Abstract
We report one retinoblastoma patient with dual ophthalmic arteries (also known as “double ophthalmic arteries”) arising from the internal carotid artery which fuse with each other inside the orbit. The caudal ophthalmic artery with larger caliber originated from the cavernous segment of internal carotid artery and passed through the superior orbital fissure. The cranial and tiny one arose more cranially from the supraclinoid internal carotid artery and passed through the optic canal. After superselective catheterization, frank anastomosis was shown between two ophthalmic arteries and the central retinal artery arose from the cranial one. To the best of our knowledge, this case is the first observation of a dual ophthalmic artery with cavernous/supracavernous origins fusing with each other proven by superselective ophthalmic angiography. Whether there is an anastomosis between two ophthalmic arteries is important for deciding which artery to be selected for intraarterial treatment. In cases of retinoblastoma, detailed angiographic analysis may be essential to examine the orbital arterial system and to avoid unexpected complications during intraarterial chemotherapy.
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References
Balci S, Arat A (2019) Unusual ophthalmic artery origin: Implications for intraarterial chemotherapy of retinoblastoma. Interv Neuroradiol 25:638–643. https://doi.org/10.1177/1591019919852737
Bertelli E, Regoli M, Bracco S (2017) An update on the variations of the orbital blood supply and hemodynamic. Surg Radiol Anat 39:485–496. https://doi.org/10.1007/s00276-016-1776-9
Bracard S, Liao L, Zhu F, Gory B, Anxionnat R, Braun M (2020) The ophthalmic artery: a new variant involving two branches from the supracavernous internal carotid artery. Surg Radiol Anat 42:201–205. https://doi.org/10.1007/s00276-019-02339-z
Bracco S, Gennari P, Vallone IM, Tassi R, Acampa M, Martini G, Bertelli E (2016) Double ophthalmic arteries arising from the internal carotid artery: a case report of a hidden second ophthalmic artery. Surg Radiol Anat 38:1233–1237. https://doi.org/10.1007/s00276-016-1672-3
Gailloud P, Gregg L, Ruiz DS (2009) Developmental anatomy, angiography, and clinical implications of orbital arterial variations involving the stapedial artery. Neuroimaging Clin N Am 19:169–179. https://doi.org/10.1016/j.nic.2009.02.001
Gregg L, San Millán D, Orru E, Tamargo RJ, Gailloud P (2016) Ventral and dorsal persistent primitive ophthalmic arteries. Oper Neurosurg (Hagerstown) 12:141–152. https://doi.org/10.1227/neu.0000000000001066
Kam CK, Alvarez H, Lasjaunias P (2003) Double internal carotid origin of the ophthalmic artery with ruptured aneurysm of the posterior communicating artery: a case report. Interv Neuroradiol 9:383–388. https://doi.org/10.1177/159101990300900409
Lasjaunias P, Berenstein A, Brugge KG (2001) Surgical neuroangiography-clinical vascular anatomy and variations. vol 1, 2nd edn. Springer, New York, pp 426–455
Lasjaunias P, Moret J, Manelfe C, Théron J, Hasso T, Seeger J (1977) Arterial anomalies at the base of the skull. Neuroradiology 13:267–272. https://doi.org/10.1007/bf00347072
Ogawa T, Miyauchi T, Kato T, Tamakawa Y (1990) Internal carotid origin of double ophthalmic arteries. Neuroradiology 32:508–510
Padget DH (1948) The development of cranial arteries in the human embryo. Contrib Embryol Carneg Instn 212:205–262
Uchino A, Saito N, Kurita H, Ishihara S (2013) Double ophthalmic arteries arising from the internal carotid artery. Surg Radiol Anat 35:173–175. https://doi.org/10.1007/s00276-012-1005-0
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HAA: writing of the manuscript. SB: data collection. IT: data analysis (imaging studies). AV: data analysis (clinical data). HK: analysis of the literature and contribution to writing of the manuscript. AA: editing of the manuscript and final approval.
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Aktaş, H.A., Balcı, S., Tatar, İ. et al. Dual ophthalmic arteries: a new case. Surg Radiol Anat 44, 721–725 (2022). https://doi.org/10.1007/s00276-022-02959-y
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DOI: https://doi.org/10.1007/s00276-022-02959-y