Distance measurements and origin levels of the coeliac trunk, superior mesenteric artery, and inferior mesenteric artery by multiple-detector computed tomography angiography

Ekingen, Arzu; Hatipoğlu, Eyüp Savaş; Hamidi, Cihad

doi:10.1007/s12565-020-00571-x

Cited by 12 publications

(12 citation statements)

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“…Matusz documented a few grading studies regarding the vertebral level of origin of the CT and SMA [ 25 ] that were published by Adachi (1928), Ruggles (1935), and Cauldwell and Anson (1943) [ 2 , 3 , 27 ]. The authors [ 2 , 4 , 5 , 25 ] cited Ruggles’ study using the first name of the author (“George R”).…”

Section: Discussionmentioning

confidence: 99%

“…Ekingen et al studied more than 200 MDTC angiograms [ 4 ]. Unlike our study, they found additional vertebral levels as landmarks.…”

Section: Discussionmentioning

confidence: 99%

“…For the CT they found 7/238 cases (2.94%) with the CT origin at the level of the T11/T12 intervertebral disc and 1/238 cases (0.42%) with the aortic origin at the level of the L1/L2 disc [ 4 ]. Additional levels were found also for the SMA: 11/257 cases (4.28%) at the level of the middle 3rd of the 12th thoracic vertebra and 1/257 cases (0.39%) at the level of the middle 3rd of the 2nd lumbar vertebra [ 4 ]. Ekingen et al found that the distance measurements between the CT–SMA were statistically significant [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…As Anson and McVay wrote in 1936, “the regular textbooks of gross anatomy offer little precise information concerning the points at which the visceral branches of the abdominal aorta arise, either in relation to the vertebrae or the bifurcation or in relation to one another” [ 1 ]. We found only a few studies documenting the possibilities of variation of these vertebral levels [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 ]. The authors used a vertical grading system considering the intervertebral discs and the upper, middle, and the lower third of each vertebra, respectively [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…We found only a few studies documenting the possibilities of variation of these vertebral levels [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 ]. The authors used a vertical grading system considering the intervertebral discs and the upper, middle, and the lower third of each vertebra, respectively [ 4 , 5 ]. However, the authors did not evaluate the combined patterns of the CT and SMA vertebral origins.…”

Section: Introductionmentioning

confidence: 99%

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Aortic Origins of the Celiac Trunk and Superior Mesenteric Artery

et al. 2021

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(1) Background. The vertebral level of origin (VLO) of the celiac trunk (CT) and superior mesenteric artery (SMA) has been scarcely investigated. (2) Method. This study used 107 computed tomography angiograms and an eleven type grading system to classify the VLO of the CT and SMA. Each of the T12–L2 vertebra were divided in three horizontal levels. The intervertebral discs were considered distinct levels. (3) Results. The VLO of the CT ranged from the upper third of the T12 vertebra to the lower third of the L1 vertebra. The VLO of the SMA ranged from the lower third of the T12 vertebra to the upper third of the L2 vertebra. There was a highly significant association between the VLO of the CT and SMA (Chi2 = 201, p < 0.001), usually respecting a “plus two” rule. The mean CT–SMA distance was 1.82 +/− 0.66 cm in males and 1.55 +/− 0.411 cm in females, the difference being statistically significant. The mean CT–SMA distance tended to decrease with increasing CT–SMA types, the differences being statistically significant. (4) Conclusions. These characteristics of CT and SMA origins and their relations should be known by surgeons, as they could impact operative management and should be evaluated on a case-by-case basis.

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