Studies on renal arteries origin from the aorta in respect to superior mesenteric artery in Polish population

• Autorzy: Sosnik H. , Sosnik K.
• Języki publikacji: EN

Abstrakty

EN

Background: The aim of the study was to determine the location of the branching of the renal arteries from the aorta in respect to superior mesenteric artery. Materials and methods: Three hundred twenty four vasculorenal samples were collected from corpses (180 male and 144 female), and subject to X-ray contrasting and preparation. The distance between the branching of selected arteries from the superior mesenteric artery (SMA) was measured. Results were subject to statistical analysis. Results: Results were presented in group A (191/324; 58.9%) considering subjects with bilateral, single renal arteries, as well as group B (133/324; 41.1%) considering patients with multiple renal arteries. The average distance between SMA and the renal artery in group A male patients was 0.6 ± 0.57 cm, while in group B 1.3 ± 2.03 cm (p = 0.0001). In the case of female A patients, results amounted to 0.66 ± 0.58 cm and 1.12 ± 1.7 cm, respectively (p = 0.006). The above mentioned left-sided distance in male group A was 0.89 ± 56 cm, while the right-sided distance 0.73 ± 0.94 cm (p = 0.382). In female A patients 0.80 ± 0.50 cm and 0.71 ± 0.89 cm, respectively (p = 0.615). In left-sided group B male patients the distance amounted to 0.87 ± 0.70 cm, and the right-sided distance 0.71 ± 0.60 cm (p = 0.291). Considering female patients results were as follows: 0.82 ± 0.51 cm (left) and 71 ± 1.21 cm (right), respectively (p = 0.706). Conclusions: Knowledge of the described topography of renal artery branching from the aorta should be considered in the preoperative planning of vascular kidney system radiology examinations, as well as retroperitoneal surgical and urological procedures, especially endoscopic kidney transplantations. (Folia Morphol 2020; 79, 1: 86–92)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2020
• Tom: 79
• Numer: 1
• Opis fizyczny: p.86-92,fig.,ref.

Twórcy

autor

Sosnik H.

• Department of Pathomorphology, Regional Specialist Hospital, Wroclaw, Poland

autor

Sosnik K.

• Department of Pathomorphology, Regional Specialist Hospital, Wroclaw, Poland

Bibliografia

• 1. Anjamrooz SH, Taghavi MM, Abedinzadeh M, et al. Coexistence of multiple arterial variations in the genitourinary system. Ital J Anat Embryol. 2013; 118(1): 128–135, indexed in Pubmed: 23898582.
• 2. Aragão JA, de Oliveira Pacheco JM, Silva LA, et al. Frequency of multiple renal arteries in human fetuses. Surg Radiol Anat. 2012; 34(2): 133–136, doi: 10.1007/s00276-011-0860-4, indexed in Pubmed: 21814866.
• 3. Beregi JP, Mauroy B, Willoteaux S, et al. Anatomic variation in the origin of the main renal arteries: spiral CTA evaluation. Eur Radiol. 1999; 9(7): 1330–1334, doi: 10.1007/s003300050843, indexed in Pubmed: 10460369.
• 4. Ciçekcibaşi AE, Ziylan T, Salbacak A, et al. An investigation of the origin, location and variations of the renal arteries in human fetuses and their clinical relevance. Ann Anat. 2005; 187(4): 421–427, doi: 10.1016/j.aanat.2005.04.011, indexed in Pubmed: 16163857.
• 5. Cocheteux B, Mounier-Vehier C, Gaxotte V, et al. Rare variations in renal anatomy and blood supply: CT appearances and embryological background. A pictorial essay. Eur Radiol. 2001; 11(5): 779–786, doi: 10.1007/s003300000675, indexed in Pubmed: 11372607.
• 6. Dalçik C, Colak T, Ozbek A, et al. Unusual origin of the right renal artery: a case report. Surg Radiol Anat. 2000; 22(2): 117–118, doi: 10.1007/s00276-000-0117-0, indexed in Pubmed: 10959679.
• 7. Danek Z. Radiologic anatomy of single renal artery on the basis of aortonephrography. Folia Morphol. 1973; 32(4): 433–443, indexed in Pubmed: 4543881.
• 8. Engelbrecht HEE, Keen EN, Fine H. The radiological anatomy of the parenchymal distribution of the renal artery: a revised approach. S Afr Med J. 1969; 43: 826–834.
• 9. Famurewa OC, Asaleye CM, Ibitoye BO. Variations of renal vascular anatomy in a nigerian population: A computerized tomography study. Niger J Clin Pract. 2018: 840–846, doi: 10.4103/njcp.njc-237-17.
• 10. Garcier JM, De Fraissinette B, Filaire M, et al. Origin and initial course of the renal arteries: a radiological study. Surg Radiol Anat. 2001; 23(1): 51–55, doi: 10.1007/s00276-001-0051-9, indexed in Pubmed: 11370143.
• 11. Garti I, Meiraz D. Ectopic origin of main renal artery. Urology. 1980; 15(6): 627–629, doi: 10.1016/0090-4295(80)90386-6, indexed in Pubmed: 7394999.
• 12. Garti I, Nissenkorn I, Lerner M. Common origin of inferior mesenteric and main renal artery. Eur Urol. 1986; 12(3): 215–216, doi: 10.1159/000472619, indexed in Pubmed: 3709593.
• 13. Gesase AP. Rare origin of supernumerary renal vessels supplying the lower pole of the left kidney. Ann Anat. 2007; 189(1): 53–58, doi: 10.1016/j.aanat.2006.06.012, indexed in Pubmed: 17319609.
• 14. Gillaspie C, Miller L, Baskin M. Anomalous renal vessels and their surgical significance. Anat Rec. 1916; 11(3): 77–86, doi: 10.1002/ar.1090110304.
• 15. Gulas E, Wysiadecki G, Szymański J, et al. Morphological and clinical aspects of the occurrence of accessory (multiple) renal arteries. Arch Med Sci. 2018; 14(2): 442–453, doi: 10.5114/aoms.2015.55203, indexed in Pubmed: 29593819.
• 16. Kami K, Morishita T. An autopsy case of double inferior vena cava accompanied by atypical lateral branches of the abdominal aorta with special consideration to the embryology. Okajimas Folia Anat Jpn. 1983; 59(6): 387–403, doi: 10.2535/ofaj1936.59.6_387, indexed in Pubmed: 6866429.
• 17. Kawamoto S, Montgomery RA, Lawler LP, et al. Multidetector CT angiography for preoperative evaluation of living laparoscopic kidney donors. Am J Roentgenol. 2003; 180(6): 1633–1638, doi: 10.2214/ajr.180.6.1801633, indexed in Pubmed: 12760934.
• 18. Keen EN. Origin of renal arteries from the aorta. Acta Anat (Basel). 1981; 110(4): 285–286, doi: 10.1159/000145437, indexed in Pubmed: 7331759.
• 19. Kosiński H. Variability of places of origin of the human renal arteries. Folia Morphol. 1994; 53(2): 111–116, indexed in Pubmed: 8001881.
• 20. Lacout A, Thariat J, Marcy PY. Main right renal artery originating from the superior mesenteric artery. Clin Anat. 2012; 25(8): 977–978, doi: 10.1002/ca.22002, indexed in Pubmed: 22109639.
• 21. Loukas M, Aparicio S, Beck A, et al. Rare case of right accessory renal artery originating as a common trunk with the inferior mesenteric artery: a case report. Clin Anat. 2005; 18(7): 530–535, doi: 10.1002/ca.20194, indexed in Pubmed: 16134127.
• 22. Młynarczyk L, Wożniak W, Kiersz A. Varianten in der Anzahl und Verlauf der Nierenarterien. Anat Anz. 1966; 118: 67–81.
• 23. Nathan H, Glezer I. Right and left accessory renal arteries arising from a common trunk associated with unrotated kidneys. J Urol. 1984; 132(1): 7–9, doi: 10.1016/s0022-5347(17)49439-0, indexed in Pubmed: 6726963.
• 24. Odman P, Ranniger K. The location of the renal arteries. An angiographic and postmortem study. Am J Roentgenol Radium Ther Nucl Med. 1968; 104(2): 283–286, doi: 10.2214/ajr.104.2.283, indexed in Pubmed: 5685787.
• 25. Ozkan U, Oğuzkurt L, Tercan F, et al. Renal artery origins and variations: angiographic evaluation of 855 consecutive patients. Diagn Interv Radiol. 2006; 12(4): 183–186, indexed in Pubmed: 17160802.
• 26. Shoja MM, Loukas M, Etemadi J, et al. Letter: Multiple renal vessels associated with testicular vessels. Surg Radiol Anat. 2011; 33(6): 557, doi: 10.1007/s00276-011-0811-0, indexed in Pubmed: 21479598.
• 27. Soni S, Wadhwa A. Multiple variations in the paired arteries of abdominal aorta – clinical implications. J Clin Diagn Res. 2010; 4: 2622–2625.
• 28. Staśkiewicz G, Jajko K, Torres K, et al. Supernumerary renal vessels: analysis of frequency and configuration in 996 computed tomography studies. Folia Morphol. 2016; 75(2): 245–250, doi: 10.5603/FM.a2015.0085, indexed in Pubmed: 26383508.
• 29. Sośnik H, Sośnik K. Investigations on renal vascularisation pathology in the Polish population. 1. Incidence of multiple kidney arteries. Folia Morphol. 2017; 76(2): 226–231, doi: 10.5603/FM.a2016.0073, indexed in Pubmed: 28026854.
• 30. Talović E, Voljevica A. An unusual renal accessory artery originating from the thoracic aorta and its potential clinical implications. Acta Med Acad. 2013; 42(1): 80–82, doi: 10.5644/ama2006-124.74, indexed in Pubmed: 23735070.
• 31. Tran T, Heneghan JP, Paulson EK. Preoperative evaluation of potential renal donors using multidetector CT. Abdom Imaging. 2002; 27(6): 620–625, doi: 10.1007/s00261-001-0139-z, indexed in Pubmed: 12395248.
• 32. Türkvatan A, Ozdemir M, Cumhur T, et al. Multidetector CT angiography of renal vasculature: normal anatomy and variants. Eur Radiol. 2009; 19(1): 236–244, doi: 10.1007/s00330-008-1126-3, indexed in Pubmed: 18665365.
• 33. Urban BA, Ratner LE, Fishman EK. Three-dimensional volume-rendered CT angiography of the renal arteries and veins: normal anatomy, variants, and clinical applications. Radiographics. 2001; 21(2): 373–386, doi: 10.1148/radiographics.21.2.g01mr19373, indexed in Pubmed: 11259702.
• 34. Verschuyl EJ, Kaatee R, Beek FJ, et al. Renal artery origins: location and distribution in the transverse plane at CT. Radiology. 1997; 203(1): 71–75, doi: 10.1148/radiology.203.1.9122418, indexed in Pubmed: 9122418.

Identyfikatory

DOI

10.5603/FM.a2019.0065