How high do the subclavian arteries ascend into the neck? A population study using magnetic resonance imaging.

BACKGROUND: The relationship between the larynx and the subclavian arteries was studied in a series of magnetic resonance images (MRIs) from 50 patients without neck pathology. METHODS: The vertical distances of the excursion of the subclavian arteries into the neck was measured, as was the distance...

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Main Authors: Farmery, A, Shlugman, D, Anslow, P
Format: Journal article
Language:English
Published: 2003
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author Farmery, A
Shlugman, D
Anslow, P
author_facet Farmery, A
Shlugman, D
Anslow, P
author_sort Farmery, A
collection OXFORD
description BACKGROUND: The relationship between the larynx and the subclavian arteries was studied in a series of magnetic resonance images (MRIs) from 50 patients without neck pathology. METHODS: The vertical distances of the excursion of the subclavian arteries into the neck was measured, as was the distance from the cricoid cartilage to the highest point of this excursion. Statistical analysis allows the probability of any given cricoid-subclavian distance occurring in the population to be estimated. RESULTS: The mean (SD) excursion of the right subclavian artery above the clavicle was 10.4 (11.4) mm. The mean (SD) distance from the cricoid cartilage to the right subclavian artery was 30.6 (14.3) mm, and the data showed a high degree of variance. There was a linear relationship between neck length and cricoid-subclavian distance (r=0.58), which explained some of the variance in the latter, but there was also wide individual variance, which was independent of this regression. CONCLUSIONS: When performing a percutaneous tracheostomy, a 'safe' distance between the incision site and subclavian artery cannot be assumed or reliably predicted from the neck length.
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spelling oxford-uuid:b2746249-5554-49df-a6f2-8393de667b582022-03-27T04:11:50ZHow high do the subclavian arteries ascend into the neck? A population study using magnetic resonance imaging.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b2746249-5554-49df-a6f2-8393de667b58EnglishSymplectic Elements at Oxford2003Farmery, AShlugman, DAnslow, PBACKGROUND: The relationship between the larynx and the subclavian arteries was studied in a series of magnetic resonance images (MRIs) from 50 patients without neck pathology. METHODS: The vertical distances of the excursion of the subclavian arteries into the neck was measured, as was the distance from the cricoid cartilage to the highest point of this excursion. Statistical analysis allows the probability of any given cricoid-subclavian distance occurring in the population to be estimated. RESULTS: The mean (SD) excursion of the right subclavian artery above the clavicle was 10.4 (11.4) mm. The mean (SD) distance from the cricoid cartilage to the right subclavian artery was 30.6 (14.3) mm, and the data showed a high degree of variance. There was a linear relationship between neck length and cricoid-subclavian distance (r=0.58), which explained some of the variance in the latter, but there was also wide individual variance, which was independent of this regression. CONCLUSIONS: When performing a percutaneous tracheostomy, a 'safe' distance between the incision site and subclavian artery cannot be assumed or reliably predicted from the neck length.
spellingShingle Farmery, A
Shlugman, D
Anslow, P
How high do the subclavian arteries ascend into the neck? A population study using magnetic resonance imaging.
title How high do the subclavian arteries ascend into the neck? A population study using magnetic resonance imaging.
title_full How high do the subclavian arteries ascend into the neck? A population study using magnetic resonance imaging.
title_fullStr How high do the subclavian arteries ascend into the neck? A population study using magnetic resonance imaging.
title_full_unstemmed How high do the subclavian arteries ascend into the neck? A population study using magnetic resonance imaging.
title_short How high do the subclavian arteries ascend into the neck? A population study using magnetic resonance imaging.
title_sort how high do the subclavian arteries ascend into the neck a population study using magnetic resonance imaging
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