Chordae Willisii within the Transverse Sinus: A Morphological Study

Abstract Objective Some have suggested that trabeculae within the transverse sinuses (chordae Willisii) might restrict flow and potentially contribute to thrombus organization. Additionally, these structures might be encountered with endovascular procedures within the transverse sinus and are now readily seen on imaging. Therefore, as anatomical studies of these structures are scant, the current study aimed to better elucidate these structures within the transverse sinus via a morphological study in cadavers. Methods Thirty, fresh-frozen, cadaveric transverse sinuses were dissected and their detailed morphology recorded. Classification schemes were applied based on the anatomy and orientation of each chordae. Results Chordae were found on 70% of sides and were statistically more likely to be found on right sides (86.6%) (p Conclusions To date a comprehensive anatomical evaluation of the intraluminal chordae of the transverse sinuses has been lacking. Knowledge of these bands is also essential to those performing endovascular procedures of the dural venous sinuses and for those interpreting imaging of these structures.