Transorbital anastomotic pathways between the external and internal carotid systems in children affected by intraocular retinoblastoma.

Purpose: It is well known that many anastomoses can join the external carotid system and the ophthalmic artery. However, their frequency has never been reported. Since they can be relevant for interventional radiologists operating in the orbit, we decided to illustrate and determine the frequency of...

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Publicado en:Surgical & Radiologic Anatomy Vol. 38; no. 1; pp. 79 - 88
Autores principales: Hadjistilianou, Theodora, Bracco, Sandra, Venturi, Carlo, Leonini, Sara, Romano, Daniele, Cioni, Samuele, Vallone, Ignazio, Gennari, Paola, Francesco, Sonia, Bertelli, Eugenio
Formato: Journal Article
Publicado: Springer Nature Jan2016
Acceso en línea:Ver este registro en EBSCOhost
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        10.1007/s00276-015-1519-3
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        atl: Transorbital anastomotic pathways between the external and internal carotid systems in children affected by intraocular retinoblastoma.
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          Hadjistilianou, Theodora
          Bracco, Sandra
          Venturi, Carlo
          Leonini, Sara
          Romano, Daniele
          Cioni, Samuele
          Vallone, Ignazio
          Gennari, Paola
          Francesco, Sonia
          Bertelli, Eugenio
        affil: Unit of Neuroimaging and Neurointervention (NINT), Azienda Ospedaliera Universitaria Senese (AOUS), University of Siena, Policlinico 'Santa Maria alle Scotte', Siena Italy
      sug:
      ab: Purpose: It is well known that many anastomoses can join the external carotid system and the ophthalmic artery. However, their frequency has never been reported. Since they can be relevant for interventional radiologists operating in the orbit, we decided to illustrate and determine the frequency of the anastomoses that can be found in children. Methods: A retrospective study of 443 angiographic procedures (via ophthalmic artery and/or external carotid artery) carried out on 97 children affected by intraocular retinoblastoma was made to investigate the arterial anatomy of 106 orbits. Results: Anastomoses were observed in 44.33 % of orbits. However, their true frequency is likely much higher as the rate of visualization increased up to 91.11 % of orbits when the angiographic study was extended to the external carotid artery. In order of frequency we detected the following anastomoses: lacrimal artery-middle meningeal artery, lacrimal artery-anterior deep temporal artery, ophthalmic artery-middle meningeal artery, ophthalmic artery-facial artery, supraorbital artery-superficial temporal artery, supratrochlear artery-superficial temporal artery, supraorbital artery-middle meningeal artery, dorsal nasal artery-infraorbital artery, supraorbital artery-zygomaticoorbital artery, lacrimal artery-zygomaticoorbital artery. Conclusion: When properly searched, anastomoses between the ophthalmic artery and the external carotid artery are almost constant in children. Depending on the clinical scenario, they can represent dangers or valuable alternative routes for collateral circulations and intraarterial chemotherapy.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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