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Pediatric Radiology

, Volume 37, Issue 10, pp 1007–1012 | Cite as

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

  • 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
Original Article

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.

Keywords

Aberrant right subclavian artery Vertebral artery Carotid artery CT Children 

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • I-Chen Tsai
    • 1
    • 2
    • 3
  • Wen-Sheng Tzeng
    • 4
    • 5
    • 6
  • Tain Lee
    • 1
    • 2
    • 3
  • Sheng-Lin Jan
    • 2
    • 3
    • 7
  • Yun-Ching Fu
    • 3
    • 7
  • Min-Chi Chen
    • 1
  • Pao-Chun Lin
    • 1
  • Wan-Chun Liao
    • 6
    • 8
  • Clayton Chi-Chang Chen
    • 1
    • 2
    • 6
  1. 1.Department of RadiologyTaichung Veterans General HospitalTaichungTaiwan, Republic of China
  2. 2.Faculty of MedicineMedical College of Chung Shan Medical UniversityTaichungTaiwan, Republic of China
  3. 3.Department of Medicine and Institute of Clinical MedicineNational Yang Ming UniversityTaipeiTaiwan, Republic of China
  4. 4.Department of Diagnostic RadiologyChi-Mei Foundation Medical CenterTainanTaiwan, Republic of China
  5. 5.Department of RadiologyTri-service General Hospital, National Defense Medical CentreTaipeiTaiwan, Republic of China
  6. 6.Department of Radiological TechnologyCentral Taiwan University of Science and TechnologyTaichungTaiwan, Republic of China
  7. 7.Division of Pediatric Cardiology, Department of PediatricsTaichung Veterans General HospitalTaichungTaiwan, Republic of China
  8. 8.Department of Radiology, Fong-Yuan HospitalDepartment of Health, Executive YuanFong-YuanTaiwan, Republic of China

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