Variations in the source of origin of inferior phrenic artery: a cadaveric study

Akhilandeswari, B; Ranganath, Priya

doi:10.1016/s0003-2778(13)80004-4

Cited by 5 publications

(3 citation statements)

References 9 publications

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“…This variation specifically has been related to the treatment of hepatocellular carcinoma, in which they are a focus to catheterization to administer drugs directed to the liver, and knowing this variation can prevent damage to the patient [27]. Also the presence of Accessory arteries to the liver and pancreas ( Figure 2B) was found in the same proportion as reported in other studies between 3-10% [28,29].…”

Section: Discussionsupporting

confidence: 59%

Prevalence-of-Anatomical-Celiac-Trunk-Variations-Using-3D-AngiographyComputed-Tomography-Images-in-a-Reference-Hospital

Calle‐Toro¹,

Prada²,

Takeuchi³

et al. 2017

Journal of Clinical and Experimental Research in Cardiology

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Purpose: With the advances in the new image techniques and 3D modeling, angiography computed tomography (A-CT) has become a very useful image to study vessels. Prevalence of Celiac Trunk (CeT) variations is common, and have a clinical relevance in preoperative planning. Our objective was to describe prevalence of CeT variations in a study population in Cali, Colombia. Methods:A retrospective study with a database was made from a selection of A-CT 3D images from January 1, 2012 to September 30, 2014, from which the CeT could be visualized. Patients under 18 were excluded, also with no 3D A-CT, or not Colombian. Frequencies, percentages were calculated using Excel and STATA software.Results: A total of 252 patients were selected, from which 10 were excluded. The most common causes of performing the A-CT were pathologies of the Aorta, followed by studies for transplantation of the kidney or liver. Variations were found in 71 (30%) patients. The most common variation was the origin of the inferior phrenic artery from the CeT in 43 (60%) patients, followed by accessories arteries to the liver in 11 (15%) patients, and the presence of a hepato-splenic trunk in 8 (11%) patients. Conclusion:Prevalence of CeT variations in our study population was higher than that reported in other studies. The use of image techniques, such as 3D A-CT, could help the surgeon or the interventional radiologist identify these variations, preventing catastrophic complications, and making safer surgeries for our patients.

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Section: Discussionsupporting

confidence: 59%

Prevalence-of-Anatomical-Celiac-Trunk-Variations-Using-3D-AngiographyComputed-Tomography-Images-in-a-Reference-Hospital

Calle‐Toro¹,

Prada²,

Takeuchi³

et al. 2017

Journal of Clinical and Experimental Research in Cardiology

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“…According to Piao et al, the inferior phrenic artery originates from the aorta in 61.6% cases, from the celiac trunk in 28.2% cases and the remaining 10.19% arises from either renal artery, left gastric or middle adrenal arteries. In another study, Pulakunta et al reported that the inferior phrenic artery originated from the celiac trunk in 6.25% cases, left gastric artery in 3.125% cases, right renal artery in 3.125% cases and 87.5% cases had the usual aortic origin [ 69 , 70 , 71 ]. Many cases of hepatic artery and its variations have been reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

Unraveling Variations in Celiac Trunk and Hepatic Artery by CT Angiography to Aid in Surgeries of Upper Abdominal Region

et al. 2021

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Understanding of variations in the course and source of abdominal arteries is crucial for any surgical intervention in the peritoneal space. Intricate surgeries of the upper abdominal region, such as hepato-biliary, pancreatic, gastric and splenic surgeries, require precise knowledge of regular anatomy and different variations related to celiac trunk and hepatic artery. In addition, information about the origin of inferior phrenic artery is important in conditions such as hepatocellular carcinoma and gastroesophageal bleeding management. The present study gives an account of anatomical variations in origin and branching pattern of celiac trunk and hepatic artery by the use of CT (computed tomographic) angiography. The study was performed on 110 (66 females and 44 males) patients in a north Indian population. Results unraveled the most common celiac trunk variation as hepatosplenic trunk with left gastric artery, which was observed in 60% of cases, more common in females than in males. Gastrosplenic and hepato-gastric trunk could be seen in 4.55% and 1.82% cases respectively. Gastrosplenic trunk was more commonly found in females, whereas hepato-gastric trunk was more common in males. A gastrosplenic trunk, along with the hepato-mesenteric trunk, was observed in 1.82% cases and was more common in males. A celiacomesenteric trunk, in which the celiac trunk and superior mesenteric artery originated as a common trunk from the aorta, was seen only in 0.91% of cases, and exhibited an origin of right and left inferior phrenic artery from the left gastric artery. The most common variation of hepatic artery, in which the right hepatic artery was replaced and originated from the superior mesenteric artery, was observed in 3.64%, cases with a more common occurrence in males. In 1.82% cases, the left hepatic artery was replaced and originated from the left gastric artery, which was observed only in females. Common hepatic artery originated from the superior mesenteric artery, as observed in 1.82% cases, with slightly higher occurrence in males. These findings not only add to the existing knowledge apart from giving an overview of variations in north Indian population, but also give an account of their correlation with gender. The present study will prove to be important for various surgeries of the upper abdominal region.

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“…The knowledge of the arterial anatomic variations is very important for the clinical, radiological and surgical diagnosis. 17 Extensive knowledge of all possible variations of inferior phrenic artery origin will provide valuable data to researchers, clinicians and anatomists alike. These data will useful for the management of liver transplants and biliary tract surgery, 13 enhancing the understanding of both the specific anatomy of the inferior phrenic arteries as well as their potential significance in supplying hepatocellular carcinomas and other liver tumors, primary or metastatic, such as cholangiocarcinoma, hepatoblastoma and subcapsular adenoma.…”

Section: Pick and Ansonmentioning

confidence: 99%

Normal and variant origin and branching pattern of inferior phrenic arteries and their clinical implications - A cadaveric study.

Thamke

Rani

2015

Int J Res Med Sci

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Variations in the source of origin of inferior phrenic artery: a cadaveric study

Cited by 5 publications

References 9 publications

Prevalence-of-Anatomical-Celiac-Trunk-Variations-Using-3D-AngiographyComputed-Tomography-Images-in-a-Reference-Hospital

Prevalence-of-Anatomical-Celiac-Trunk-Variations-Using-3D-AngiographyComputed-Tomography-Images-in-a-Reference-Hospital

Unraveling Variations in Celiac Trunk and Hepatic Artery by CT Angiography to Aid in Surgeries of Upper Abdominal Region

Normal and variant origin and branching pattern of inferior phrenic arteries and their clinical implications - A cadaveric study.

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