{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T22:36:35Z","timestamp":1791585395473,"version":"4.3.4"},"reference-count":118,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:p>The cervical anterior spinal artery (ASA) is a very important artery arising from the intracranial vertebral artery (VA). It can play different roles in endovascular treatment (EVT) of spinal vascular diseases. The current understanding of these roles is incomplete; therefore, we performed this review. We found that cervical ASA can be involved in many spinal vascular diseases, such as arteriovenous fistula (AVF), arteriovenous malformation (AVM), and aneurysm, and can serve as a collateral channel in proximal VA occlusion. In AVF and AVM, when the cervical ASA is involved, it often plays the role of an accomplice or victim because it acts as the feeder or as a bystander that does not provide blood flow to the AVF and AVM. In cervical ASA aneurysm, the ASA is a victim. During EVT of VA aneurysms or stenoses, the cervical ASA ostia can be covered or occluded, resulting in ASA ischemia. In this situation, the ASA is a victim. In VA occlusion or the subclavian steal phenomenon, the cervical ASA can serve as a collateral channel to provide blood flow to the posterior circulation. In this case, the ASA plays the role of a friend. According to the role of the cervical ASA in spinal vascular diseases, EVT should be determined \u201ccase by case.\u201d Most importantly, when EVT is performed to treat these diseases, the cervical ASA axis must be preserved. Therefore, understanding the role of the cervical ASA in spinal vascular diseases is crucial.<\/jats:p>","DOI":"10.3389\/fneur.2021.761006","type":"journal-article","created":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T05:12:10Z","timestamp":1635225130000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":12,"title":["Role of the Cervical Anterior Spinal Artery in the Endovascular Treatment of Vascular Diseases: Bystander, Accomplice, Victim, or Friend?"],"prefix":"10.3389","volume":"12","author":[{"given":"Kun","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kun","family":"Hou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinlu","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2021,10,26]]},"reference":[{"key":"B1","volume-title":"Anatomy, Back, Anterior Spinal Artery","author":"Ali","year":"2021"},{"key":"B2","doi-asserted-by":"publisher","first-page":"920","DOI":"10.3171\/2020.9.SPINE201258","article-title":"Intradural spinal cord arteriovenous shunts in a personal series of 210 patients: novel classification with emphasis on anatomical disposition and angioarchitectonic distribution, related to spinal cord histogenetic units","volume":"34","author":"Mizutani","year":"2021","journal-title":"J Neurosurg Spine."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/02688697.2021.1910201","article-title":"Intraspinal canal platform system for coil embolization of anterior spinal artery aneurysm associated with spinal cord arteriovenous malformation: a case report and literature review","author":"Yamazaki","year":"2021","journal-title":"Br J Neurosurg."},{"key":"B4","doi-asserted-by":"publisher","first-page":"e368","DOI":"10.1016\/j.wneu.2020.10.098","article-title":"Ruptured spinal aneurysms: diagnosis and management paradigms","volume":"146","author":"Abdalkader","year":"2021","journal-title":"World Neurosurg."},{"key":"B5","first-page":"222","article-title":"Anterior spinal artery as a collateral channel in cases of bilateral vertebral arterial steno-occlusive diseases","volume":"28","author":"Kang","year":"2007","journal-title":"AJNR Am J Neuroradiol."},{"key":"B6","doi-asserted-by":"publisher","first-page":"1839","DOI":"10.3171\/2017.3.JNS163048","article-title":"Angioarchitecture of arteriovenous fistulas at the craniocervical junction: a multicenter cohort study of 54 patients","volume":"128","author":"Hiramatsu","year":"2018","journal-title":"J Neurosurg."},{"key":"B7","doi-asserted-by":"publisher","first-page":"961","DOI":"10.3171\/2020.1.JNS193293","article-title":"Vertebral artery aneurysms and the risk of cord infarction following spinal artery coverage during flow diversion","volume":"134","author":"Dmytriw","year":"2020","journal-title":"J Neurosurg."},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awab237","article-title":"The efficacy and deficiency of contemporary treatment for spinal cord arteriovenous shunts","author":"Yu","year":"2021","journal-title":"Brain."},{"key":"B9","doi-asserted-by":"publisher","first-page":"596","DOI":"10.1002\/ca.23622","article-title":"Anatomical study of the pial arterial network in human spinal cords","volume":"34","author":"Rojas","year":"2021","journal-title":"Clin Anat."},{"key":"B10","doi-asserted-by":"publisher","first-page":"234","DOI":"10.5137\/1019-5149.JTN.19469-16.1","article-title":"The cervical arteries: an anatomical study with application to avoid the nerve root and spinal cord blood supply","volume":"28","author":"Arslan","year":"2018","journal-title":"Turk Neurosurg."},{"key":"B11","doi-asserted-by":"publisher","first-page":"1324","DOI":"10.3171\/2018.5.JNS18681","article-title":"Fusiform vertebral artery aneurysms involving the posterior inferior cerebellar artery origin associated with the sole angiographic anterior spinal artery origin: technical case report and treatment paradigm proposal","volume":"131","author":"Ravina","year":"2018","journal-title":"J Neurosurg"},{"key":"B12","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1159\/000146889","article-title":"Anterior spinal arteries. 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