Detection of anomalous vertebral arteries by ultrasound as an alternative to radiological methods

Vaiman, Michael; Beckerman, Inessa; Eviatar, Ephraim

doi:10.1007/s00405-011-1549-3

Cited by 5 publications

(1 citation statement)

References 13 publications

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“…For detecting a VA with high entry into the TF, carotid ultrasound bears comparison with 3D-CTA. 7 Because it runs anterior to the TF at C6, a VA entering the TF at a high level runs close to the thyroid gland, ipsilateral CCA, and internal jugular vein, and it occasionally crosses the CCA and vein. Although there have been a few reports about use of carotid ultrasound for evaluation of the VA entry level, no attention has been paid to detection of an anomalous LVA origin.…”

Section: Discussionmentioning

confidence: 99%

Carotid ultrasound features of anomalous left vertebral artery originating from the aortic arch proximal to the left subclavian artery

et al. 2017

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We present three cases of anomalous origin of the left vertebral artery (LVA) detected during the evaluation of stroke. The VA usually enters the transverse foramen of the sixth cervical vertebra (C6), but an anomalous LVA originating from the aorta frequently enters at a higher level. In our series, ultrasound of the LVA showed entry at C4 in two patients and at C5 in one patient. These findings suggested anomalous LVA origin, and three-dimensional computed tomography demonstrated the LVA arising from the aorta proximal to the left subclavian arteries. Carotid duplex ultrasound is useful for the diagnosis of this anomaly.

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Section: Discussionmentioning

confidence: 99%

Carotid ultrasound features of anomalous left vertebral artery originating from the aortic arch proximal to the left subclavian artery

et al. 2017

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Preoperative detection of anomalies of carotid arteries in the neck surgery

Vaiman

Bekerman

2014

Eur Arch Otorhinolaryngol

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The aim of this study was to examine the course of the carotid artery (CA) and define CA anomalies important for neck surgery using conventional and three-dimensional computer tomography (3D CT). This was designed as an observational study with retrospective CT and 3D CT angiography analysis. 4,000 CAs depicted on 2,000 CT angiographies were analyzed to determine the relationship of common, internal, and external portions of the CA to the neck organs, with special emphasis on the thyroid gland area and organs involved in the neck dissection surgery. A total of 47 out of 4,000 imaged CAs had congenital anomalies (1.18%). These anomalies were found in 45 patients, unilaterally in 33 and bilaterally in two. The level of the common CA bifurcation to internal and external CAs was rarely abnormal. It was at the level of C5 and C6 in two cases only (0.05%). The common CA, either aberrant or tortuous, ran abnormally close to the thyroid gland in 22 cases (0.55%). In planning neck dissection surgery, laryngectomy, or thyroidectomy, the surgeon should bear in mind that CA anomalies are present in approximately 1.2% of cases. Preoperative conventional CT angiography or 3D CT allows precise identification of anomalous CAs, thereby reducing the possible risk of intraoperative injury.

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Anatomical approach to surgery for intrathoracic goiter

Vaiman

Bekerman

2016

Eur Arch Otorhinolaryngol

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The anatomical approach to the intrathoracic goiter (ITG) was used to understand its etiology and to rationalize surgical technique of thyroidectomy. For a retrospective chart review, we selected cases of multinodular goiter with totally ITGs (n = 69; M 29, F 40), while 916 cases with cervical goiter were used for comparison. The topography of the thyroid gland was assessed against the tracheal rings and against the vertebrae. The regional anatomy of the thoracic inlet was assessed by its bony margins and the relations of structures traversing the area. Average tracheal-diameter-to-thoracic-inlet ratio was calculated. The ITG group consisted of 52 cases of retrosternal goiter (75.4 %), nine cases of retrotracheal goiter (13 %), and eight cases of retroesophageal goiter (11.6 %). In all but one analyzed cases, the goiters were removed via cervical incision. Mean weight of goiters was 183 g. The area of thoracic inlet in the cases of ITG had no difference in comparison with the cases of cervical goiter (F/M p = 0.11/0.15), but the tracheal-diameter-to-thoracic-inlet ratio was significantly smaller (F/M p = 0.06/0.04). In the ITG cases, the position of the upper edge of the isthmus of the thyroid was about 1.5 tracheal rings lower than in healthy individuals (p = 0.03). The area of the thoracic inlet, the neck size, and the anteroposterior diameter of the inlet do not affect the development of the ITG. The smaller tracheal-diameter-to-thoracic-inlet ratio and the lower position of the thyroid gland are the main indicators for the development of the ITG.

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Detection of anomalous vertebral arteries by ultrasound as an alternative to radiological methods

Cited by 5 publications

References 13 publications

Carotid ultrasound features of anomalous left vertebral artery originating from the aortic arch proximal to the left subclavian artery

Carotid ultrasound features of anomalous left vertebral artery originating from the aortic arch proximal to the left subclavian artery

Preoperative detection of anomalies of carotid arteries in the neck surgery

Anatomical approach to surgery for intrathoracic goiter

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