Variation in common carotid artery, with special reference to superior thyroid artery: A retrospective angiographic study from central India

Introduction: Common carotid artery is a gateway to the blood supply to the head and neck region, including the brain. Previous cadaveric and few radiological studies have shown variation in the level of division and varying patterns of branches of the common carotid artery. Aim: The aim of the stud...

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Main Authors: Manisha B. Sinha, Gopal Gupta, N.N. Kolhe, H.P. Sinha, N. Gautam
Format: Article
Language:English
Published: Al Ameen Medical College 2022-04-01
Series:Al Ameen Journal of Medical Sciences
Subjects:
Online Access:http://ajms.alameenmedical.org/ArticlePDFs/3%20AJMS%20V15.N2.2022%20p%2092-100.pdf
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author Manisha B. Sinha
Gopal Gupta
N.N. Kolhe
H.P. Sinha
N. Gautam
author_facet Manisha B. Sinha
Gopal Gupta
N.N. Kolhe
H.P. Sinha
N. Gautam
author_sort Manisha B. Sinha
collection DOAJ
description Introduction: Common carotid artery is a gateway to the blood supply to the head and neck region, including the brain. Previous cadaveric and few radiological studies have shown variation in the level of division and varying patterns of branches of the common carotid artery. Aim: The aim of the study is to investigate the prevalence of the commonest level of division of CCA in vivo through the use of CT angiography and the distance of STA (superior thyroid artery) from the level of bifurcation. Material and method: A total of 88 angiograms evaluated for study purpose, both right & left-sided views of the neck of all the 44 patients, have been taken into consideration during three years. Patients with intraparenchymal bleed and stroke, who had undergone CT angiography of the head and neck region, were selected and evaluated for study. Result: In the present study, the most frequent site of bifurcation of CCA was found to be type-II, which was at the level above the greater cornua of the hyoid bone (43.18%), and the least common site was type-V, which was at the level below the superior border of thyroid cartilage (1.13%). Conclusion: Variation in the bifurcation level of CCA results in variation in the origin and other parameters of other vessels (especially STA in this case) originating from the carotid arterial trunk. It leads to the possibility of misleading information to the clinicians during surgical and radiological procedures.
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spelling doaj.art-016a4f8c7fd747e0b6e17b1b9c1a7ac32022-12-22T03:09:07ZengAl Ameen Medical CollegeAl Ameen Journal of Medical Sciences0974-11432022-04-01150292100Variation in common carotid artery, with special reference to superior thyroid artery: A retrospective angiographic study from central IndiaManisha B. Sinha0Gopal Gupta1N.N. Kolhe2H.P. Sinha3N. Gautam4Department of Anatomy, All India Institute of Medical Sciences, Tatibandh, GE Road, Raipur, Chhattisgarh, IndiaDepartment of Anatomy, Pandit Bhagwat Dayal Sharma University of Health Sciences, PGIMS Road, Dariyao Nagar, Rohtak, Haryana, IndiaDepartment of Radiology, NHMMI Narayana Super specialty Hospital, Dhamtari Road, Lalpur, Raipur, Chhattisgarh, IndiaDepartment of Neurology, NHMMI Narayana Superspecialty Hospital, Dhamtari Road, Lalpur, Raipur, Chhattisgarh, IndiaDepartment of Radiology, Aastha Diagnostics, Raipur, Chhattisgarh, IndiaIntroduction: Common carotid artery is a gateway to the blood supply to the head and neck region, including the brain. Previous cadaveric and few radiological studies have shown variation in the level of division and varying patterns of branches of the common carotid artery. Aim: The aim of the study is to investigate the prevalence of the commonest level of division of CCA in vivo through the use of CT angiography and the distance of STA (superior thyroid artery) from the level of bifurcation. Material and method: A total of 88 angiograms evaluated for study purpose, both right & left-sided views of the neck of all the 44 patients, have been taken into consideration during three years. Patients with intraparenchymal bleed and stroke, who had undergone CT angiography of the head and neck region, were selected and evaluated for study. Result: In the present study, the most frequent site of bifurcation of CCA was found to be type-II, which was at the level above the greater cornua of the hyoid bone (43.18%), and the least common site was type-V, which was at the level below the superior border of thyroid cartilage (1.13%). Conclusion: Variation in the bifurcation level of CCA results in variation in the origin and other parameters of other vessels (especially STA in this case) originating from the carotid arterial trunk. It leads to the possibility of misleading information to the clinicians during surgical and radiological procedures.http://ajms.alameenmedical.org/ArticlePDFs/3%20AJMS%20V15.N2.2022%20p%2092-100.pdfcarotid angiogramhyoid bonethyroid cartilagebifurcationexternal carotid artery
spellingShingle Manisha B. Sinha
Gopal Gupta
N.N. Kolhe
H.P. Sinha
N. Gautam
Variation in common carotid artery, with special reference to superior thyroid artery: A retrospective angiographic study from central India
Al Ameen Journal of Medical Sciences
carotid angiogram
hyoid bone
thyroid cartilage
bifurcation
external carotid artery
title Variation in common carotid artery, with special reference to superior thyroid artery: A retrospective angiographic study from central India
title_full Variation in common carotid artery, with special reference to superior thyroid artery: A retrospective angiographic study from central India
title_fullStr Variation in common carotid artery, with special reference to superior thyroid artery: A retrospective angiographic study from central India
title_full_unstemmed Variation in common carotid artery, with special reference to superior thyroid artery: A retrospective angiographic study from central India
title_short Variation in common carotid artery, with special reference to superior thyroid artery: A retrospective angiographic study from central India
title_sort variation in common carotid artery with special reference to superior thyroid artery a retrospective angiographic study from central india
topic carotid angiogram
hyoid bone
thyroid cartilage
bifurcation
external carotid artery
url http://ajms.alameenmedical.org/ArticlePDFs/3%20AJMS%20V15.N2.2022%20p%2092-100.pdf
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