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Published on: September 8, 2023
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.
Abstract:
The awareness of anatomical variations of hepatic arteries and celiac trunk is very important in interventional radiology, liver transplant and intra-abdominal oncologic surgeries. Radiology plays an important role in the identification of these variants non-invasively. Digital subtraction angiography was the gold standard for their identification. Computed tomography (CT) angiography non-invasively provides detailed knowledge of various anatomical vascular variations. This pictorial review highlights the role of multidetector computed tomography (MDCT) in the identification of celiac trunk-hepatic arterial system variations and clinical consequences.
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