Evaluation of celiac artery and common hepatic artery variations by CT-angiography and new classification model

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dc.authoridÇELİK, Ahmet Onur/0000-0002-3324-6053
dc.authorwosidDemirel, Tugrul/JAC-3486-2023
dc.authorwosidÇELİK, Ahmet Onur/ISA-0907-2023
dc.contributor.authorTurkyilmaz, Zeliha
dc.contributor.authorKula, Osman
dc.contributor.authorCelik, Ahmet Onur
dc.contributor.authorDemirel, Tugrul
dc.contributor.authorGunay, Burak
dc.date.accessioned2024-06-12T10:55:59Z
dc.date.available2024-06-12T10:55:59Z
dc.date.issued2023
dc.departmentTrakya Üniversitesien_US
dc.description.abstractPurposeKnowledge of anatomical variations is important in all interventional procedures. This study aims to evaluate the variations and prevalence of celiac trunk (CeT) and its branches.MethodsThe computerized tomography-angiography (CT-A) findings of 941 adult patients were evaluated retrospectively. Variations of the CeT and common hepatic artery (CHA) were evaluated according to the number of branches and their origin. Findings were compared with classical classification methods. A new classification model has been defined.ResultsNormal (complete) trifurcation was detected in 856 (90.9%) of them, where left gastric artery (LGA), splenic artery (SpA) and CHA branches were derived from the CeT. Among 856 complete trifurcation cases, 773 (90.3%) had non-classical trifurcation patterns. The rate of classic trifurcation was 8.8%, while non-classic trifurcation was 82.1% in all cases. In one case (0.1%), LGA and left hepatic artery together and right hepatic artery and SpA together appeared as a double bifurcation. Complete celiacomesenteric trunk was observed only in 4 (0.42%) cases. In seven cases (0.7%), LGA, SpA and CHA were coming out of abdominal aorta (AAo) independently. CHA normal anatomy (Michels Type I) was detected in 618 (65.5%) patients. We found that 49 (5.2%) of our cases were ambiguous according to the Michels Classification. We have described five different variations of hepatic arteries directly arising from the AAo.ConclusionPreoperative recognition of anatomical variations of CeT, superior mesenteric artery and CHA is of primary importance in both surgical and radiological procedures. With careful evaluation of CT-angiographies, it is possible to detect rare variations.en_US
dc.identifier.doi10.1007/s00276-023-03180-1
dc.identifier.endpage1047en_US
dc.identifier.issn0930-1038
dc.identifier.issn1279-8517
dc.identifier.issue8en_US
dc.identifier.pmid37340150en_US
dc.identifier.scopus2-s2.0-85162224826en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1037en_US
dc.identifier.urihttps://doi.org/10.1007/s00276-023-03180-1
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19631
dc.identifier.volume45en_US
dc.identifier.wosWOS:001011542500001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Franceen_US
dc.relation.ispartofSurgical And Radiologic Anatomyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCeliac Trunken_US
dc.subjectSuperior Mesenteric Arteryen_US
dc.subjectCeliacomesentericen_US
dc.subjectHepatic Arteries Variationen_US
dc.subjectAnatomical Variationsen_US
dc.subjectTrunken_US
dc.subjectAbsenceen_US
dc.titleEvaluation of celiac artery and common hepatic artery variations by CT-angiography and new classification modelen_US
dc.typeArticleen_US

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