A systematic classification of the vertebral artery variable origin: clinical and surgical implications

被引:52
|
作者
Lazaridis, Nikolaos [1 ]
Piagkou, Maria [2 ]
Loukas, Marios [3 ]
Piperaki, Evangelia-Theophano [4 ]
Totlis, Trifon [1 ]
Noussios, Georgios [1 ]
Natsis, Konstantinos [1 ]
机构
[1] Aristotle Univ Thessaloniki, Sch Med, Dept Anat & Surg Anat, POB 300, Thessaloniki 54124, Greece
[2] Univ Athens, Sch Med, Dept Anat, Fac Hlth Sci, Athens, Greece
[3] St Georges Univ, Sch Med, Dept Anat Sci, St Georges, Grenada
[4] Univ Athens, Sch Med, Dept Microbiol, Fac Hlth Sci, Athens, Greece
关键词
Aortic arch; Classification; Origin; subclavian artery; vertebral artery; Variations; LEFT SUBCLAVIAN ARTERY; OF-THE-LITERATURE; DESCENDING THORACIC AORTA; RARE ANOMALOUS ORIGIN; DUAL ORIGIN; CAROTID-ARTERY; ARCH ORIGIN; ANATOMICAL VARIATIONS; TRANSVERSE FORAMEN; DOPPLER SONOGRAPHY;
D O I
10.1007/s00276-018-1987-3
中图分类号
R602 [外科病理学、解剖学]; R32 [人体形态学];
学科分类号
100101 ;
摘要
Several congenital anomalies regarding the right (RVA) and left (LVA) vertebral artery have been described. The current paper aims to perform a systematic literature review of the variable vertebral artery (VA) origin from the aortic arch (AOA) and its branches. The incidence of these variants and the ensuing AOA branching pattern are highlighted. Atypical origin cases were found more commonly unilaterally, while LVA presented the majority of the aberrancies. The LVA emersion from the AOA (3.6%) and the RVA from the right common carotid artery (RCCA) (0.14%) were the commonest origin variations. Aberrant RVA origin as last branch of the AOA is very rare. Eighteen cases (0.12%) with an aberrant right subclavian artery (ARSCA) were found. Among them, the RVA originated from the RCCA and right subclavian artery in 94.4 and 5.6%, respectively. Sporadic cases had an AOA origin bilaterally; RVA and LVA had a double origin in 0.027 and 0.11%, respectively. A dual origin was detected in 0.0069%, bilaterally. The atypical VA origin may coexist with: (i) an ARSCA, (ii) a common origin of brachiocephalic artery and left common carotid artery (the misnomer bovine arch) and (iii) a bicarotid trunk. The aberrant VA origin favors hemodynamic alterations, predisposing to cerebrovascular disorders and intracranial aneurysm formation. Detailed information of VA variants is crucial for both endovascular interventionists and diagnostic radiologists involved in the treatment of patients with cerebrovascular disease. Such information may prove useful to minimize the risk of VA injury in several procedures.
引用
收藏
页码:779 / 797
页数:19
相关论文
共 50 条
  • [1] A systematic classification of the vertebral artery variable origin: clinical and surgical implications
    Nikolaos Lazaridis
    Maria Piagkou
    Marios Loukas
    Evangelia-Theophano Piperaki
    Trifon Totlis
    Georgios Noussios
    Konstantinos Natsis
    [J]. Surgical and Radiologic Anatomy, 2018, 40 : 779 - 797
  • [2] A variable origin of the vertebral artery
    Kubikova, E.
    Osvaldova, M.
    Mizerakova, P.
    El Falougy, H.
    Benuska, J.
    [J]. BRATISLAVA MEDICAL JOURNAL-BRATISLAVSKE LEKARSKE LISTY, 2008, 109 (01): : 28 - 30
  • [3] Aberrant Origin of Vertebral Artery and its Clinical Implications
    Yuan, Shi-Min
    [J]. BRAZILIAN JOURNAL OF CARDIOVASCULAR SURGERY, 2016, 31 (01) : 52 - 59
  • [4] : Vertebral artery origin stenosis: systematic review of randomized clinical trials
    Ezepue, Chizoba
    Edgell, Randall
    Guthrie, Andre
    [J]. NEUROLOGY, 2019, 92 (15)
  • [5] Atlas posterior arch and vertebral artery’s groove variants: a classification, morphometric study, clinical and surgical implications
    Konstantinos Natsis
    Evangelia-Theophano Piperaki
    Moschos Fratzoglou
    Nikolaos Lazaridis
    Parmenion P. Tsitsopoulos
    Αlexandros Samolis
    Michael Kostares
    Maria Piagkou
    [J]. Surgical and Radiologic Anatomy, 2019, 41 : 985 - 1001
  • [6] Atlas posterior arch and vertebral artery's groove variants: a classification, morphometric study, clinical and surgical implications
    Natsis, Konstantinos
    Piperaki, Evangelia-Theophano
    Fratzoglou, Moschos
    Lazaridis, Nikolaos
    Tsitsopoulos, Parmenion P.
    Samolis, Alexandros
    Kostares, Michael
    Piagkou, Maria
    [J]. SURGICAL AND RADIOLOGIC ANATOMY, 2019, 41 (09) : 985 - 1001
  • [7] Prevalence of Vertebral artery anomaly in upper cervical and its surgical implications: a systematic review
    Lin, Xi
    Zhu, Hou-Jun
    Xu, Yang
    Zheng, Ting
    Lin, Fei-Yue
    Yin, Xiao-Ming
    [J]. EUROPEAN SPINE JOURNAL, 2021, 30 (12) : 3607 - 3613
  • [8] Prevalence of Vertebral artery anomaly in upper cervical and its surgical implications: a systematic review
    Xi Lin
    Hou-Jun Zhu
    Yang Xu
    Ting Zheng
    Fei-Yue Lin
    Xiao-Ming Yin
    [J]. European Spine Journal, 2021, 30 : 3607 - 3613
  • [9] Duplicated origin of vertebral artery
    Malhotra, Konark
    Liebeskind, David S.
    [J]. NEUROLOGY INDIA, 2017, 65 (03) : 679 - 680
  • [10] The reconstructions for vertebral artery stenosis at the origin - A comparison between PTA and surgical reconstructions
    Yoshino, K
    Terai, Y
    Fujimoto, S
    Kamata, I
    Kinugasa, K
    Nishimoto, A
    [J]. INTERVENTIONAL NEURORADIOLOGY, 2000, 6 : 237 - 242