Infundibular arterial origin

An infundibular origin of an artery is defined by a tunnel-like to funnel-shaped vascular origin, which must be differentiated from an Aneurysm. On Angiography, this appears as a rounded or conical widening of the vessel diameter. The origin of the Posterior communicating artery is most commonly affected[^1]. Infundibular arterial origins can be found in 7-13 % of otherwise normal angiograms[^2] [^3] and are bilateral in 25 % of cases[^3].

Diagnostic criteria

The following criteria define an infundibular arterial origin[^5]:

  • Triangular shape

  • Mouth (widest part of the infundibulum) < 3 mm[^4]

  • Vessel at the apex

Imaging

The gold standard for imaging an infundibular arterial origin is digital subtraction angiography (DSA).

Infundibular artery origin on DSA
Visualization of an infundibular origin of the posterior communicating artery on digital subtraction angiography.

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