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The costocervical trunk: A detailed review
Michał Bonczar1, Patryk Ostrowski1, Martyna Dziedzic1
1Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland.
Summary
This study introduces a four-type classification for the costocervical trunk (CCT) anatomy based on 75 CTAs. The common Type 1 CCT was observed in 76.1% of cases, with absence noted in 23.94%.
Area of Science:
- Anatomy
- Vascular Anatomy
- Medical Imaging
Background:
- The anatomy and prevalence of the costocervical trunk (CCT) are not well-documented.
- Variations in CCT anatomy can impact endovascular procedures in the cervical region.
Purpose of the Study:
- To classify the branching patterns and morphometric properties of the costocervical trunk (CCT).
- To propose a novel four-type classification system for CCT anatomy based on computed tomography angiography (CTA) findings.
Main Methods:
- Retrospective analysis of 75 costocervical trunks (CCTs) from 55 patients who underwent neck and thoracic CTA.
- Detailed examination of branching variations and morphometric properties of each CCT.
Main Results:
- A novel four-type classification system for CCT branching patterns was established.
- Type 1, consistent with anatomical literature, was the most prevalent (76.1%).
- The costocervical trunk (CCT) was absent in 23.94% of the analyzed cases.
Conclusions:
- The proposed four-type classification system enhances understanding of CCT anatomical variability.
- Knowledge of CCT variations is crucial for surgeons performing endovascular procedures in the neck and thoracic regions.
Keywords:
costocervical trunkdeep cervical arteryendovascular anatomysubclavian arterysupreme intercostal arteryMore Related Videos
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