Wada Noriaki, Yamashita Koji, Shin Seitaro, Harada Shino, Furuya Kiyomi, Imamura Hajime, Takami Yuko, Noguchi Tomoyuki
Department of Radiology, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Japan.
Department of Hepato-Biliary-Pancreatic Surgery, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Japan.
Interv Radiol (Higashimatsuyama). 2021 Jun 7;6(2):51-54. doi: 10.22575/interventionalradiology.2020-0035. eCollection 2021 Jul 1.
Knowledge of the anatomic variations of the supraduodenal artery (SDA) and right gastric artery (RGA) is necessary to reduce the procedure time and radiation exposure dose, as well as to avoid unexpected complications of catheter placement before hepatic arterial infusion chemotherapy. The SDA and RGA most commonly arise from the gastroduodenal artery (GDA) and the proper hepatic artery, respectively; however, they can branch from the left hepatic artery (LHA). In addition, the SDA frequently anastomoses with the RGA and occasionally with the GDA. We observed a rare anatomic variant of SDA and RGA originating from the LHA as a common trunk. The patient also had a variant of SDA communicating with the GDA. It is important for interventional radiologists to be aware of these variations.
了解十二指肠上动脉(SDA)和胃右动脉(RGA)的解剖变异对于缩短肝动脉灌注化疗前的手术时间和辐射暴露剂量、避免导管放置的意外并发症至关重要。SDA和RGA最常见分别起源于胃十二指肠动脉(GDA)和肝固有动脉;然而,它们也可发自左肝动脉(LHA)。此外,SDA常与RGA吻合,偶尔与GDA吻合。我们观察到一种罕见的解剖变异,即SDA和RGA共同发自LHA。该患者还存在SDA与GDA相通的变异。介入放射科医生了解这些变异很重要。