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Łazarz DP, Carmen Yika AD, Pękala JR, Walocha JA, Pękala PA. Clinical anatomy of the human Achilles subtendons twist - meta-analysis. Ann Anat 2024:152271. [PMID: 38677622 DOI: 10.1016/j.aanat.2024.152271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2024] [Revised: 04/10/2024] [Accepted: 04/23/2024] [Indexed: 04/29/2024]
Abstract
PURPOSE This study aimed to provide a comprehensive and current overview of the anatomy of the Achilles tendon (AT) twisted structure, as there is a discrepancy in the literature regarding its rotating morphology. METHODS An extensive literature search was conducted across multiple databases to identify all studies that reported relevant data on the AT torsion, with no date or language restrictions applied. Data was extracted and assessed for this meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The quality of the included articles was examined using the anatomical quality assessment (AQUA) tool. RESULTS Seven articles (n=690 limbs) were pooled into this meta-analysis. The prevalence of Achilles tendon torsion types was as follows: type II was the most common (46.7%, 95% CI: 31.6-60.9%), followed by type I (44.7%, 95% CI: 29.8-59.0%), and least commonly, type III (8.6%, 95% CI: 1.8-18.8%). Additionally, morphometric analysis, utilizing the method described by van Gils et al., revealed a mean Achilles tendon torsion of 46.5° (95% CI: 25.1-67.9°). CONCLUSIONS This meta-analysis underscores the prominent and variable twist within the Achilles tendon among individuals, emphasizing the inherent diversity in AT morphology. Furthermore, the study highlights the importance of considering torsion angle as a potential factor influencing AT pathologies and biomechanical function.
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Affiliation(s)
- Dominik P Łazarz
- International Evidence-Based Anatomy Working Group, Cracow, Poland; Department of Anatomy, Jagiellonian University Medical College, Cracow, Poland
| | - Alicia Del Carmen Yika
- International Evidence-Based Anatomy Working Group, Cracow, Poland; Department of Anatomy, Jagiellonian University Medical College, Cracow, Poland
| | - Jakub R Pękala
- International Evidence-Based Anatomy Working Group, Cracow, Poland; Department of Anatomy, Jagiellonian University Medical College, Cracow, Poland
| | - Jerzy A Walocha
- International Evidence-Based Anatomy Working Group, Cracow, Poland; Department of Anatomy, Jagiellonian University Medical College, Cracow, Poland
| | - Przemysław A Pękala
- International Evidence-Based Anatomy Working Group, Cracow, Poland; Department of Anatomy, Jagiellonian University Medical College, Cracow, Poland.
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2
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Konarska-Włosińska M, Ostrowski P, Del Carmen Yika A, Dziedzic M, Bonczar M, Wojciechowski W, Walocha J, Koziej M. Exploring the Topography of the Obturator Artery and Corona Mortis: a Detailed Analysis with Surgical Implications. Int Urogynecol J 2024:10.1007/s00192-024-05774-8. [PMID: 38635039 DOI: 10.1007/s00192-024-05774-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2024] [Accepted: 03/06/2024] [Indexed: 04/19/2024]
Abstract
INTRODUCTION AND HYPOTHESIS The obturator artery (ObA) is described as a branch of the anterior division of the internal iliac artery. It arises close to the origin of the umbilical artery, where it is crossed by the ureter. The main goal of the present study was to create an anatomical map of the ObA demonstrating the most frequent locations of the vessel's origin and course. METHODS In May 2022, an evaluation of the findings from 75 consecutive patients who underwent computed tomography angiography studies of the abdomen and pelvis was performed. RESULTS The presented results are based on a total of 138 arteries. Mostly, ObA originated from the anterior trunk of the internal iliac artery (79 out of 138; 57.2%). The median ObA diameter at its origin was found to be 3.34 mm (lower quartile [LQ] = 3.00; upper quartile [UQ] = 3.87). The median cross-sectional area of the ObA at its origin was found to be 6.31 mm2 (LQ = 5.43; UQ = 7.32). CONCLUSIONS Our study developed a unique arterial anatomical map of the ObA, showcasing its origin and course. Moreover, we have provided more data for straightforward intraoperative identification of the corona mortis through simple anatomical landmarks, including the pubic symphysis. Interestingly, a statistically significant difference (p < 0.05) between the morphometric properties of the aberrant ObAs and the "normal" ObAs originating from the internal iliac artery was found. It is hoped that our study may aid in reducing the risk of serious hemorrhagic complications during various surgical procedures in the pelvic region.
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Affiliation(s)
- Monika Konarska-Włosińska
- Department of Anatomy, Jagiellonian University Medical College Mikołaja, Kopernika 12, 33-332, Kraków, Poland
| | - Patryk Ostrowski
- Department of Anatomy, Jagiellonian University Medical College Mikołaja, Kopernika 12, 33-332, Kraków, Poland
- Youthoria, Youth Research Organization, Kraków, Poland
| | - Alicia Del Carmen Yika
- Department of Anatomy, Jagiellonian University Medical College Mikołaja, Kopernika 12, 33-332, Kraków, Poland
- Youthoria, Youth Research Organization, Kraków, Poland
| | - Martyna Dziedzic
- Department of Anatomy, Jagiellonian University Medical College Mikołaja, Kopernika 12, 33-332, Kraków, Poland
- Youthoria, Youth Research Organization, Kraków, Poland
| | - Michał Bonczar
- Department of Anatomy, Jagiellonian University Medical College Mikołaja, Kopernika 12, 33-332, Kraków, Poland
- Youthoria, Youth Research Organization, Kraków, Poland
| | - Wadim Wojciechowski
- Department of Radiology, Jagiellonian University Medical College, Kraków, Poland
| | - Jerzy Walocha
- Department of Anatomy, Jagiellonian University Medical College Mikołaja, Kopernika 12, 33-332, Kraków, Poland
- Youthoria, Youth Research Organization, Kraków, Poland
| | - Mateusz Koziej
- Department of Anatomy, Jagiellonian University Medical College Mikołaja, Kopernika 12, 33-332, Kraków, Poland.
- Youthoria, Youth Research Organization, Kraków, Poland.
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Szergyuk I, Del Carmen Yika A, Walocha JA, Pękala PA. The twisted Achilles tendon microvasculature. Folia Morphol (Warsz) 2024:VM/OJS/J/98393. [PMID: 38512008 DOI: 10.5603/fm.98393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Revised: 01/13/2024] [Accepted: 03/03/2024] [Indexed: 03/22/2024]
Abstract
The Achilles tendon (AT) is reportedly the most vulnerable to rupture at the midportion, a section of relative hypovascularity. It has been postulated that the twisted structure of this tendon may constitute a critical factor contributing to increased propensity to vascular compromise, decreased regenerative capacity, and rupture in the midsection of the AT. In this review, we will give an overview of the most relevant research on AT vasculature and twist, and delve into the interplay between the two elements in the context of AT disorders. The pertinent body of research suggests a considerable variability in tendon twist among individuals, which likely constitutes a determining factor in the extent to which vessels coursing along and between AT fibers are compressed during contraction-induced elongation of the tendon. Consequently, further research is necessary to investigate the precise association between tendon torsion and blood flow within the AT.
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Affiliation(s)
- Ivan Szergyuk
- Division of Vascular Surgery, Department of Surgery, Addenbrooke's Hospital, Cambridge University NHS Foundation Trust, Cambridge, United Kingdom
| | | | - Jerzy A Walocha
- Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
| | - Przemysław A Pękala
- Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland.
- Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, Kraków, Poland.
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Stępień K, Nowak K, Kachnic N, Karcińska A, Del Carmen Yika A, Furczyński J, Platschek M, Skorupa M, Wyleciał Z, Zalewski J, Nessler J. Clinical characteristics and long-term outcomes of patients with heart failure with improved ejection fraction. First Polish experience from LECRA-HF registry. Adv Med Sci 2024; 69:132-138. [PMID: 38447613 DOI: 10.1016/j.advms.2024.02.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Revised: 12/06/2023] [Accepted: 02/29/2024] [Indexed: 03/08/2024]
Abstract
PURPOSE Heart failure (HF) with improved ejection fraction (HFimpEF) is a new category of HF introduced in the newest European Society of Cardiology guidelines. However, clinical characteristics and long-term outcomes of HFimpEF patients remain insufficiently elucidated. We sought to characterize Polish HFimpEF patients and determine their long-term mortality. MATERIAL AND METHODS Of 1186 patients enrolled in the single-center Lesser Poland Cracovian Heart Failure (LECRA-HF) registry between 2009 and 2019 and hospitalized due to HF decompensation, 340 (28.7%) were those with HF with reduced ejection fraction (HFrEF). Based on follow-up echocardiography, 61 (17.9%) of them were classified as HFimpEF and the remaining as HFnon-impEF. RESULTS HFimpEF patients were more frequently females (P < 0.001), had higher baseline left ventricular ejection fraction (LVEF, P < 0.001), had less often a history of diabetes (P = 0.024), severe chronic kidney disease (P = 0.026) or prior myocardial infarction (P = 0.008) than HFnon-impEF patients. By multivariable analysis the HFimpEF diagnosis was independently predicted by baseline NYHA I/II (odds ratio [OR] 2.347, 95% confidence interval [95%CI] 1.020-5.405), non-ischemic etiology (OR 3.096, 95%CI 1.587-6.024), lack of diabetes mellitus (OR 2.016, 95%CI 1.059-3.846) and higher baseline LVEF (OR 1.084, 95%CI 1.042-1.126, per 1%). Within the median 49 (25-77) months all-cause mortality was lower in HFimpEF than in HFnon-impEF (10.8 vs 16.4%/year, P = 0.004). CONCLUSIONS Our findings indicate that every sixth Polish patient with HFrEF has a chance to improve LVEF during follow-up and to become a HFimpEF patient. Baseline characteristics of HFimpEF patients are different from HFnon-impEF. Simultaneously, the HFimpEF diagnosis is associated with higher long-term survival.
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Affiliation(s)
- Konrad Stępień
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland; Department of Thromboembolic Disorders, Jagiellonian University Medical College, Kraków, Poland; "Club 30", Polish Cardiac Society, Warsaw, Poland.
| | - Karol Nowak
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland; Department of Thromboembolic Disorders, Jagiellonian University Medical College, Kraków, Poland
| | - Natalia Kachnic
- Student Research Group at Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Aleksandra Karcińska
- Student Research Group at Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Alicia Del Carmen Yika
- Student Research Group at Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Jakub Furczyński
- Student Research Group at Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Michael Platschek
- Student Research Group at Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Maria Skorupa
- Student Research Group at Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Zuzanna Wyleciał
- Student Research Group at Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Jarosław Zalewski
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Jadwiga Nessler
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
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Trzeciak M, Del Carmen Yika A, Glądys K, Ostrowski P, Bonczar M, Goncerz M, Wojciechowski W, Koziej M, Walocha J, Pasternak A. The complete anatomy of the transverse facial artery: a computed tomography angiography analysis. Folia Morphol (Warsz) 2023:VM/OJS/J/97002. [PMID: 37957940 DOI: 10.5603/fm.97002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 10/09/2023] [Accepted: 10/16/2023] [Indexed: 11/15/2023]
Abstract
BACKGROUND The transverse facial artery (TFA) provides blood supply to various structures of the lateral face, including the parotid gland, parotid duct, masseter muscle, and facial skin. Knowledge about its anatomy is of utmost importance in various plastic and reconstructive procedures. MATERIALS AND METHODS The results of 55 (110 hemifaces) consecutive patients who underwent head and neck computed tomography angiography (CTA) in the Department of Radiology of the Jagiellonian University Medical College, Cracow, Poland, were evaluated in July 2022. RESULTS TFA was found to originate from STA in 84 of the cases (95.5%), whereas from ECA only in 4 of the cases (4.5%). Median length of the TFA was found to be 43.39 mm (LQ = 38.53 ; UQ = 46.37). The median TFA diameter, at its origin, was established at 2.26 mm (LQ = 1.93 ; UQ = 2.54). Median TFA cross-sectional area, at its origin, was set to be 2.54 mm (LQ = 1.67 ; UQ = 3.10). CONCLUSIONS The TFA has an important role in the arterial blood supply to the face, and the present study has demonstrated its stable prevalence in the lateral face region. The most frequent origin of the artery was from the STA; however, it also originated from the ECA in some cases. Moreover, the topographic relationships between the TFA and nearby arteries and anatomical landmarks were measured and analyzed.
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Affiliation(s)
- Mateusz Trzeciak
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland.
| | | | - Kinga Glądys
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
| | - Patryk Ostrowski
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Youthoria, Youth Research Organization, Krakow, Poland
| | - Michał Bonczar
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Youthoria, Youth Research Organization, Krakow, Poland
| | - Michał Goncerz
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
| | - Wadim Wojciechowski
- Department of Radiology, Jagiellonian University Medical College, Krakow, Poland
| | - Mateusz Koziej
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Youthoria, Youth Research Organization, Krakow, Poland
| | - Jerzy Walocha
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Youthoria, Youth Research Organization, Krakow, Poland
| | - Artur Pasternak
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
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Gabryszuk K, Gliwa J, Dziedzic M, Del Carmen Yika A, Ostrowski P, Bonczar M, Kłosiński M, Wojciechowski W, Walocha J, Koziej M. The superior gluteal artery and the posterior division of the internal iliac artery: an analysis of their complete anatomy. Folia Morphol (Warsz) 2023:VM/OJS/J/96695. [PMID: 37957934 DOI: 10.5603/fm.96695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Revised: 09/11/2023] [Accepted: 10/23/2023] [Indexed: 11/15/2023]
Abstract
BACKGROUND The superior gluteal artery (SGA) is the largest, terminating branch of the internal iliac artery (IIA). Knowledge about the anatomy of the SGA is extremely important when performing numerous reconstructive and endovascular procedures. MATERIALS AND METHODS The results of 75 consecutive patients who underwent pelvic computed tomography angiography (CTA) were analyzed. RESULTS A total of 145 SGA were analyzed. The origin variation of each SGA was deeply analyzed. Type O1 occurred in 79 SGA (56.4%). Furthermore, analogously, a branching pattern types were also established. Initially 19 branching variations were evaluated, of which types 1-7 constituted 76.5%. The median SGA length was set to be 54.88 mm (LQ = 49.63 ; HQ = 63.26). The median SGA origin diameter, in cases of SGA originating from PDIIA was set to be 6.27 mm (LQ = 5.56 ; HQ = 6.87). CONCLUSIONS The origin of the said artery showed a low grade of variability, and the most prevalent origin type of the SGA was similar to the one presented by the major anatomical textbooks, namely, the PDIIA. However, the branching pattern of the SGA was highly variable. To present the anatomy of the SGA in a clear and straight-forward way, novel classification systems of the origin and branching patterns were made. Furthermore, the morphometric properties of the branches of the PDIIA were analyzed. It is hoped that the results of the present study may be useful for physicians performing numerous reconstructive and endovascular procedures.
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Affiliation(s)
- Kamil Gabryszuk
- Chiroplastica - The Lower Silesian Center of Hand Surgery and Aesthetic Medicine, Wroclaw, Poland
| | - Jakub Gliwa
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Youthoria, Youth Research Organization, Krakow, Poland
| | - Martyna Dziedzic
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Youthoria, Youth Research Organization, Krakow, Poland
| | - Alicia Del Carmen Yika
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Youthoria, Youth Research Organization, Krakow, Poland
| | - Patryk Ostrowski
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Youthoria, Youth Research Organization, Krakow, Poland
| | - Michał Bonczar
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Youthoria, Youth Research Organization, Krakow, Poland
| | - Michał Kłosiński
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
| | - Wadim Wojciechowski
- Department of Radiology, Jagiellonian University Medical College, Krakow, Poland
| | - Jerzy Walocha
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Youthoria, Youth Research Organization, Krakow, Poland
| | - Mateusz Koziej
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland.
- Youthoria, Youth Research Organization, Krakow, Poland.
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Trzeciak M, Ostrowski P, Bonczar M, Del Carmen Yika A, Glądys K, Elsaftawy A, Wojciechowski W, Koziej M, Walocha J, Pasternak A. The topographical anatomy of the posterior auricular artery: a computed tomography angiography analysis with implications for reconstructive surgery. Folia Morphol (Warsz) 2023:VM/OJS/J/96993. [PMID: 37957932 DOI: 10.5603/fm.96993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 10/20/2023] [Accepted: 10/23/2023] [Indexed: 11/15/2023]
Abstract
BACKGROUND The anatomy of the posterior auricular artery (PAA) is highly variable and relevant in various plastic and reconstructive procedures. MATERIALS AND METHODS The results of 55 consecutive patients who underwent head and neck computed tomography angiography (CTA) were analyzed. A total of 78 hemifaces were evaluated. The analysis has been performed in 19 categories. RESULTS Median PAA length was found to be 47.59 mm (LQ = 32.75; HQ = 56.16). The median PAA diameter (at its origin) was established at 2.55 mm (LQ = 2.29; HQ = 2.90). Moreover, the median PAA cross-sectional area (at its origin) was set to be 3.22 mm (LQ = 2.49; HQ = 4.13). Sexual dimorphism regarding all of the measured parameters was also evaluated. Statistically significant differences (p ≤ 0.05) were found in 13 of the measured categories. CONCLUSIONS The present study demonstrated the complete anatomy of the PAA. The most frequent origin of the said artery was from the ECA, and its mean length was 45.07 mm; which did not differ between males and females significantly (p>0.05). Moreover, we have provided surgeons with tools to localize this artery pre- and intraoperatively using simple landmarks, namely the apex of the mastoid process and the center of the external acoustic meatus. The exact position of the origin of the PAA was also demonstrated by a heat map of the auricular region. Our findings have the potential to assist surgeons in developing a mental visualization of the arterial anatomy of the retroauricular region. This visualization can be instrumental in precisely identifying the location of the PAA during reconstructive surgeries, thereby minimizing complications and enhancing surgical outcomes.
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Affiliation(s)
- Mateusz Trzeciak
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland.
| | - Patryk Ostrowski
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Youthoria, Youth Research Organization, Krakow, Poland
| | - Michał Bonczar
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Youthoria, Youth Research Organization, Krakow, Poland
| | | | - Kinga Glądys
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
| | | | - Wadim Wojciechowski
- Department of Radiology, Jagiellonian University Medical College, Krakow, Poland
| | - Mateusz Koziej
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Youthoria, Youth Research Organization, Krakow, Poland
| | - Jerzy Walocha
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Youthoria, Youth Research Organization, Krakow, Poland
| | - Artur Pasternak
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
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Ostrowski P, Bonczar M, Iwanaga J, Michalczak M, Dziedzic M, Del Carmen Yika A, Gil A, Sporek M, Szczepanek E, Niemczyk K, Walocha J, Koziej M. The prevalence and anatomy of the pyramidal lobe of the thyroid gland: A meta-analysis with implications for thyroid surgery. Clin Anat 2023; 36:937-945. [PMID: 37245093 DOI: 10.1002/ca.24062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Revised: 04/28/2023] [Accepted: 05/06/2023] [Indexed: 05/29/2023]
Abstract
The pyramidal lobe (PL), also known as the third lobe of the thyroid gland or lobe of Lalouette is an embryological remnant of the caudal end of the thyroglossal tract. The following meta-analysis aims to provide a detailed analysis of the anatomical variations of the PL using the available data in the literature. Major online medical databases such as PubMed, Scopus, Embase, Web of Science, Cochrane Library, and Google Scholar were searched in order to find all studies considering the prevalence and anatomy of the PL of the thyroid gland. Finally, a total of 24 studies that met the required criteria and contained complete and relevant data were included in the present meta-analysis. The pooled prevalence of the PL was found to be 42.82% (95% CI: 35.90%-49.89%). An analysis showed that the mean length was 23.09 mm (SE: 0.56). The mean width was found to be 10.59 mm (SE: 0.77). The pooled prevalence of the PL originating from the left lobe (LL) was established at 40.10% (95% CI: 28.83%-51.92%). In conclusion, we believe that this is the most accurate and up-to-date study regarding the complete surgical anatomy of the PL. The PL was prevalent in 42.82% of the cases, being slightly more prevalent in males (40.35%) than females (37.43%). The mean length and width of the PL were 23.09 mm and 10.59 mm, respectively. Our results should be taken into consideration when performing procedures on the thyroid gland, such as thyroidectomies. The presence of the PL can affect the completeness of this procedure and lead to postoperative complications.
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Affiliation(s)
- Patryk Ostrowski
- Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
- Youthoria, Youth Research Organization, Kraków, Poland
| | - Michał Bonczar
- Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
- Youthoria, Youth Research Organization, Kraków, Poland
| | - Joe Iwanaga
- Department of Neurosurgery, Tulane University School of Medicine, New Orleans, USA
- Department of Oral and Maxillofacial Anatomy, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Mateusz Michalczak
- Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
| | - Martyna Dziedzic
- Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
- Youthoria, Youth Research Organization, Kraków, Poland
| | | | - Anna Gil
- Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
| | - Mateusz Sporek
- Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
| | - Elżbieta Szczepanek
- Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
- Department of Otorhinolaryngology and Head and Neck Surgery, Medical University of Warsaw, Warsaw, Poland
- Doctoral School in Medical Sciences and Health Sciences, Jagiellonian University Medical College, Cracow, Poland
| | - Kazimierz Niemczyk
- Department of Otorhinolaryngology and Head and Neck Surgery, Medical University of Warsaw, Warsaw, Poland
| | - Jerzy Walocha
- Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
- Youthoria, Youth Research Organization, Kraków, Poland
| | - Mateusz Koziej
- Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
- Youthoria, Youth Research Organization, Kraków, Poland
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9
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Gabryszuk K, Bonczar M, Ostrowski P, Gliwa J, Yika ADC, Iskra T, Kłosiński M, Wojciechowski W, Walocha J, Koziej M. The inferior gluteal artery anatomy: a detailed analysis with implications for plastic and reconstructive surgery. Folia Morphol (Warsz) 2023; 83:53-65. [PMID: 37144850 DOI: 10.5603/fm.a2023.0029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 03/25/2023] [Accepted: 03/26/2023] [Indexed: 05/06/2023]
Abstract
BACKGROUND The inferior gluteal artery (IGA) is a large terminal branch of the anterior division of the internal iliac artery (ADIIA). There is a significant lack of data regarding the variable anatomy of the IGA. MATERIALS AND METHODS A retrospective study was conducted to establish anatomical variations, their prevalence and morphometrical data on IGA and its branches. The results of 75 consecutive patients who underwent pelvic computed tomography angiography were analysed. RESULTS The origin variation of each IGA was deeply analysed. Four origin variations have been observed. The most common type O1 occurred in 86 of the studied cases (62.3%). The median IGA length was set to be 68.50 mm (lower quartile [LQ]: 54.29; higher quartile [HQ]: 86.06). The median distance from the origin of the ADIIA to the origin of the IGA was set to be 38.22 mm (LQ: 20.22; HQ: 55.97). The median origin diameter of the IGA was established at 4.69 mm (LQ: 4.13; HQ: 5.45). CONCLUSIONS The present study thoroughly analysed the complete anatomy of the IGA and the branches of the ADIIA. A novel classification system for the origin of the IGA was created, where the most prevalent origin was from the ADIIA (type 1; 62.3%). Furthermore, the morphometric properties (such as the diameter and length) of the branches of the ADIIA were analysed. This data may be incredibly useful for physicians performing operations in the pelvis, such as interventional intraarterial procedures or various gynaecological surgeries.
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Affiliation(s)
- Kamil Gabryszuk
- Chiroplastica - The Lower Silesian Centre of Hand Surgery and Aesthetic Medicine, Wroclaw, Poland
| | - Michał Bonczar
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Youthoria, Youth Research Organization, Krakow, Poland
| | - Patryk Ostrowski
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Youthoria, Youth Research Organization, Krakow, Poland
| | - Jakub Gliwa
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Youthoria, Youth Research Organization, Krakow, Poland
| | | | - Tomasz Iskra
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
| | - Michał Kłosiński
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
| | - Wadim Wojciechowski
- Department of Radiology, Jagiellonian University Medical College, Krakow, Poland
| | - Jerzy Walocha
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Youthoria, Youth Research Organization, Krakow, Poland
| | - Mateusz Koziej
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland.
- Youthoria, Youth Research Organization, Krakow, Poland.
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10
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Stępień K, Del Carmen Yika A, Bilecki K, Furczyński J, Nowak K, Stępień A, Nessler J, Zalewski J, Konduracka E. Multiple late cardiovascular complications after combined oncological treatment of Hodgkin's lymphoma. Kardiol Pol 2023; 81:78-79. [PMID: 36300531 DOI: 10.33963/kp.a2022.0244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Accepted: 09/28/2022] [Indexed: 02/07/2023]
Affiliation(s)
- Konrad Stępień
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland. .,John Paul II Hospital, Kraków, Poland. .,"Club 30", Polish Cardiac Society, Poland.
| | - Alicia Del Carmen Yika
- Students' Scientific Group, Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Krzysztof Bilecki
- Students' Scientific Group, Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Jakub Furczyński
- Students' Scientific Group, Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Karol Nowak
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland.,John Paul II Hospital, Kraków, Poland
| | - Adam Stępień
- Students' Scientific Group, Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Jadwiga Nessler
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland.,John Paul II Hospital, Kraków, Poland
| | - Jarosław Zalewski
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland.,John Paul II Hospital, Kraków, Poland
| | - Ewa Konduracka
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland.,John Paul II Hospital, Kraków, Poland
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11
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Stępień K, Del Carmen Yika A, Bilecki K, Furczyński J, Nowak K, Stępień A, Nessler J, Zalewski J, Konduracka E. Patient after treatment of Hodgkin's lymphoma: A typical… cardiological patient. Author's reply. Kardiol Pol 2023; 81:316-317. [PMID: 36987813 DOI: 10.33963/kp.a2023.0076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 03/27/2023] [Indexed: 03/30/2023]
Affiliation(s)
- Konrad Stępień
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland.
- John Paul II Hospital, Kraków, Poland.
- "Club 30", Polish Cardiac Society, Poland.
| | - Alicia Del Carmen Yika
- Students' Scientific Group, Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Krzysztof Bilecki
- Students' Scientific Group, Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Jakub Furczyński
- Students' Scientific Group, Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Karol Nowak
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
- John Paul II Hospital, Kraków, Poland
| | - Adam Stępień
- Students' Scientific Group, Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Jadwiga Nessler
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
- John Paul II Hospital, Kraków, Poland
| | - Jarosław Zalewski
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
- John Paul II Hospital, Kraków, Poland
| | - Ewa Konduracka
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
- John Paul II Hospital, Kraków, Poland
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12
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Ostrowski P, Bonczar M, Yika ADC, Czekańska H, Batko J, Wojciechowski W, Ghosh SK, Jaworek-Troć J, Piątek-Koziej K, Juszczak A, Gładysz T, Lusina D, Walocha J, Koziej M. The occipital-vertebral anastomosis revisited. Folia Morphol (Warsz) 2022; 82:615-623. [PMID: 36472395 DOI: 10.5603/fm.a2022.0101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Revised: 11/14/2022] [Accepted: 11/14/2022] [Indexed: 12/12/2022]
Abstract
BACKGROUND The goal of the study was to provide relevant data about the location and prevalence of the occipital artery-vertebral artery (OA-VA) anastomosis in patients without visible occlusive disease, as well as to thoroughly discuss the clinical significance of these anastomotic channels. Furthermore, the morphometric properties of the OA and its branches were also analysed. MATERIALS AND METHODS A retrospective study was carried out to indicate anatomical variations, their prevalence, and morphometrical data on the OA and its branches. The study was performed on 55 randomly selected computed tomography angiographies (CTA) of the head and neck region. Each CTA result was analysed bilaterally. Thus, 110 results were originally assessed. RESULTS The OA median maximal diameter was demonstrated at 4.85 mm (lower quartile [LQ]: 4.11; upper quartile [UQ]: 5.53) and the median maximal diameter of VA at 3.60 mm (LQ: 2.79; UQ: 4.38). The distances between OA and its branches were also measured giving a median result of 21.73, 30.29, 60.84, 34.88, 18.02, 55.16 mm for the lower and upper sternocleidomastoid branch, meningeal branch, mastoid branch, and descending branch, respectively. The median distance between OA and its first anastomosis was set to be 51.15 mm (LQ: 37.20; UQ: 60.10). Moreover, a set of additional measurements was carried out in order to create a three-dimensional anatomical heat-map of the occurrence of the OA-VA anastomosis. CONCLUSIONS Knowledge about the anatomy of the OA-VA anastomosis might be of immense importance to avoid potentially fatal complications during embolisation of the OA and its branches.
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Affiliation(s)
- P Ostrowski
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
| | - M Bonczar
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
| | | | - H Czekańska
- Department of Anatomy, Medical University of Warsaw, Poland
| | - J Batko
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
| | - W Wojciechowski
- Department of Radiology, Jagiellonian University Medical College, Krakow, Poland
| | - S K Ghosh
- Department of Anatomy, All India Institute of Medical Sciences, Patna, India
| | - J Jaworek-Troć
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
| | - K Piątek-Koziej
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
| | - A Juszczak
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
| | - T Gładysz
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
| | - D Lusina
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
| | - J Walocha
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
| | - M Koziej
- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland.
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13
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Lichota E, Stępień K, Nowak K, Nowak G, Karcińska A, Matrejek A, Platschek M, Del Carmen Yika A, Furczyńska P, Nessler J, Zalewski J. OCT-guided percutaneous coronary intervention in myocardial infarction patient. One more argument for wider use of OCT in the reimbursement era. Kardiol Pol 2022:VM/OJS/J/89573. [PMID: 35403697 DOI: 10.33963/kp.a2022.0100] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 04/11/2022] [Indexed: 11/23/2022]
Affiliation(s)
- Ewelina Lichota
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland.,John Paul II Hospital, Kraków, Poland
| | - Konrad Stępień
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland.,John Paul II Hospital, Kraków, Poland.,"Club 30", Polish Cardiac Society, Poland
| | - Karol Nowak
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland.,John Paul II Hospital, Kraków, Poland
| | | | - Aleksandra Karcińska
- Students' Scientific Group, Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Anna Matrejek
- Students' Scientific Group, Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Michael Platschek
- Students' Scientific Group, Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Alicia Del Carmen Yika
- Students' Scientific Group, Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Patrycja Furczyńska
- Students' Scientific Group, Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland
| | - Jadwiga Nessler
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland.,John Paul II Hospital, Kraków, Poland
| | - Jarosław Zalewski
- Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College, Kraków, Poland. .,John Paul II Hospital, Kraków, Poland.
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