MORPHOLOGICAL AND CLINICAL ASPECTS OF ABERRANT SUBCLAVIAN ARTERY: SINGLE CENTER MULTIDEDECTOR COMPUTED TOMOGRAPHY BASED STUDY
Yıl: 2020 Cilt: 8 Sayı: 3 Sayfa Aralığı: 436 - 443 Metin Dili: İngilizce DOI: 10.37696/nkmj.757833 İndeks Tarihi: 19-05-2021
MORPHOLOGICAL AND CLINICAL ASPECTS OF ABERRANT SUBCLAVIAN ARTERY: SINGLE CENTER MULTIDEDECTOR COMPUTED TOMOGRAPHY BASED STUDY
Öz: Aim: Aberrant subclavian artery (ASA) anomalies are the most common aortic arch malformations. Incidence of these malformations increases with widespread use of computed tomography (CT). Our aim in this study was to investigate the relationship between ASA malformations, gender, age and reasons for admission, and arcus aorta (AA), ASA diameters and AA/ASA diameter ratios.Materials and Methods: A total 74 patients with ASA were evaluated by thorax CT retrospectively. Patients were divided into aberrant right (ARSA) and left (ALSA) subclavian artery groups. Age, gender, reasons for application, ASA and AA diameters and AA/ASA ratios were evaluated between the groups. Correlations of ASA and AA diameters with age were also evaluated.Results: 70 of the patients (94.5%) had ARSA, 4 of the patients (5.4%) had ALSA. There was no statistical relationship between gender (p=0.394), age (p=0.443) and reasons for application (p=0.322) between groups. There was no statistical relationship between ASA diameter (p=0.127), AA diameter (p=0.728) and AA/ASA ratio (p=0.339) between groups. There was weak positive correlation with ageand diameter of AA (r=0.379, p=0.001), but not with ASA diameter (p=0.059). Moderate positive correlation (r=0.573, p<0.001) was detected between diameters of AA and ASA.Conclusion: ASA malformations are the most common incidentally detected malformations with increased use of CT. These malformations are not related to age, gender and reasons for application.
Anahtar Kelime: -
Öz: Amaç: Aberran subklavian arter(ASA) anomalileri en sık görülen aortik ark malformasyonlarıdır. Bilgisayarlı tomografi (BT) kullanımının artması ile bu malformasyonların görülme sıklığı artmaktadır. Bizim bu çalışmadaki amacımız ASA malformasyonlarının cinsiyet, yaş ve hastaneye başvuru nedenleri arasındaki ilişkiyi araştırmak; arkus aorta (AA), ASA çapları ve AA/ASA çap oranlarının arasındaki ilişkiyi değerlendirmekti.Materyal ve Metot: ASA’sı olan 74 hastanın toraks BT’leri retrospektif olarak incelendi. Hastalar, aberran sağ subklavian arteri (ARSA) olan ve aberran sol subklavian arteri (ALSA) olanlar şeklinde ikiye ayrıldı. İki grup; yaş, cinsiyet, başvuru nedenleri, ASA ve AA çapları ve AA/ASA oranları açısından karşılaştırıldı. Ayrıca ASA ve AA çaplarının yaş ile korelasyonu değerlendirildi.Bulgular: Hastaların 70’inde (%94.5) ARSA, 4’ünde (%5.4) ALSA mevcuttu. İki grup arasında cinsiyet (p=0.394), yaş (p=0.443) ve başvuru nedenleri (p=0.322) arasında istatistiksel ilişki bulunmadı. İki grup arasında ASA çapı (p=0.127), AA çapı (p=0.728) ve AA/ASA oranı (p=0.339) arasında istatistiksel ilişki saptanmadı. Yaş ile AA çapı arasında zayıf pozitif korelasyon (r=0.379, p=0.001) izlenirken; yaş ile ASA çapı arasında korelasyon saptanmadı (p=0.059). AA çapı ile ASA çapı arasında orta şiddette pozitif korelasyon (r=0.573, p<0.001) bulundu.Sonuç: ASA malformasyonları BT kullanımının artmasıyla birlikte daha sık görülen, genellikle insidental olarak saptanan malformasyonlardır. Bu malformasyonların yaş, cinsiyet ve başvuru nedenleri ile ilişkisi bulunmamaktadır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Polednak AP. Prevalence of the aberrant right subclavian artery reported in a published systematic review of cadaveric studies: The impact of an outlier. Clin Anat. 2017 Nov;30(8):1024-1028.
- 2. Muraoka M, Nagata H, Hirata Y, Uike K, Terashi E, Morihana E, et al. High incidence of progressive stenosis in aberrant left subclavian artery with right aortic arch. Heart Vessels. 2018 Mar;33(3):309-315
- 3. Sabol F, Candik P, Kolesar A, Toporcer T. Right aortic arch with an aberrant left subclavian artery and aortic coarctation including a descending aortic aneurysm. J CardiothoracSurg. 2019 Apr 2;14(1):65.
- 4. Abraham V, Mathew A, Cherian V, Chandran S, Mathew G. Aberrant subclavian artery: anatomical curiosity or clinical entity. Int J Surg. 2009 Apr;7(2):106-9.
- 5. Chen X, Qu YJ, Peng ZY, Lu JG, Ma XJ. Diagnosis of congenital aortic arch anomalies in chinese children by multidetector computed tomography angiography. J Huazhong Univ Sci Technolog MedSci. 2013 Jun;33(3):447-451.
- 6. Popieluszko P, Henry MB, Sanna B, Hsieh WC, Saganiak, L, Pekala PA, et. al. A systematic review and metaanalysisof variations in branching patterns of the adult aortic arch. J Vasc Surg. 2018 Jul;68(1):298-306.
- 7. Stojanovska J, Cascade PN, Chong S, Quint LE, Sundaram B. Embryology and imaging review of aortic archanomalies. J Thorac Imaging. 2012 Mar;27(2):73-84.
- 8. Karcaaltincaba M, Haliloglu M, Ozkan E, Kocak M, Akinci D, Ariyurek M. Non-invasive imaging of aberrant right subclavian artery pathologies and aberrant right vertebral artery. Br J Radiol. 2009 Jan;82(973):73-8.
- 9. Kau T, Sinzig M, Gasser J, Lesnik G, Rabitsch E, Celedin S, et al. Aortic development andanomalies. Semin Intervent Radiol. 2007 Jun;24(2):141-52.
| APA | Kurtoğlu Özçağlayan T, Ozcaglayan O, Gücer Sahin G, BERBEROĞLU G, Kurtoğlu Gümüşel H (2020). MORPHOLOGICAL AND CLINICAL ASPECTS OF ABERRANT SUBCLAVIAN ARTERY: SINGLE CENTER MULTIDEDECTOR COMPUTED TOMOGRAPHY BASED STUDY. , 436 - 443. 10.37696/nkmj.757833 |
| Chicago | Kurtoğlu Özçağlayan Tuğba İlkem,Ozcaglayan Omer,Gücer Sahin Gülcan,BERBEROĞLU Gülşah,Kurtoğlu Gümüşel Hilal MORPHOLOGICAL AND CLINICAL ASPECTS OF ABERRANT SUBCLAVIAN ARTERY: SINGLE CENTER MULTIDEDECTOR COMPUTED TOMOGRAPHY BASED STUDY. (2020): 436 - 443. 10.37696/nkmj.757833 |
| MLA | Kurtoğlu Özçağlayan Tuğba İlkem,Ozcaglayan Omer,Gücer Sahin Gülcan,BERBEROĞLU Gülşah,Kurtoğlu Gümüşel Hilal MORPHOLOGICAL AND CLINICAL ASPECTS OF ABERRANT SUBCLAVIAN ARTERY: SINGLE CENTER MULTIDEDECTOR COMPUTED TOMOGRAPHY BASED STUDY. , 2020, ss.436 - 443. 10.37696/nkmj.757833 |
| AMA | Kurtoğlu Özçağlayan T,Ozcaglayan O,Gücer Sahin G,BERBEROĞLU G,Kurtoğlu Gümüşel H MORPHOLOGICAL AND CLINICAL ASPECTS OF ABERRANT SUBCLAVIAN ARTERY: SINGLE CENTER MULTIDEDECTOR COMPUTED TOMOGRAPHY BASED STUDY. . 2020; 436 - 443. 10.37696/nkmj.757833 |
| Vancouver | Kurtoğlu Özçağlayan T,Ozcaglayan O,Gücer Sahin G,BERBEROĞLU G,Kurtoğlu Gümüşel H MORPHOLOGICAL AND CLINICAL ASPECTS OF ABERRANT SUBCLAVIAN ARTERY: SINGLE CENTER MULTIDEDECTOR COMPUTED TOMOGRAPHY BASED STUDY. . 2020; 436 - 443. 10.37696/nkmj.757833 |
| IEEE | Kurtoğlu Özçağlayan T,Ozcaglayan O,Gücer Sahin G,BERBEROĞLU G,Kurtoğlu Gümüşel H "MORPHOLOGICAL AND CLINICAL ASPECTS OF ABERRANT SUBCLAVIAN ARTERY: SINGLE CENTER MULTIDEDECTOR COMPUTED TOMOGRAPHY BASED STUDY." , ss.436 - 443, 2020. 10.37696/nkmj.757833 |
| ISNAD | Kurtoğlu Özçağlayan, Tuğba İlkem vd. "MORPHOLOGICAL AND CLINICAL ASPECTS OF ABERRANT SUBCLAVIAN ARTERY: SINGLE CENTER MULTIDEDECTOR COMPUTED TOMOGRAPHY BASED STUDY". (2020), 436-443. https://doi.org/10.37696/nkmj.757833 |
| APA | Kurtoğlu Özçağlayan T, Ozcaglayan O, Gücer Sahin G, BERBEROĞLU G, Kurtoğlu Gümüşel H (2020). MORPHOLOGICAL AND CLINICAL ASPECTS OF ABERRANT SUBCLAVIAN ARTERY: SINGLE CENTER MULTIDEDECTOR COMPUTED TOMOGRAPHY BASED STUDY. Namık Kemal Tıp Dergisi, 8(3), 436 - 443. 10.37696/nkmj.757833 |
| Chicago | Kurtoğlu Özçağlayan Tuğba İlkem,Ozcaglayan Omer,Gücer Sahin Gülcan,BERBEROĞLU Gülşah,Kurtoğlu Gümüşel Hilal MORPHOLOGICAL AND CLINICAL ASPECTS OF ABERRANT SUBCLAVIAN ARTERY: SINGLE CENTER MULTIDEDECTOR COMPUTED TOMOGRAPHY BASED STUDY. Namık Kemal Tıp Dergisi 8, no.3 (2020): 436 - 443. 10.37696/nkmj.757833 |
| MLA | Kurtoğlu Özçağlayan Tuğba İlkem,Ozcaglayan Omer,Gücer Sahin Gülcan,BERBEROĞLU Gülşah,Kurtoğlu Gümüşel Hilal MORPHOLOGICAL AND CLINICAL ASPECTS OF ABERRANT SUBCLAVIAN ARTERY: SINGLE CENTER MULTIDEDECTOR COMPUTED TOMOGRAPHY BASED STUDY. Namık Kemal Tıp Dergisi, vol.8, no.3, 2020, ss.436 - 443. 10.37696/nkmj.757833 |
| AMA | Kurtoğlu Özçağlayan T,Ozcaglayan O,Gücer Sahin G,BERBEROĞLU G,Kurtoğlu Gümüşel H MORPHOLOGICAL AND CLINICAL ASPECTS OF ABERRANT SUBCLAVIAN ARTERY: SINGLE CENTER MULTIDEDECTOR COMPUTED TOMOGRAPHY BASED STUDY. Namık Kemal Tıp Dergisi. 2020; 8(3): 436 - 443. 10.37696/nkmj.757833 |
| Vancouver | Kurtoğlu Özçağlayan T,Ozcaglayan O,Gücer Sahin G,BERBEROĞLU G,Kurtoğlu Gümüşel H MORPHOLOGICAL AND CLINICAL ASPECTS OF ABERRANT SUBCLAVIAN ARTERY: SINGLE CENTER MULTIDEDECTOR COMPUTED TOMOGRAPHY BASED STUDY. Namık Kemal Tıp Dergisi. 2020; 8(3): 436 - 443. 10.37696/nkmj.757833 |
| IEEE | Kurtoğlu Özçağlayan T,Ozcaglayan O,Gücer Sahin G,BERBEROĞLU G,Kurtoğlu Gümüşel H "MORPHOLOGICAL AND CLINICAL ASPECTS OF ABERRANT SUBCLAVIAN ARTERY: SINGLE CENTER MULTIDEDECTOR COMPUTED TOMOGRAPHY BASED STUDY." Namık Kemal Tıp Dergisi, 8, ss.436 - 443, 2020. 10.37696/nkmj.757833 |
| ISNAD | Kurtoğlu Özçağlayan, Tuğba İlkem vd. "MORPHOLOGICAL AND CLINICAL ASPECTS OF ABERRANT SUBCLAVIAN ARTERY: SINGLE CENTER MULTIDEDECTOR COMPUTED TOMOGRAPHY BASED STUDY". Namık Kemal Tıp Dergisi 8/3 (2020), 436-443. https://doi.org/10.37696/nkmj.757833 |
