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The Axial Spin of the Carotid Bifurcation

(1) Background: Twisted carotid bifurcations (CBs) lead to lateralized external carotid arteries (ECAs). Such variants are usually reported on a case-by-case basis. We aimed to study the anatomical possibilities of the axial spin of CB. (2) Methods: Determinations were made bilaterally on a retrospe...

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Autores principales: Manta, Mihaela Daniela, Rusu, Mugurel Constantin, Hostiuc, Sorin, Vrapciu, Alexandra Diana, Manta, Bogdan Adrian, Jianu, Adelina Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10572987/
https://www.ncbi.nlm.nih.gov/pubmed/37835865
http://dx.doi.org/10.3390/diagnostics13193122
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author Manta, Mihaela Daniela
Rusu, Mugurel Constantin
Hostiuc, Sorin
Vrapciu, Alexandra Diana
Manta, Bogdan Adrian
Jianu, Adelina Maria
author_facet Manta, Mihaela Daniela
Rusu, Mugurel Constantin
Hostiuc, Sorin
Vrapciu, Alexandra Diana
Manta, Bogdan Adrian
Jianu, Adelina Maria
author_sort Manta, Mihaela Daniela
collection PubMed
description (1) Background: Twisted carotid bifurcations (CBs) lead to lateralized external carotid arteries (ECAs). Such variants are usually reported on a case-by-case basis. We aimed to study the anatomical possibilities of the axial spin of CB. (2) Methods: Determinations were made bilaterally on a retrospectively assessed sample of 150 cases, 88 males and 62 females. The following types of the axial spin of the CB were determined: type CK1–CB in the coronal plane, with ICA lateral of ECA; type CK3–CB in the coronal plane, with ECA lateral of ICA; the oblique type OK1, with the ECA antero-medial of ICA; the oblique type OK3a, with the ICA antero-medially; the oblique type OK3b, with the ICA postero-laterally; the sagittal type SK2a, with ECA anterior of ICA. (3) Results: In the overall group of 300 CBs, type OK1 was found in 40%, type OK3a in 1%, type OK3b in 2%, type CK1 in 9%, type CK3 in 5.67%, and type SK2a in 42.33% of the bilateral BC group. The types SK2a (46.67%) and OK1 (33.33%) prevailed on the right side. The types OK1 (46.67%) and SK2a (38%) prevailed on the left side. There was no statistically significant association between gender and left or right subtypes. A very strong symmetry existed between the left and right sides (Pearson Chi2 = 53.93 p < 0.001) for types OK1 and SK2a. Asymmetrical types were found in different bilateral combinations. (4) Conclusions: The spin of the CB is relatively symmetrical bilaterally, especially for the variants with the ECA antero-medial or anterior to ICA.
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spelling pubmed-105729872023-10-14 The Axial Spin of the Carotid Bifurcation Manta, Mihaela Daniela Rusu, Mugurel Constantin Hostiuc, Sorin Vrapciu, Alexandra Diana Manta, Bogdan Adrian Jianu, Adelina Maria Diagnostics (Basel) Article (1) Background: Twisted carotid bifurcations (CBs) lead to lateralized external carotid arteries (ECAs). Such variants are usually reported on a case-by-case basis. We aimed to study the anatomical possibilities of the axial spin of CB. (2) Methods: Determinations were made bilaterally on a retrospectively assessed sample of 150 cases, 88 males and 62 females. The following types of the axial spin of the CB were determined: type CK1–CB in the coronal plane, with ICA lateral of ECA; type CK3–CB in the coronal plane, with ECA lateral of ICA; the oblique type OK1, with the ECA antero-medial of ICA; the oblique type OK3a, with the ICA antero-medially; the oblique type OK3b, with the ICA postero-laterally; the sagittal type SK2a, with ECA anterior of ICA. (3) Results: In the overall group of 300 CBs, type OK1 was found in 40%, type OK3a in 1%, type OK3b in 2%, type CK1 in 9%, type CK3 in 5.67%, and type SK2a in 42.33% of the bilateral BC group. The types SK2a (46.67%) and OK1 (33.33%) prevailed on the right side. The types OK1 (46.67%) and SK2a (38%) prevailed on the left side. There was no statistically significant association between gender and left or right subtypes. A very strong symmetry existed between the left and right sides (Pearson Chi2 = 53.93 p < 0.001) for types OK1 and SK2a. Asymmetrical types were found in different bilateral combinations. (4) Conclusions: The spin of the CB is relatively symmetrical bilaterally, especially for the variants with the ECA antero-medial or anterior to ICA. MDPI 2023-10-04 /pmc/articles/PMC10572987/ /pubmed/37835865 http://dx.doi.org/10.3390/diagnostics13193122 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Manta, Mihaela Daniela
Rusu, Mugurel Constantin
Hostiuc, Sorin
Vrapciu, Alexandra Diana
Manta, Bogdan Adrian
Jianu, Adelina Maria
The Axial Spin of the Carotid Bifurcation
title The Axial Spin of the Carotid Bifurcation
title_full The Axial Spin of the Carotid Bifurcation
title_fullStr The Axial Spin of the Carotid Bifurcation
title_full_unstemmed The Axial Spin of the Carotid Bifurcation
title_short The Axial Spin of the Carotid Bifurcation
title_sort axial spin of the carotid bifurcation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10572987/
https://www.ncbi.nlm.nih.gov/pubmed/37835865
http://dx.doi.org/10.3390/diagnostics13193122
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