School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru.
Department of Neurosurgery, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.
World Neurosurg. 2022 Jul;163:41-49. doi: 10.1016/j.wneu.2022.03.116. Epub 2022 Mar 31.
The 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.
颈内动脉（ICA）的走行已被广泛讨论。有几种分类系统试图为显微外科和内镜引导描绘出准确且有用的轨迹，从而在避免术中并发症的同时提高神经外科手术的效果。此外，分类系统的实用性也被强调用于学科间的学术交流。然而，ICA 的命名法对于医疗保健专业人员、学员和学生来说仍然是异构和混乱的。我们使用侧位和前位视图展示了 8 种著名的 ICA 分类系统的说明性综述，作为神经解剖学咨询的快速工具。从不同角度评估血管解剖结构，同时认识到它们的有用性和局限性，可以全面了解 ICA，优化手术效果，并促进沟通。
