Nonhepatic arteries originating from the hepatic arteries: angiographic analysis in 250 patients
- PMID: 16567670
- DOI: 10.1097/01.rvi.0000202718.16416.18
Nonhepatic arteries originating from the hepatic arteries: angiographic analysis in 250 patients
Abstract
Purpose: To investigate the prevalence and patterns of origin of nonhepatic arteries originating from the proper hepatic artery (PHA) or its distal branches and to assess their relation to anatomic variations.
Materials and methods: Digital subtraction celiac arteriography and selective left hepatic arteriography was performed in 250 patients with hepatocellular carcinoma. Three interventional radiologists interpreted the angiograms on the monitor by consensus. If necessary, further superselective arteriography was performed. The prevalence of nonhepatic arteries, their sites of origin, and the influence of underlying anatomic variants were analyzed.
Results: Nonhepatic arteries were found in 205 patients. The most common nonhepatic artery was the right gastric artery (RGA; n = 196), followed by the hepatic falciform artery (HFA; n = 129), accessory left gastric artery (LGA; n = 43), posterior superior pancreaticoduodenal artery (PSPDA; n = 18), and left inferior phrenic artery (LIPA; n = 5). The left hepatic artery (LHA) was the most frequent origin of nonhepatic arteries (170 of 250). Regardless of anatomic variation, the most common origins of the RGA and HFA were the PHA and the segment IV hepatic artery, respectively. In patients with an aberrant LHA from the LGA, no accessory LGAs or LIPAs were found. PSPDAs preferentially arose from variant hepatic arteries arising from the gastroduodenal artery.
Conclusions: Nonhepatic arteries commonly arise from the hepatic arteries, especially the LHA and PHA. Moreover, variants of the celiac and hepatic arteries influence the prevalence and sites of origin of nonhepatic arteries.
Similar articles
-
Extrahepatic Arteries Originating from Hepatic Arteries: Analysis Using CT During Hepatic Arteriography and Visualization on Digital Subtraction Angiography.Cardiovasc Intervent Radiol. 2017 Jun;40(6):822-830. doi: 10.1007/s00270-017-1568-6. Epub 2017 Jan 12. Cardiovasc Intervent Radiol. 2017. PMID: 28083645
-
The origin of the cystic artery supplying hepatocellular carcinoma on digital subtraction angiography in 311 patients.Cardiovasc Intervent Radiol. 2014 Oct;37(5):1268-82. doi: 10.1007/s00270-013-0773-1. Epub 2013 Nov 6. Cardiovasc Intervent Radiol. 2014. PMID: 24196272
-
Anatomic variants of arteries often coil-occluded prior to hepatic radioembolization.Acta Radiol. 2015 Feb;56(2):159-65. doi: 10.1177/0284185114522148. Epub 2014 Jan 29. Acta Radiol. 2015. PMID: 24477267
-
Hepatic segments and vasculature: projecting CT anatomy onto angiograms.Radiographics. 2009 Nov;29(7):1-22. doi: 10.1148/rg.291085232. Epub 2009 Sep 4. Radiographics. 2009. PMID: 19734468 Review.
-
Hepatocellular carcinoma in the caudate lobe of the liver: variations of its feeding branches on arteriography.Jpn J Radiol. 2010 Oct;28(8):555-62. doi: 10.1007/s11604-010-0471-8. Epub 2010 Oct 24. Jpn J Radiol. 2010. PMID: 20972854 Review.
Cited by
-
Transarterial chemoembolization for hepatocellular carcinoma: 2023 Expert consensus-based practical recommendations of the Korean Liver Cancer Association.Clin Mol Hepatol. 2023 Jul;29(3):521-541. doi: 10.3350/cmh.2023.0202. Epub 2023 Jul 1. Clin Mol Hepatol. 2023. PMID: 37482892 Free PMC article.
-
Transarterial chemoembolization for hepatocellular carcinoma: 2023 expert consensus-based practical recommendations of the Korean Liver Cancer Association.J Liver Cancer. 2023 Sep;23(2):241-261. doi: 10.17998/jlc.2023.05.22. Epub 2023 Jul 14. J Liver Cancer. 2023. PMID: 37449302 Free PMC article.
-
Transarterial Chemoembolization for Hepatocellular Carcinoma: 2023 Expert Consensus-Based Practical Recommendations of the Korean Liver Cancer Association.Korean J Radiol. 2023 Jul;24(7):606-625. doi: 10.3348/kjr.2023.0385. Korean J Radiol. 2023. PMID: 37404104 Free PMC article. Review.
-
Safety analysis of holmium-166 microsphere scout dose imaging during radioembolisation work-up: A cohort study.Eur Radiol. 2018 Mar;28(3):920-928. doi: 10.1007/s00330-017-4998-2. Epub 2017 Aug 7. Eur Radiol. 2018. PMID: 28786008 Free PMC article.
-
Arteries of the falciform ligament on C-arm CT hepatic arteriography: The hepatic falciform artery and the Sappey's superior artery.Eur Radiol. 2017 Apr;27(4):1440-1447. doi: 10.1007/s00330-016-4523-z. Epub 2016 Aug 10. Eur Radiol. 2017. PMID: 27510629
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical