Vol 80, No 4 (2021)
Original article
Published online: 2020-09-02

open access

Page views 6886
Article views/downloads 2126
Get Citation

Connect on Social Media

Connect on Social Media

Anatomical study of the common iliac arteries

E. Panagouli1, I. Antonopoulos1, V. Protogerou1, T. Troupis1
Pubmed: 32896870
Folia Morphol 2021;80(4):845-849.

Abstract

Background: The common iliac arteries (CIA) are the two terminal branches of the abdominal aorta which supply the pelvis and the lower extremities. The present study aims to examine the morphometric features of the CIA in a cadaveric sample and possible correlations between lengths.
Materials and methods: Seventy-six formalin fixed cadavers of Greek origin were dissected in the Department of Anatomy, School of Medicine, National and Kapodistrian University of Athens. In each cadaver dissected, the abdominal aorta and the CIA were identified and their lengths were measured. Also the torso length was measured and the height of each cadaver. All the statistical analysis was done by SPSS 15.0.
Results: The mean length of the left CIA was 6.12 cm (SD: ± 1.791, SE: 0.205) and that of the right one was 6.03 cm (SD: ± 1.607, SE: 0.184). The lengths of the CIA differed between the sexes, but no statistically significant difference was observed. Statistically significant differences regarding the torso lengths and body heights were found between the sexes, as well as a statistically strong correlation between the lengths of the left and right CIA in the cadavers dissected.
Conclusions: The knowledge of the anatomy and morphology of the CIA is ofgreat clinical significance, given that abnormal course, length or branching pattern of these vessels are not uncommon and their clinical impact may be great. Mostly interventional radiologists and vascular surgeons should be aware of this knowledge.

Article available in PDF format

View PDF Download PDF file

References

  1. Clemente C, Clemente C. Clemente's anatomy dissector. Lippincott Williams & Wilkins, Philadelphia, Pa. 2010: 131–160.
  2. Crisp CC, Herfel CV, Pauls RN, et al. Critical anatomy relative to the sacral suture: a postoperative imaging study after robotic sacrocolpopexy. Female Pelvic Med Reconstr Surg. 2016; 22(1): 33–36.
  3. Dabydeen DA, Shabashov A, Shaffer K. Congenital absence of the right common iliac artery. Radiol Case Rep. 2008; 3(1): 47.
  4. Deswal A, Tamang BK, Bala A. Study of aortic common iliac bifurcation and its clinical significance. J Clin Diagn Res. 2014; 8(7): AC06–AC08.
  5. Fereydooni A, Deyholos C, Nezami N, et al. Anomalous course of the left common iliac vein anterior to the right common iliac artery with resultant May-Thurner syndrome. J Vasc Surg Venous Lymphat Disord. 2019; 7(3): 450–451.
  6. Goyal VD, Sood S, Gupta B. Isolated common iliac artery aneurysm: a rare entity. J Clin Diagn Res. 2014; 8(11): ND03–ND04.
  7. Gray H, Carter H. Gray's Anatomy. 15th ed. Barnes & Noble, New York 2011: 536–537.
  8. Hamabe A, Harino T, Ogino T, et al. Analysis of anatomical variations of intrapelvic vessels for advanced pelvic surgery. BMC Surg. 2020; 20(1): 47.
  9. Lippert H, Wacker F, Pabst R. Arterial Variations in Humans: Key Reference for Radiologists and Surgeons: Classifications and Frequency. Thieme; 2018.
  10. Llauger J, Sabaté JM, Guardia E, et al. Congenital absence of the right common iliac artery: CT and angiographic demonstration. Eur J Radiol. 1995; 21(2): 128–130.
  11. McHanwell S, Brenner E, Chirculescu A. The legal and ethical framework governing Body Donation in Europe: a review of current practice and recommendations for good practice. Eur J Anat. 2008; 12: 1–24.
  12. Miller JM, Jamroz BA. Undivided common iliac artery: unclear embryology. J Vasc Interv Radiol. 2017; 28(11): 1599.
  13. Qin J, Tang S, Jiang M, et al. Portal hypertension caused by right common iliac artery-superior mesenteric vein fistula. Jpn J Radiol. 2015; 33(5): 291–294.
  14. Panagouli E, Lolis E, Venieratos D. A morphometric study concerning the branching points of the main arteries in humans: relationships and correlations. Ann Anat. 2011; 193(2): 86–99.
  15. Rusu MC, Ilie AC, Brezean I. Human anatomic variations: common, external iliac, origin of the obturator, inferior epigastric and medial circumflex femoral arteries, and deep femoral artery course on the medial side of the femoral vessels. Surg Radiol Anat. 2017; 39(11): 1285–1288.
  16. Sandhu RS, Pipinos II. Isolated iliac artery aneurysms. Semin Vasc Surg. 2005; 18(4): 209–215.
  17. Snell R. Clinical anatomy. Lippincott Williams & Wilkins, Philadelphia 2004: 63–64.
  18. Standring S, Borley NR, Collins P, Crossman AR, Gatzoulis MA, Healy JC, Johnson D, Mahadevan V, Newell RLM, Wigley CB. Gray’s anatomy. Theanatomical basis of clinical practice. Elsevier, Edinburgh 2008.
  19. Takahashi F, Hiraiwa S, Takahashi G, et al. An autopsy case of paradoxical pulmonary thromboembolism by arteriovenous fistula from right common iliac artery to common iliac vein: a rare cause of pulmonary embolism. Am J Case Rep. 2018; 19: 1301–1305.
  20. Tekgündüz KŞ, Ceviz N, Kantarcı M, et al. Rare cause of absence of femoral arterial pulse: bilateral common iliac artery hypoplasia. Pediatr Int. 2014; 56(6): 909–910.
  21. Wallraff J, Roszel A. Hochgradige Hypoplasie der Arteria iliaca communis und der Arteria umbilicalis. Anat Anz. 1972; 132(1): 101–113.