Article Sidebar
Views PDF: 62
Variants of celiac artery in vietnamese adult: descriptive statistic in 378 cases by digital subtraction angiography
Main Article Content
Abstract
SUMMARY
Introduction: Celiac artery, the first branch is given off from abdominal artery when it passes through diaphragm. It is the major
source of blood supply to the supracolic abdominal compartment. Anatomical variations of celiac artery and its branching pattern are frequently found during diagnostic radiological imaging and during
surgical exploring in current practice. There are many descriptive statistic of celiac variants published on international journal, it is included in many ethnic and national research, but there is no such the same publish in large number in Vietnameses.
Purpose: Descriptive statistic of celiac artery variations by Digital subtraction angiography.
Material and Method: Descriptive statistic of celiac artery by using digital subtraction angiography which we have done during
treating patients at Interventional Radiology Unit, Gia Định Hospital from March 2011 to July 2015. The result is compared to international published data and contributing to Vietnamese population morphology.
Results: of 378 celiac arteries we found that 286 arteries (75.7%) are normal which present all three branches such left gastric artery, splenic artery, and common hepatic artery. The remain are variations with 24.3% in total. Among normal variant, we found that there are many small branches are given of directly from celiac trunk. They are
such right or left inferior phrenic arteries or dorsal pancreatic artery, which normally are not come from celiac trunk. But due to using
classifications from Michel – Hiatt, Song et al.; Benit et al. and Adachi et al., we have to include those data into normal variations when we see all three branches of it. We also found a rare variant which Song et al. has no case; that is type 14 which common hepatic artery, left gastric artery and superior mesenteric artery are same trunk, while
splenic artery is directly off from aorta.
Conclusion: With current statistic, we hope to contribute to fulfill morphologic database of Vietnamese as well as international population.
Article Details
Keywords
Celiac artery (trunk), Digital subtraction angiography (DSA)
References
1. Nguyễn Quang Quyền, Bộ môn giải phẫu học trường Đại học Y Dược TP.HCM, Nhà xuất bản Y học. Bài giảng giải phẫu học, tập 2. Trang 107, 117, 129, 145, 279, 297.
2. Trịnh Tú Tâm, Nguyễn Quốc Dũng. Biến thể giải phẫu hệ động mạch gan dạng hiếm gặp trên cắt lớp vi tính 64 dãy. Tạp chí Y học thực hành 2013.
3. Vũ Thành Trung. Nghiên cứu một số đặc điểm giải phẫu của động mạch thân tạng và động mạch gan ngoài gan ở người Việt Nam. Luận văn tốt nghiệp ngành giải phẫu học năm 2010. Đại học Y Hà Nội.
4. Abdullah SS, Mabrut JY, Garbit V, De La Roche E, Olagne E, Rode A, et al. Anatomical variations of the hepatic artery: study of 932 cases in liver transplantation. Surg Radiol Anat 2006; 28: 468–73.
5. Antony Sylvan D’Souza, Vijayalakshmi, Hemalatha, Pugazhandi, H Mamatha. Anantomical variations in the branches of the coeliac trunk. Journal of Clinical and Diagnostic Research. 2012 May (Suppl-1), Vol-6(3): 333-335.
6. Biehl TR, Traverso LW, Hauptmann E, Ryan JA Jr. Preoperative visceral angiography alters intraoperative strategy during the Whipple procedure. Am J Surg 1993 May; 165(5):607–12.
7. Binit Sureka, Mahesh Kumar Mittal, Aliza Mittal, Mukul Sinha, Narendra Kumar Bhambri, Brij Bhushan Thukral. Variations of celiac axis, common hepatic artery and its branches in 600 patients. Indian Journal of Radiology and Imaging; August 2013; Vol 23; Issue 3.
8. Cavdar S, Gurbuz J, Zeybek A, Sehirli U, Abik L, Ozdogmu O. A variation of the coeliac trunk. Kaibogaku
Zasshi 1998 Oct; 73(5):505-8.
9. Chen CY, Lee RC, Tseng HS, Chiang JH, Hwang JI, Teng MM. Normal and variant anatomy of the hepatic arteries: angiographic experience. Chin Med J 1998; 61: 17–23.
10. Chen H, Yano R, Emura S, Shoumura S. Anatomic variation of the celiac trunk with special reference to hepatic artery patterns. Ann Anat 2009; 191(4): 399–407.
11. Cicekcibasi AE, Uysal I, Seker M, Tuncer I, Buyukmcu M, Salbacak A. A rare variation of the coeliac trunk. Annals of Anatomy 2005; 187.
12. Corinne B. Winston, Nancy A. Lee, William R. Jarnagin, Jerrold Teitcher, Ronald P. DeMatteo, Yuman Fong, Leslie H. Blumgart. CT Angiography and Delineation of celiac and superior mesenteric artery variants in patients undergoing hepatobiliary and pancreatic surgery. AJR: 188, July 2007: 13 – 19.
13. Covey AM, Brody LA, Maluccio MA, Getrajdman GI, Brown KT. Variant hepatic arterial anatomy revisited:
digital subtraction angiography performed in 600 patients. Radiology 2002;224 (2):542–7.
14. Egorov VI, Yashina NI, Fedorov AV, Karmazanovsky
GG, Vishnevsky VA, Shevchenko TV. Celiacomesenterial
arterial aberrations in patients undergoing extended pancreatic resections: correlation of CT angiography with
findings at surgery. JOP 2010; 11(4): 348–57.
15. Hiatt JR, Gabbay J, Busuttil RW. Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg 1994; 220: 50–2.
16. Koops A, Wojciechowski B, Broering DC, Adam G, Krupski-Berdien G. Anatomic variations of the hepatic arteries in 604 selective coeliac and superior mesenteric angiographies. Surg Radiol Anat 2004; 26: 239–44.
17. Michels NA. Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg 1966; 112: 337–47.
18. Neda Ognjanovic, D. Jeremic, Ivana Zivanovic. MDCT angiography of anatomical variations of celiac trunk and superior mesenteric artery. Arch. Biol. Sci., Belgrade, 66(1), 2014: 233 – 240.
19. Song SY, Chung JW, Yin YH, Jae HJ, Kim HC, Jeon UB, Cho BH, So YH, Park JH. Celiac axis and common hepatic artery variations in 5002 patients: systematic analysis with spiral CT and DSA. Radiology 2010 Apr; 255(1): 278-88.
20. Ugurel M S, Battal, Bozlar, Nural, Tasar, Saglam, Karademir. Anatomical variations of the hepatic arterial system, the coeliac trunk and the renal arteries: an analysis with multidetector CT angiography. The British Journal of Radiology 2010 Aug; 83(992): 661–7.