Anatomical Variants of Internal Carotid Artery-Results from a Retrospective Study.
Bogdan Mihail CobzeanuVasilica BaldeaVictor Vlad CostanMihail Dan CobzeanuDragos Octavian PaladeLiliana GheorgheLuminita RadulescuFlorentina SeverinCorina Lupascu UrsulescuGeanina BandolCristian MartuAndrei Mihail RosuMaria Luiza CobzeanuPublished in: Medicina (Kaunas, Lithuania) (2023)
Background and Objectives : The internal carotid artery (ICA) is a vascular structure that can be easily injured during sinus endoscopic procedures, and surgeons should be familiar with its anatomic variants. The aim of this study was to describe the anatomical variations in the internal carotid artery in relationship to sphenoidal sinuses, using computed tomography (CT). Materials and Methods: In this retrospective study, we evaluated the variations of the ICA in relationship to sphenoidal sinuses in a cohort of 600 patients who were assessed between January 2020 and December 2022 in 'Saint Spiridon' Emergency Hospital, Iasi, Romania. Descriptive statistics were used to characterize our data. Results: The most prevalent anatomical variant was represented by intrasinusal septa with posterior insertion on the ICA (58.6%), followed by procident ICA (58%) and dehiscent ICA (52%). We could not find any statistical significance regarding demographic characteristics among groups. Conclusions: A thorough CT examination should be performed before functional endoscopic sinus surgery, with the identification of anatomical variants of the ICA, in order to prevent its injury with potentially fatal consequences.
Keyphrases
- internal carotid artery
- computed tomography
- middle cerebral artery
- dual energy
- copy number
- image quality
- positron emission tomography
- healthcare
- contrast enhanced
- ultrasound guided
- magnetic resonance imaging
- emergency department
- minimally invasive
- public health
- gene expression
- quality improvement
- cross sectional
- coronary artery bypass
- data analysis