ACoA — Anterior Communicating Artery (bridges the two ACAs at the midline)
MCA — Middle Cerebral Artery (bilateral, exits laterally into the Sylvian fissure)
PCoA — Posterior Communicating Artery (bilateral, links ICA to PCA)
Posterior Circulation (Vertebrobasilar system):
Vertebral Arteries — ascend bilaterally and merge at the pontomedullary junction
Basilar Artery — formed by the union of both vertebral arteries; travels rostrally along the pons
PCA — Posterior Cerebral Artery (bilateral, arises at the basilar bifurcation)
The circle is completed by the communicating arteries (ACoA anteriorly, PCoAs posteriorly), forming a collateral anastomotic ring that can maintain perfusion if one vessel is occluded.
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