Anatomical analysis of the abdominal aorta in a South African sample: influence of age and sex
Purpose The anatomy of the abdominal aorta (AA) varies with age and sex; however, limited studies exist from South Africa. Given the increased incidence of endovascular treatment of the AA, reference values are relevant for interventionalists for improving the safety of endovascular procedures. Ther...
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| Veröffentlicht in: | Surgical and radiologic anatomy (English ed.) 2024-12, Vol.46 (12), p.2049-2055 |
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| creator | Mokoena, Pheladi Lunn-Collier, Robyn Witbooi, Lee-Roy Baatjes, Karin Keet, Kerri |
| description | Purpose
The anatomy of the abdominal aorta (AA) varies with age and sex; however, limited studies exist from South Africa. Given the increased incidence of endovascular treatment of the AA, reference values are relevant for interventionalists for improving the safety of endovascular procedures. Therefore, the study aimed to determine the lengths, diameters and tortuosity of the AA and their association with age and sex in a South African sample.
Methods
After ethical approval, 97 computed tomography angiography (CTA) scans from an adult sample (54 male and 43 female), mean age 48.5 ± 17.2 years were analysed. The aortic length was measured from the origin of the coeliac trunk to the bifurcation point of the AA. The lumen diameters of the aorta were measured at three landmarks. Tortuosity of the AA was quantified with the tortuosity index and its prevalence was determined.
Results
The AA was longer in males and showed a significant weak positive correlation with age. The mean diameters of the AA were larger in males and had a significant strong positive correlation with age in both sexes (
p
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| doi_str_mv | 10.1007/s00276-024-03502-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11579109</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3130972899</sourcerecordid><originalsourceid>FETCH-LOGICAL-c356t-11d9a2b05a17020c3dda05dc0359382643d198b47b5362837093998da7853cd43</originalsourceid><addsrcrecordid>eNp9UUtv1DAQthCIloU_wAFZ4sIlMLbjdcwFrSoelSpxKFyxJrazmyqxFztB239fp1tK4cBpRvoe8_gIecngLQNQ7zIAV-sKeF2BkMCrwyNyyrjSVSOZevygPyHPcr4CAMlY85ScCF0LDkqfkh-bgFMce4sDxYDDde4zjR2ddp5i6woSFiSmCWkfKNLLOE87uulSkQSacdwP_n2BumH2wfpFi9uiDY5mf3hOnnQ4ZP_irq7I908fv519qS6-fj4_21xUVsj1VDHmNPIWJDIFHKxwDkE6W87SouHrWjimm7ZWrRRr3ggFWmjdOFSNFNbVYkU-HH33czt6Z32YEg5mn_oR07WJ2Ju_kdDvzDb-MoxJpVmxW5E3dw4p_px9nszYZ-uHAYOPczaifK4RkvNl2Ot_qFdxTuVPC0uAVrzRiyE_smyKOSff3W_DwCz5mWN-puRnbvMzhyJ69fCOe8nvwApBHAm5QGHr05_Z_7G9AZygpTo</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3130972899</pqid></control><display><type>article</type><title>Anatomical analysis of the abdominal aorta in a South African sample: influence of age and sex</title><source>MEDLINE</source><source>SpringerLink_现刊</source><creator>Mokoena, Pheladi ; Lunn-Collier, Robyn ; Witbooi, Lee-Roy ; Baatjes, Karin ; Keet, Kerri</creator><creatorcontrib>Mokoena, Pheladi ; Lunn-Collier, Robyn ; Witbooi, Lee-Roy ; Baatjes, Karin ; Keet, Kerri</creatorcontrib><description>Purpose
The anatomy of the abdominal aorta (AA) varies with age and sex; however, limited studies exist from South Africa. Given the increased incidence of endovascular treatment of the AA, reference values are relevant for interventionalists for improving the safety of endovascular procedures. Therefore, the study aimed to determine the lengths, diameters and tortuosity of the AA and their association with age and sex in a South African sample.
Methods
After ethical approval, 97 computed tomography angiography (CTA) scans from an adult sample (54 male and 43 female), mean age 48.5 ± 17.2 years were analysed. The aortic length was measured from the origin of the coeliac trunk to the bifurcation point of the AA. The lumen diameters of the aorta were measured at three landmarks. Tortuosity of the AA was quantified with the tortuosity index and its prevalence was determined.
Results
The AA was longer in males and showed a significant weak positive correlation with age. The mean diameters of the AA were larger in males and had a significant strong positive correlation with age in both sexes (
p
< .001). There was a strong positive correlation between age and tortuosity in both sexes (
p
< .001). The prevalence of a tortuous c-shaped-curve phenotype was 8.2%, with a 7:1 male-to-female ratio.
Conclusion
The dimensions and tortuosity differed between sexes and varied significantly with age. These findings may contribute towards reference values in the South African setting, inform patient selection and complement decision-making of endovascular treatment strategies.</description><identifier>ISSN: 1279-8517</identifier><identifier>ISSN: 0930-1038</identifier><identifier>EISSN: 1279-8517</identifier><identifier>DOI: 10.1007/s00276-024-03502-x</identifier><identifier>PMID: 39432079</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Adult ; Age ; Age Factors ; Aged ; Aged, 80 and over ; Anatomic Variation ; Anatomy ; Angiography ; Aorta ; Aorta, Abdominal - anatomy & histology ; Aorta, Abdominal - diagnostic imaging ; Cardiovascular system ; Computed tomography ; Computed Tomography Angiography ; Coronary vessels ; Decision making ; Female ; Humans ; Imaging ; Male ; Males ; Medicine ; Medicine & Public Health ; Middle Aged ; Original ; Original Article ; Orthopedics ; Phenotypes ; Radiology ; Reference Values ; Sex ; Sex Factors ; Sexes ; South Africa ; Surgery ; Young Adult</subject><ispartof>Surgical and radiologic anatomy (English ed.), 2024-12, Vol.46 (12), p.2049-2055</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c356t-11d9a2b05a17020c3dda05dc0359382643d198b47b5362837093998da7853cd43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00276-024-03502-x$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00276-024-03502-x$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39432079$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mokoena, Pheladi</creatorcontrib><creatorcontrib>Lunn-Collier, Robyn</creatorcontrib><creatorcontrib>Witbooi, Lee-Roy</creatorcontrib><creatorcontrib>Baatjes, Karin</creatorcontrib><creatorcontrib>Keet, Kerri</creatorcontrib><title>Anatomical analysis of the abdominal aorta in a South African sample: influence of age and sex</title><title>Surgical and radiologic anatomy (English ed.)</title><addtitle>Surg Radiol Anat</addtitle><addtitle>Surg Radiol Anat</addtitle><description>Purpose
The anatomy of the abdominal aorta (AA) varies with age and sex; however, limited studies exist from South Africa. Given the increased incidence of endovascular treatment of the AA, reference values are relevant for interventionalists for improving the safety of endovascular procedures. Therefore, the study aimed to determine the lengths, diameters and tortuosity of the AA and their association with age and sex in a South African sample.
Methods
After ethical approval, 97 computed tomography angiography (CTA) scans from an adult sample (54 male and 43 female), mean age 48.5 ± 17.2 years were analysed. The aortic length was measured from the origin of the coeliac trunk to the bifurcation point of the AA. The lumen diameters of the aorta were measured at three landmarks. Tortuosity of the AA was quantified with the tortuosity index and its prevalence was determined.
Results
The AA was longer in males and showed a significant weak positive correlation with age. The mean diameters of the AA were larger in males and had a significant strong positive correlation with age in both sexes (
p
< .001). There was a strong positive correlation between age and tortuosity in both sexes (
p
< .001). The prevalence of a tortuous c-shaped-curve phenotype was 8.2%, with a 7:1 male-to-female ratio.
Conclusion
The dimensions and tortuosity differed between sexes and varied significantly with age. These findings may contribute towards reference values in the South African setting, inform patient selection and complement decision-making of endovascular treatment strategies.</description><subject>Adult</subject><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anatomic Variation</subject><subject>Anatomy</subject><subject>Angiography</subject><subject>Aorta</subject><subject>Aorta, Abdominal - anatomy & histology</subject><subject>Aorta, Abdominal - diagnostic imaging</subject><subject>Cardiovascular system</subject><subject>Computed tomography</subject><subject>Computed Tomography Angiography</subject><subject>Coronary vessels</subject><subject>Decision making</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging</subject><subject>Male</subject><subject>Males</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Phenotypes</subject><subject>Radiology</subject><subject>Reference Values</subject><subject>Sex</subject><subject>Sex Factors</subject><subject>Sexes</subject><subject>South Africa</subject><subject>Surgery</subject><subject>Young Adult</subject><issn>1279-8517</issn><issn>0930-1038</issn><issn>1279-8517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9UUtv1DAQthCIloU_wAFZ4sIlMLbjdcwFrSoelSpxKFyxJrazmyqxFztB239fp1tK4cBpRvoe8_gIecngLQNQ7zIAV-sKeF2BkMCrwyNyyrjSVSOZevygPyHPcr4CAMlY85ScCF0LDkqfkh-bgFMce4sDxYDDde4zjR2ddp5i6woSFiSmCWkfKNLLOE87uulSkQSacdwP_n2BumH2wfpFi9uiDY5mf3hOnnQ4ZP_irq7I908fv519qS6-fj4_21xUVsj1VDHmNPIWJDIFHKxwDkE6W87SouHrWjimm7ZWrRRr3ggFWmjdOFSNFNbVYkU-HH33czt6Z32YEg5mn_oR07WJ2Ju_kdDvzDb-MoxJpVmxW5E3dw4p_px9nszYZ-uHAYOPczaifK4RkvNl2Ot_qFdxTuVPC0uAVrzRiyE_smyKOSff3W_DwCz5mWN-puRnbvMzhyJ69fCOe8nvwApBHAm5QGHr05_Z_7G9AZygpTo</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Mokoena, Pheladi</creator><creator>Lunn-Collier, Robyn</creator><creator>Witbooi, Lee-Roy</creator><creator>Baatjes, Karin</creator><creator>Keet, Kerri</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20241201</creationdate><title>Anatomical analysis of the abdominal aorta in a South African sample: influence of age and sex</title><author>Mokoena, Pheladi ; Lunn-Collier, Robyn ; Witbooi, Lee-Roy ; Baatjes, Karin ; Keet, Kerri</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-11d9a2b05a17020c3dda05dc0359382643d198b47b5362837093998da7853cd43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Age</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anatomic Variation</topic><topic>Anatomy</topic><topic>Angiography</topic><topic>Aorta</topic><topic>Aorta, Abdominal - anatomy & histology</topic><topic>Aorta, Abdominal - diagnostic imaging</topic><topic>Cardiovascular system</topic><topic>Computed tomography</topic><topic>Computed Tomography Angiography</topic><topic>Coronary vessels</topic><topic>Decision making</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging</topic><topic>Male</topic><topic>Males</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Phenotypes</topic><topic>Radiology</topic><topic>Reference Values</topic><topic>Sex</topic><topic>Sex Factors</topic><topic>Sexes</topic><topic>South Africa</topic><topic>Surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mokoena, Pheladi</creatorcontrib><creatorcontrib>Lunn-Collier, Robyn</creatorcontrib><creatorcontrib>Witbooi, Lee-Roy</creatorcontrib><creatorcontrib>Baatjes, Karin</creatorcontrib><creatorcontrib>Keet, Kerri</creatorcontrib><collection>Springer Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mokoena, Pheladi</au><au>Lunn-Collier, Robyn</au><au>Witbooi, Lee-Roy</au><au>Baatjes, Karin</au><au>Keet, Kerri</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anatomical analysis of the abdominal aorta in a South African sample: influence of age and sex</atitle><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle><stitle>Surg Radiol Anat</stitle><addtitle>Surg Radiol Anat</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>46</volume><issue>12</issue><spage>2049</spage><epage>2055</epage><pages>2049-2055</pages><issn>1279-8517</issn><issn>0930-1038</issn><eissn>1279-8517</eissn><abstract>Purpose
The anatomy of the abdominal aorta (AA) varies with age and sex; however, limited studies exist from South Africa. Given the increased incidence of endovascular treatment of the AA, reference values are relevant for interventionalists for improving the safety of endovascular procedures. Therefore, the study aimed to determine the lengths, diameters and tortuosity of the AA and their association with age and sex in a South African sample.
Methods
After ethical approval, 97 computed tomography angiography (CTA) scans from an adult sample (54 male and 43 female), mean age 48.5 ± 17.2 years were analysed. The aortic length was measured from the origin of the coeliac trunk to the bifurcation point of the AA. The lumen diameters of the aorta were measured at three landmarks. Tortuosity of the AA was quantified with the tortuosity index and its prevalence was determined.
Results
The AA was longer in males and showed a significant weak positive correlation with age. The mean diameters of the AA were larger in males and had a significant strong positive correlation with age in both sexes (
p
< .001). There was a strong positive correlation between age and tortuosity in both sexes (
p
< .001). The prevalence of a tortuous c-shaped-curve phenotype was 8.2%, with a 7:1 male-to-female ratio.
Conclusion
The dimensions and tortuosity differed between sexes and varied significantly with age. These findings may contribute towards reference values in the South African setting, inform patient selection and complement decision-making of endovascular treatment strategies.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>39432079</pmid><doi>10.1007/s00276-024-03502-x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Surgical and radiologic anatomy (English ed.), 2024-12, Vol.46 (12), p.2049-2055 |
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| subjects | Adult Age Age Factors Aged Aged, 80 and over Anatomic Variation Anatomy Angiography Aorta Aorta, Abdominal - anatomy & histology Aorta, Abdominal - diagnostic imaging Cardiovascular system Computed tomography Computed Tomography Angiography Coronary vessels Decision making Female Humans Imaging Male Males Medicine Medicine & Public Health Middle Aged Original Original Article Orthopedics Phenotypes Radiology Reference Values Sex Sex Factors Sexes South Africa Surgery Young Adult |
| title | Anatomical analysis of the abdominal aorta in a South African sample: influence of age and sex |
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