Celiac trunk arterial variations and their clinical implications: Role of imaging

Pawan Kumar1, Anuradha Singh1, G S Triveni2

  • 1Department of Radio-Diagnosis, IRCH, All India Institute of Medical Sciences, New Delhi, 110 029, India.

Insights

Awareness of hepatic artery and celiac trunk variations is crucial for surgery and interventional radiology. Multidetector computed tomography (MDCT) effectively identifies these vascular anomalies and their clinical significance.

Area of Science:

  • Vascular anatomy
  • Radiology
  • Surgical planning

Background:

  • Anatomical variations of the hepatic arteries and celiac trunk are clinically significant.
  • Accurate identification is vital for interventional radiology, liver transplantation, and oncologic surgeries.
  • Radiology offers non-invasive methods for detecting these variations.

Purpose of the Study:

  • To review the role of multidetector computed tomography (MDCT) in identifying variations of the celiac trunk-hepatic arterial system.
  • To highlight the clinical consequences associated with these anatomical variations.

Main Methods:

  • Pictorial review utilizing multidetector computed tomography (MDCT) angiography.
  • Discussion of established identification techniques, including digital subtraction angiography (historical gold standard).

Main Results:

  • MDCT angiography provides detailed, non-invasive visualization of celiac trunk-hepatic arterial variations.
  • Illustrates common and uncommon anatomical variants.
  • Correlates vascular variations with potential clinical implications in surgical and interventional procedures.

Conclusions:

  • MDCT is a valuable tool for the non-invasive identification of celiac trunk-hepatic arterial variations.
  • Understanding these variations through MDCT aids in optimizing surgical and interventional strategies.
  • Improved pre-procedural knowledge of vascular anatomy reduces potential complications.

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