The applied anatomy and clinical significance of the proximal, V1 segment of vertebral artery

• Autorzy: Li X. , Guan L. , Zilundu P.L.M. , Chen J. , Chen Z. , Ma M. , Zhuang H. , Zhuang Z. , Qiu Y. , Ye F. , Wu X. , Sang H. , Ye Y. , Han Y. , Yao H. , Li H. , Zhong G. , Wu H. , Jiang Z. , Chu G. , Xu D. , Zhou L.
• Języki publikacji: EN

Abstrakty

EN

Background: The aim of the study was to probe the morphological features of the proximal segment (V1) of vertebral artery (VA) in a sample of Chinese cadavers. Materials and methods: The origin, course and outer diameter at origin of the pre-vertebral part of the VAs were evaluated in 119 adult cadavers. Results: It was found that 94.12% of the VAs originated from the subclavian arteries, bilaterally. The variant origins were present in 5.88% of the cadavers and all originated directly from the arch of the aorta. All the variations were observed on the left side of male cadavers. The average outer diameters at origin of the normal and variation groups were 4.35 ± 1.00 mm and 4.82 ± 1.42 mm, respectively, p = 0.035. In the normal group, but not in the variation group, the average diameter in the males was significantly larger than that in the females (4.50 ± 0.99 mm, 3.92 ± 0.92 mm, respectively, p = 0.000). In addition, only 5 cadavers in the normal group had hypoplastic VAs (4.20%, 4 males, 3 right-sided). Vertebral artery dominance (VAD) was present in 91 (69 males) out of 112 cadavers and more common on the left (n = 48). In addition, 3 cadavers satisfied conditions for coexistence of VAD and vertebral artery hypoplasia. All 7 cadavers in the variation group exhibited VAD, which was more common on the right side (n = 5). Conclusions: The morphologic variations and frequencies described above have implications for the early prevention, abnormal anatomy detection, accurate diagnosis, safe surgery and endovascular treatment of cardiovascular and neurological disease. (Folia Morphol 2019; 78, 4: 710–719)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2019
• Tom: 78
• Numer: 4
• Opis fizyczny: p.710-719,fig.,ref.

Twórcy

autor

Li X.

• Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Guan L.

• Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Zilundu P.L.M.

• Department of Human Anatomy, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Chen J.

• Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Chen Z.

• Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Ma M.

• Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Zhuang H.

• Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Zhuang Z.

• Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Qiu Y.

• Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Ye F.

• Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Wu X.

• Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Sang H.

• Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Ye Y.

• Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Han Y.

• Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Yao H.

• Department of Human Anatomy, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Li H.

• Department of Human Anatomy, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Zhong G.

• Department of Human Anatomy, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Wu H.

• Department of Human Anatomy, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Jiang Z.

• Department of Human Anatomy, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Chu G.

• Department of Human Anatomy, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Xu D.

• Department of Human Anatomy, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

autor

Zhou L.

• Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China

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Identyfikatory

DOI

10.5603/FM.a2019.0039