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Pediatric Radiology
Published in: Pediatric Radiology 10/2007

01-10-2007 | Original Article

Vertebral and carotid artery anomalies in patients with aberrant right subclavian arteries

Authors: I-Chen Tsai, Wen-Sheng Tzeng, Tain Lee, Sheng-Lin Jan, Yun-Ching Fu, Min-Chi Chen, Pao-Chun Lin, Wan-Chun Liao, Clayton Chi-Chang Chen

Published in: Pediatric Radiology | Issue 10/2007

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Abstract

Background

There is little published evidence regarding the patterns and prevalence of vertebral artery (VA) and common carotid artery (CCA) anomalies in patients with an aberrant right subclavian artery (ARSCA).

Objective

To study the patterns and prevalence of VA and CCA anomalies in patients with ARSCA.

Materials and methods

In a 2-year period we reviewed the children referred with suspected vascular ring who had undergone multidetector-row CT. Patients with ARSCA were reviewed for VA and CCA patterns and their prevalence and relevance were calculated.

Results

In total, 102 patients with ARSCA were identified. VA anomalies were present in 16 patients (15.7%), and CCA anomalies (common carotid trunk) in 21 patients (20.6%). In some patients with VA anomalies, the right VA arose from the right CCA and in some the left VA arose from the aortic arch. When the left VA arose from the aortic arch it was situated between the left CCA and the left SCA or between the left SCA and the ARSCA.

Conclusion

If neurointerventionalists understand these potential anomalies and their prevalence, time and contrast medium could be saved when catheterizing the VA and CCA in patients with ARSCA.
Literature
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Metadata
Title
Vertebral and carotid artery anomalies in patients with aberrant right subclavian arteries
Authors
I-Chen Tsai
Wen-Sheng Tzeng
Tain Lee
Sheng-Lin Jan
Yun-Ching Fu
Min-Chi Chen
Pao-Chun Lin
Wan-Chun Liao
Clayton Chi-Chang Chen
Publication date
01-10-2007
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 10/2007
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-007-0574-2

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