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Surgical and Radiologic Anatomy

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20.02.2024 | Original Article

Superior mesenteric artery revisited using magnetic resonance angiography

verfasst von: Necmi Keskin, Belgin Bamac, Ozgur Cakir, Tuncay Colak, Cagatay Barut

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 4/2024

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Abstract

Purpose

We aimed to examine the superior mesenteric artery in detail by magnetic resonance angiography to provide an alternative to other imaging methods, to reduce the exposure time of patients and physicians to X-rays and the time spent in catheter angiography, to determine the variations, positions, and locations of the celiac trunk, and to provide detailed information for surgeons and interventional radiologists using this method.

Methods

The procedures were approved by the Kocaeli University Medical School Non-Interventional Clinical Research Ethics Committee (10.04.2023, approval number: 2021/51). MR angiography images of 185 patients with abdominal imaging in PACS (Picture Archiving Communication Systems) were retrospectively registered. The level of origin of the superior mesenteric artery according to the vertebral column, angle of origin, distance between the superior mesenteric artery and branches of the abdominal aorta, and branching pattern of the superior mesenteric artery were evaluated. Parameters were evaluated according to gender and age using SPSS version 25.

Results

The distance between superior mesenteric artery-inferior mesenteric artery and superior mesenteric artery-aortic bifurcation in males was higher than in females, and the difference was statistically significant. In females and the whole study group, a low, positive and significant relationship was found between age and superior mesenteric artery-sagittal angle. The most common origin site for the superior mesenteric artery, according to the vertebral column was found to be at L1 middle for males and L1 upper for females. The most common superior mesenteric artery branching pattern was classical type in both genders.

Conclusion

Individual evaluation of the superior mesenteric artery could reduce the risks during surgical interventions, considering the relationship of the superior mesenteric artery, especially with distally located vessels, and the gender differences for the angle of origin. Furthermore, considering that interventional radiologists choose the catheter according to the angle of origin of the artery during catheter angiography procedures, individual evaluation of patients taking into account gender and age is of utmost importance.

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Titel: Superior mesenteric artery revisited using magnetic resonance angiography
verfasst von: Necmi Keskin
Belgin Bamac
Ozgur Cakir
Tuncay Colak
Cagatay Barut
Publikationsdatum: 20.02.2024
Verlag: Springer Paris
Erschienen in: Surgical and Radiologic Anatomy / Ausgabe 4/2024
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-024-03323-y

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Springer Medizin

Superior mesenteric artery revisited using magnetic resonance angiography

Abstract

Purpose

Methods

Results

Conclusion

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Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

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Akuter Schwindel: Wann lohnt sich eine MRT?

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Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

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