Anatomic basis and features of the swine AVM model.

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Transvenous AVM Embolization: is it a solution for AVM treatment?

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Presentation transcript:

Anatomic basis and features of the swine AVM model. Anatomic basis and features of the swine AVM model. A, Schematic representation of the normal left carotid arterial anatomy of the swine head and neck. The carotid rete mirabile is situated at the termination of the ascending pharyngeal artery. In the swine, the internal carotid artery is very short and joins the rete to the circle of Willis. CC indicates common carotid artery; EC, external carotid artery; IM, internal maxillary artery; MM, middle meningeal artery supplying the ramus anastomoticus; RA, ramus anastomoticus; AA, arteria anastomotica; AP, ascending pharyngeal artery; O, occipital artery; BA, basilar artery; CW, circle of Willis; PC, posterior cerebral artery; MC, middle cerebral artery; AC, anterior cerebral artery; C, ciliary artery; EE, external ethmoidal artery. B, Schematic representation of the AVM model after creation of a right carotid–jugular fistula. Arrows indicate direction of flow; that is, from the left common carotid artery to both retia mirabilia (nidus) via the three feeding arteries (left ascending pharyngeal artery, left ramus anastomoticus, and left arteria anastomotica), and retrograde down the right ascending pharyngeal artery toward the right carotid-jugular fistula. Note balloon occlusion of the right external carotid artery. C, Detail from a plastic cast of both carotid retia mirabilia of the swine shows the complex branching pattern of this microvascular bed. The surrounding nonvascular structures have been removed. Arrows indicate left and right ascending pharyngeal arteries. (Courtesy of Marc P. Ghysels, MD, Department of Medical Imaging, University of Liege, Belgium). Tarik F. Massoud et al. AJNR Am J Neuroradiol 2000;21:1268-1276 ©2000 by American Society of Neuroradiology