尾和上升喉动脉的意外变化:临床影响
Gabriella Roofeh1, Nicholas Matthees2, Manuel Cevallos3
1Creighton University School of Medicine-Phoenix Regional Campus, Phoenix, AZ, USA. gabriellaroofeh@creighton.edu.
Surgical and radiologic anatomy : SRA
|November 28, 2024
概括
发现了一种罕见的解剖变异,关动脉 (OA) 和上升关动脉 (APA) 起源于内 Carotid 动脉 (ICA). 这一发现对头部和部手术有重大影响.
科学领域:
- 解剖学上的变化.
- 血管解剖学 血管解剖学
- 头骨神经 头骨神经 头骨神经
背景情况:
- 外 Carotid 动脉 (ECA) 通常分支成八个血管,而内 Carotid 动脉 (ICA) 没有宫分支.
- 喉动脉的解剖学变化会影响手术程序和患者的治疗结果.
研究的目的:
- 记录和探索一种罕见的变异的临床影响,其中尾动脉 (OA) 和上升喉动脉 (APA) 起源于ICA的部部分.
- 提高医疗专业人员对这种解剖异常的认识.
主要方法:
- 在克雷顿大学医学院的解剖学课程中对28具甲捐赠尸体进行剖析.
- 观察和鉴定动脉系统中的动脉变异.
主要成果:
- 在一个捐赠者的右侧发现了一种单边变异.
- 尾动脉 (OA) 和上升喉动脉 (APA) 起源于近端内 Carotid 动脉 (ICA),而不是外 Carotid 动脉 (ECA).
- 观察到,常见动脉的分叉角度接近180度.
结论:
- 这种解剖学变异,以前报告为0.14%的患病率,需要为外科医生和干预放射科医生提供文件和教育.
- 了解这些宫外动脉的通路对于在 carotid endarterectomy 和动脉栓塞等手术中做出明智决策至关重要.
- 建议进行手术前成像,如CT血管造影,以尽量减少与这种变异相关的并发症.
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