Scopus
YÖKSİS Eşleşti
Anatomical variations of the aortic arch branching pattern using CT angiography: a proposal for a different morphological classification with clinical relevance
Anatomical Science International · Ocak 2022
YÖKSİS Kayıtları
Anatomical variations of the aortic arch branching pattern using CT angiography: a proposal for a different morphological classification with clinical relevance.
Anatomical science international · 2022 SCI-Expanded
PROFESÖR MUSTAFA KOPLAY →
Anatomical variations of the aortic arch branching pattern using CT angiography: a proposal for a different morphological classification with clinical relevance
Anatomical Science International · 2022 SCI-Expanded
DOÇENT EMİNE UYSAL →
Makale Bilgileri
DergiAnatomical Science International
Yayın TarihiOcak 2022
Cilt / Sayfa97 · 65-78
Scopus ID2-s2.0-85114706601
Özet
The aortic arch (AA) branching pattern variations are usually asymptomatic, but they may lead to complications during cardiovascular procedures. In this retrospective study, we aimed to analyze the frequency of anatomical variations of the AA and to develop a different approach of morphological classification based on radiological criteria. 1026 computed tomography angiography scans of adults were evaluated and the presence of left-sided (LAA) and right-sided (RAA) AA were determined in 1023 (99.71%) and 3 (0.29%) of patients, respectively. According to the number of branches, LAA branching pattern of each patient was subclassifed in five morphological types. Based on the order and type-specific reference points, an anomalous LAA variants were classified into 20 subtypes. Type 1 (Typical branching pattern) LAA was identifed in 781 (76.12%) of the patients. Among 242 aberrant LAA variants (four types, 23.58%), the most common subtypes; Type 2A with brachiocephalico-carotid trunk (BCT), Type 4A<inf>1</inf> with an aberrant left vertebral artery (ALVA), and Type 3A<inf>1</inf>, in which BCT coexisted with ALVA, were observed in 17.6%, 3.6%, and 0.88% of the cases, respectively. The frequency of remaining LAA variants ranged from 0.39% to 0.097%. In addition, Type 3B<inf>2</inf> and Type 4C were first identified in our study. We observed Type I and II RAA in one female (0.097%) and two cases (male and female, 0.19%), respectively. Knowledge of AA branching variations is of great interest in neck and thoracic surgery and the new morphological types in clinically applicable form recommended in this study can be used in endovascular interventions.
Yazarlar (4)
1
Gülay Açar
ORCID: 0000-0002-9524-5056
2
Aynur Emine Cicekcibasi
3
Emine Uysal
4
M. Koplay
ORCID: 0000-0001-7513-4968
Anahtar Kelimeler
Aortic arch
Bicarotid trunk
Brachiocephalico-carotid trunk
Branching pattern
Computed tomography angiography
Kurumlar
Necmettin Erbakan Üniversitesi
Meram Turkey
Selçuk Tip Fakültesi
Konya Turkey
Metrikler
6
Atıf
4
Yazar
5
Anahtar Kelime