uchi E, O'uchi T (2010). Persistent primi-tive trigeminal arteries (PTA) and its var-iant (PTAV): analysis of 103 cases de-tected in 16,415 cases of MRA over 3 years. Neuroradiology, 52(12): 1111-9.
22. Ling MM, Gupta M, Acharya J (2020). Tri-geminal neuralgia associated with a var-iant of persistent trigeminal artery. Radi-ol Case Rep, 15(11): 2225-2228.
23. Miki K, Natori Y, Mori M, et al (2019). Tri-geminal Neuralgia Caused by a Persis-tent Primitive Trigeminal Artery Variant and Superior Cerebellar Artery. NMC Case Rep J, 6(4): 101-103.
24. Akiyama T, Imamura H, Shigeyasu M, et al (2023). PulseRider-assisted coil emboli-zation for an unruptured internal carot-id artery-persistent primitive trigeminal artery aneurysm. J Stroke Cerebrovasc Dis, 32(2): 106876.
25. Ito S, Higuchi K (2022). Ruptured peripher-al superior cerebellar artery dissecting aneurysms associated with primitive tri-geminal artery: a case report. BMC Neu-rol, 22(1): 208.
26. Wang L, Li J, Li Z, et al (2022). Hybrid sur-gery for coexistence of cerebral arterio-venous malformation and primitive tri-geminal artery: A case report and litera-ture review. Front Surg, 9: 888558.
27. Sun P, Chai Y, Fang W, Chen H, et al (2022). Case report: Spontaneous carotid-cavernous fistula associated with persis-tent primitive trigeminal artery aneu-rysm rupture. Front Neurol, 13: 923186.
28. Liu YB, Feng PY, Zhang TZ, et al (2022). A Study on the Persistent Trigeminal Ar-tery and Its Classification Based on Magnetic Resonance Angiograph Imag-es. J Comput Assist Tomogr, 46(4): 645-650.
29. Lyu DP, Wang Y, Wang K, et al (2019). Acute Cerebral Infarction in a Patient with Persistent Trigeminal Artery and Homolateral Hypoplasia of Internal Ca-rotid Artery Distal Anastomosis: A Case Report and a Mini Review of the Litera-ture. J Stroke Cerebrovasc Dis, 28(12): 104388.
30. Yang MG, Wang D, Ren L, et al (2019). Classification characteristics of primi-tive trigeminal artery and its correlation with cerebral infarction. Journal of Medical Imaging, (06):909-912.
31. He Dongruo, Li Hui, Han Han Chao, et al (2019). Carotid ultrasound combined with transcranial Doppler ultrasound was used to detect external carotid ar-tery and internal carotid artery steal. Chinese Journal of Geriatric Cardio-Cerebrovascular Diseases, (12):1253-1255.
32. Bechri H, Louraoui SM, Fikri M, et al (2020). Persistence of a trigeminal artery asso-ciated with a posterior meningeal artery aneurysm: case report and literature re-view. J Surg Case Rep, 2020(2): rjz389.
33. Yilmaz E, Ilgit E, Taner D (1995). Primitive persistent carotid-basilar and carotid-vertebral anastomoses: a report of seven cases and a review of the literature. Clin Anat, 8(1):36–43.
2. Park JS, Shin BS, Kang HG (2021). Endo-vascular treatment for acute basilar ar-tery occlusion via persistent primitive hypoglossal artery: A case report. Medi-cine (Baltimore), 100(48): e27998.
3. Lin CM, Chang CH, Wong HF (2021). Man-agement of intracranial vertebral artery stenosis with ipsilateral vertebral artery hypoplasia and contralateral vertebral artery occlusion via type 2 proatlantal intersegmental arteryp. Biomed J, 44(3): 369-372.
4. Rodriguez-Hernandez LA, Martinez P, Bar-acaldo I, et al (2022). Persistent trigemi-nal artery associated with an occipital arteriovenous malformation: a case re-port and literature review. Surg Radiol Anat, 44(9): 1271-1275.
5. Ishiguro T, Satow T, Okada A, et al (2019). Spontaneous Persistent Primitive Tri-geminal Artery−Cavernous Sinus Fistula Successfully Treated by Multipronged Coil Embolization: Case Report and Literature Review. World Neurosurg, 128: 122-126.
6. Ohshima T, Kawaguchi R, Miyachi S, et al (2019). Traumatic Carotid-Cavernous Fis-tula Associated with Persistent Primitive Trigeminal Artery Successfully Treated using In stent Coil Embolization: A Case Report. World Neurosurg, 128: 360-364.
7. Siddiqui A, Touska P, Josifova D, et al (2021). Persistent Trigeminal Artery: A Novel Imaging Finding in CHARGE Syndrome. AJNR Am J Neuroradiol, 42(10): 1898-1903.
8. Komiyama M (2019). Persistent trigeminal artery and its variants. Interv Neuroradiol, 25(6): 635-637.
9. Sadashiva N (2021). Microvascular Decom-pression for Trigeminal Neuralgia with Concomitant Persistent Primitive Tri-geminal Artery. Neurol India, 69(4): 826-828.
10. Diana F, Mangiafico S, Valente V, et al (2019). Persistent trigeminal artery aneu-rysms: case report and systematic re-view. J Neurointerv Surg, 11(12): 1261-1265.
11. Watanabe D, Endo H, Nakamura H (2022). Persistent trigeminal artery variant asso-ciated with ipsilateral hypoplasia of the internal carotid artery. Surg Radiol Anat, 44(6): 947-950.
12. Wan Z, Meng H, Xu N, et al (2019). Coil embolisation of multiple cerebral aneu-rysms with lateral type I persistent prim-itive trigeminal artery: A case report and literature review. Interv Neuroradiol, 25(6): 628-634.
13. Xu Y, Kong Y, Xu Y, Wang P (2019). The protective effect of persistent trigeminal artery in patients with ischemic stroke. BMC Neurol, 19(1): 158.
14. Gaughen JR, Starke RM, Durst CR, et al (2014). Persistent trigeminal artery: in situ thrombosis and associated perforat-ing vessel infarction. J Clin Neurosci, 21(6): 1075-1077.
15. Wang Y, Yu J (2022). Clinical Importance of the Persistent Primitive Trigeminal Artery in Vascular Lesions and Its Role in Endovascular Treatment. Front Neurol, 13: 928608.
16. Lam JJH, Shah MTBM, Chung SL, Ho CL (2013). Intracranial Aneurysm Associated With Persistent Primitive Trigeminal Ar-tery. Neurosurg Q, 23(3): 175-180.
17. Weon YC, Choi SH, Hwang JC, et al (2011). Classification of persistent primitive tri-geminal artery (PPTA): a reconsidera-tion based on MRA. Acta Radiol, 52(9):1043-1051.
18. Chen YC, Li MH, Chen SW, et al (2011). In-cidental findings of persistent primitive trigeminal artery on 3-dimensional time-of-flight magnetic resonance angi-ography at 3.0 T: an analysis of 25 cases. J Neuroimaging, 21(2): 152-158.
19. Bai M, Guo Q, Li S (2013). Persistent tri-geminal artery/persistent trigeminal ar-tery variant and coexisting variants of the head and neck vessels diagnosed us-ing 3 T MRA. Clin Radiol, 68(11): e578-85.
20. Arráez-Aybar LA, Fuentes-Redondo T, Mil-lán JM (2016). Persistent trigeminal ar-tery: a cross-sectional study based on over 3 years conventional angiography, CT angiography and MR angiography images. Surg Radiol Anat, 38(4): 445-453.
21. O'uchi E, O'uchi T (2010). Persistent primi-tive trigeminal arteries (PTA) and its var-iant (PTAV): analysis of 103 cases de-tected in 16,415 cases of MRA over 3 years. Neuroradiology, 52(12): 1111-9.
22. Ling MM, Gupta M, Acharya J (2020). Tri-geminal neuralgia associated with a var-iant of persistent trigeminal artery. Radi-ol Case Rep, 15(11): 2225-2228.
23. Miki K, Natori Y, Mori M, et al (2019). Tri-geminal Neuralgia Caused by a Persis-tent Primitive Trigeminal Artery Variant and Superior Cerebellar Artery. NMC Case Rep J, 6(4): 101-103.
24. Akiyama T, Imamura H, Shigeyasu M, et al (2023). PulseRider-assisted coil emboli-zation for an unruptured internal carot-id artery-persistent primitive trigeminal artery aneurysm. J Stroke Cerebrovasc Dis, 32(2): 106876.
25. Ito S, Higuchi K (2022). Ruptured peripher-al superior cerebellar artery dissecting aneurysms associated with primitive tri-geminal artery: a case report. BMC Neu-rol, 22(1): 208.
26. Wang L, Li J, Li Z, et al (2022). Hybrid sur-gery for coexistence of cerebral arterio-venous malformation and primitive tri-geminal artery: A case report and litera-ture review. Front Surg, 9: 888558.
27. Sun P, Chai Y, Fang W, Chen H, et al (2022). Case report: Spontaneous carotid-cavernous fistula associated with persis-tent primitive trigeminal artery aneu-rysm rupture. Front Neurol, 13: 923186.
28. Liu YB, Feng PY, Zhang TZ, et al (2022). A Study on the Persistent Trigeminal Ar-tery and Its Classification Based on Magnetic Resonance Angiograph Imag-es. J Comput Assist Tomogr, 46(4): 645-650.
29. Lyu DP, Wang Y, Wang K, et al (2019). Acute Cerebral Infarction in a Patient with Persistent Trigeminal Artery and Homolateral Hypoplasia of Internal Ca-rotid Artery Distal Anastomosis: A Case Report and a Mini Review of the Litera-ture. J Stroke Cerebrovasc Dis, 28(12): 104388.
30. Yang MG, Wang D, Ren L, et al (2019). Classification characteristics of primi-tive trigeminal artery and its correlation with cerebral infarction. Journal of Medical Imaging, (06):909-912.
31. He Dongruo, Li Hui, Han Han Chao, et al (2019). Carotid ultrasound combined with transcranial Doppler ultrasound was used to detect external carotid ar-tery and internal carotid artery steal. Chinese Journal of Geriatric Cardio-Cerebrovascular Diseases, (12):1253-1255.
32. Bechri H, Louraoui SM, Fikri M, et al (2020). Persistence of a trigeminal artery asso-ciated with a posterior meningeal artery aneurysm: case report and literature re-view. J Surg Case Rep, 2020(2): rjz389.
33. Yilmaz E, Ilgit E, Taner D (1995). Primitive persistent carotid-basilar and carotid-vertebral anastomoses: a report of seven cases and a review of the literature. Clin Anat, 8(1):36–43.
| Files | ||
| Issue | Vol 53 No 5 (2024) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v53i5.15579 | |
| Keywords | ||
| Permanent trigeminal artery Cerebrovascular disease Variability Internal carotid artery Basilar artery | ||
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How to Cite
1.
Zhang J, Wang Y, Gai Y, Cui H, Liu B, Li J, Wang Y, Lv J, Chen S. The Relationship between the Permanent Trigeminal Artery and Cerebrovascular Disease: A Meta-Analysis. Iran J Public Health. 2024;53(5):988-996.
