頭頸部癌の超選択的動注化学療法に有用な外頸動脈分枝の分岐様式の検討
頭頸部血管造影所見を基に頭頸部癌の超選択的動注化学療法に於いて有用と考えられる外頸動脈の分岐様式を解析した．過去 9 年間に当院で施行された頭頸部血管造影所見を基に外頸動脈 5 分枝の検討を行った．上甲状腺動脈，舌動脈，顔面動脈，上行咽頭動脈では，外頸動脈からの単独分岐が最も多く，共通幹の割合は過去の報告よりも多かった．上甲状腺動脈の検討では，角度が緩やかに下方へ，向きは前方への分岐が多くみられた．後頭動脈は，顔面動脈と舌動脈の間からの分岐が多く，共通幹を軸にした分類では舌動脈と顔面動脈共通幹の頭側での分岐が多くみられた．今回我々の検討した血管解剖の解析結果は，頭頸部癌の動注療法に於ける効果的...
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| Published in | 日大医学雑誌 Vol. 69; no. 1; pp. 49 - 57 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本大学医学会
01.02.2010
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0029-0424 1884-0779 |
| DOI | 10.4264/numa.69.49 |
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| Abstract | 頭頸部血管造影所見を基に頭頸部癌の超選択的動注化学療法に於いて有用と考えられる外頸動脈の分岐様式を解析した．過去 9 年間に当院で施行された頭頸部血管造影所見を基に外頸動脈 5 分枝の検討を行った．上甲状腺動脈，舌動脈，顔面動脈，上行咽頭動脈では，外頸動脈からの単独分岐が最も多く，共通幹の割合は過去の報告よりも多かった．上甲状腺動脈の検討では，角度が緩やかに下方へ，向きは前方への分岐が多くみられた．後頭動脈は，顔面動脈と舌動脈の間からの分岐が多く，共通幹を軸にした分類では舌動脈と顔面動脈共通幹の頭側での分岐が多くみられた．今回我々の検討した血管解剖の解析結果は，頭頸部癌の動注療法に於ける効果的な治療と合併症の回避に有用である． |
|---|---|
| AbstractList | 頭頸部血管造影所見を基に頭頸部癌の超選択的動注化学療法に於いて有用と考えられる外頸動脈の分岐様式を解析した．過去 9 年間に当院で施行された頭頸部血管造影所見を基に外頸動脈 5 分枝の検討を行った．上甲状腺動脈，舌動脈，顔面動脈，上行咽頭動脈では，外頸動脈からの単独分岐が最も多く，共通幹の割合は過去の報告よりも多かった．上甲状腺動脈の検討では，角度が緩やかに下方へ，向きは前方への分岐が多くみられた．後頭動脈は，顔面動脈と舌動脈の間からの分岐が多く，共通幹を軸にした分類では舌動脈と顔面動脈共通幹の頭側での分岐が多くみられた．今回我々の検討した血管解剖の解析結果は，頭頸部癌の動注療法に於ける効果的な治療と合併症の回避に有用である． |
| Author | 高橋, 元一郎 田中, 宏 島田, 貴史 雫石, 崇 古橋, 哲 吉信, 尚 石橋, 直也 福島, 祥子 |
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| References | 28) Boll DT, Merkle EM, Paulson EK, et al. Calcified vascular plaque specimens: assessment with cardiac dual-energy multidetector CT in anthropomorphically moving heart phantom. Radiology 2008; 249 (1): 119-126. 30) 不破信和．頭頸部癌の動注化学療法：頭頸部癌に対する動注療法について―愛知がんセンターでの経験を中心 に―．日本 IVR 会誌，2009; 24 (1): 37-41. 14) Lang J, E Heilek. Anatomo-clinical findings on the ascending pharyngeal artery. Anat Anz 1984; 156 (3): 177-207. 10) Zumre O, Salbacak A, Cicekcibasi AE, et al. Investigation of the bifurcation level of the common carotid artery and variations of the branches of the external carotid artery in human fetuses. Ann Anat 2005; 187 (4): 361-369. 27) Tan O, Kantarci M, Parmaksizoglu D. Determination of the recipient vessels in the head and neck using multislice spiral computed tomography angiography before free flap surgery: a preliminary study. J Craniofac Surg 2007; 18 (6): 1284-1289. 7) Shima H, von Luedinghausen M, Ohno K, et al. Anatomy of microvascular anastomosis in the neck. Plast Reconstr Surg 1998; 101 (1): 33-41. 29) Kakeda S. Korogi Y, Miyaguni Y. A cone-beam volume CT using a 3D angiography system with a flat panel detector of direct conversion type: usefulness for superselective intra-arterial chemotherapy for head and neck tumors. AJNR Am J Neuroradiol 2007; 28 (9): 1783-1788. 4) Lanz TV, Wachsmuth W. A carotis externa. Praktische Anatomie Hals 1955; 150-158. 21) Hasegawa H, Kano M, Sato E. Surgical method for catheter placement via the occipital artery by an approach from the posterior of the mastoid process. Int J Oral Maxillofac Surg 2008; 37 (1): 82-85. 8) Hayashi N, Hori E, Ohtani Y, et al. Surgical anatomy of the cervical carotid artery for carotid endarterectomy. Neurol Med Chir (Tokyo). 2005; 45 (1): 25-30. 20) Banna M, Lasjaunias P. The arteries of the lingual thyroid: angiographic findings and anatomic variations. AJNR Am J Neuroradiol 1990; 11 (4): 730-732. 25) 松本 恒．頭頸部癌の動注化学療法：動注化学療法の原理と基本手技．日本 IVR 会誌，2009; 24 (1): 11-15. 9) Ozgur Z, Govsa F, Celik S, et al. Clinically relevant variations of the superior thyroid artery: an anatomic guide for surgical neck dissection. Surg Radiol Anat 2009; 31 (3): 151-159. 13) Midy D, Mauruc B, Vergnes P, et al. A contribution to the study of the facial artery, its branches and anastomoses. application to the anatomic vascular bases of facial flaps. Surg Radiol Anat 1986; 8 (2): 99-107. 22) Newton TH, Young DA. Anomalous origin of the occipital artery from the internal carotid artery. Radiology 1968; 90 (3): 550-552. 3) Adachi, B. A. carotis externa. Das Arteriensystem der Japaner. Bd 1928; 1: 58-96. 1) 中里龍彦．頭頸部癌の動注化学療法：頭頸部の領域別血管解剖．日本 IVR 会誌，2009; 24 (1): 5-10. 6) Lippert H, Pabst R. External carotid artery. Arterial variations in man: classification and frequency 1985; 6: 83-85. 11) Lohan DG, Barkhordarian F, Saleh R, et al. MR angiography at 3 T for assessment of the external carotid artery system. AJR Am J Roentgenol 2007; 189 (5): 1088-1094. 16) Newton TH, Kramer RA. Clinical used of selective external carotid arteriography. Am J Roentgenol Radium Ther Nucl Med 1966; 97 (2): 458-472. 19) Toni R, Della CC, Castorina S, et al. A meta-analysis of superior thyroid artery variations in different human groups and their clinical implications. Ann Anat 2004; 186 (3): 255-262. 24) 藤内 祝．頭頸部癌に対する動注化学療法．癌と化学療法社，2005; 32 (13): 2024-2029. 17) Pribram HF. Selective catheterization of the external carotid artery. Radiology 1966; 87 (2): 315-320. 18) Gray H. Carotid system of arteries. Gray′s anatomy 38th ed 1995; 1513-1523. 12) 寺山 昇，松井 修，眞田純一郎．CT angiography を用いた上甲状腺動脈，上喉頭動脈の検討．臨床解剖研究会記録：金沢大学．2007; 7: 10-11. 23) Chitra R. Trifurcation of the right common carotid artery. Indian J Plast Surg 2008; 41 (1): 85-88. 15) Salamon G, Faure J, Rayband C, et al. Normal external carotid artery. Radiology of the skull and brain: Angiography 1974; 2: 1246-1274. 26) Gailloud P, Khan HG, Khaw N, et al. The supraisthmic anastomotic arch: a potential pitfall in Doppler sonography of the thyroid gland. AJR Am J Roentgenol 1998; 170 (2): 497-498. 2) Lasjaunias P, Berenstein A, Functional anatomy of craniofacial arteries. Surgical Neuroangiography 1987; 1: 239-282. 5) Poisel S, Golth D. Variability of large arteries in the carotid trigone. Wien Med Wochenschr 1974; 124 (15): 229-232. |
| References_xml | – reference: 29) Kakeda S. Korogi Y, Miyaguni Y. A cone-beam volume CT using a 3D angiography system with a flat panel detector of direct conversion type: usefulness for superselective intra-arterial chemotherapy for head and neck tumors. AJNR Am J Neuroradiol 2007; 28 (9): 1783-1788. – reference: 2) Lasjaunias P, Berenstein A, Functional anatomy of craniofacial arteries. Surgical Neuroangiography 1987; 1: 239-282. – reference: 13) Midy D, Mauruc B, Vergnes P, et al. A contribution to the study of the facial artery, its branches and anastomoses. application to the anatomic vascular bases of facial flaps. Surg Radiol Anat 1986; 8 (2): 99-107. – reference: 23) Chitra R. Trifurcation of the right common carotid artery. Indian J Plast Surg 2008; 41 (1): 85-88. – reference: 12) 寺山 昇，松井 修，眞田純一郎．CT angiography を用いた上甲状腺動脈，上喉頭動脈の検討．臨床解剖研究会記録：金沢大学．2007; 7: 10-11. – reference: 15) Salamon G, Faure J, Rayband C, et al. Normal external carotid artery. Radiology of the skull and brain: Angiography 1974; 2: 1246-1274. – reference: 4) Lanz TV, Wachsmuth W. A carotis externa. Praktische Anatomie Hals 1955; 150-158. – reference: 30) 不破信和．頭頸部癌の動注化学療法：頭頸部癌に対する動注療法について―愛知がんセンターでの経験を中心 に―．日本 IVR 会誌，2009; 24 (1): 37-41. – reference: 16) Newton TH, Kramer RA. Clinical used of selective external carotid arteriography. Am J Roentgenol Radium Ther Nucl Med 1966; 97 (2): 458-472. – reference: 6) Lippert H, Pabst R. External carotid artery. Arterial variations in man: classification and frequency 1985; 6: 83-85. – reference: 9) Ozgur Z, Govsa F, Celik S, et al. Clinically relevant variations of the superior thyroid artery: an anatomic guide for surgical neck dissection. Surg Radiol Anat 2009; 31 (3): 151-159. – reference: 14) Lang J, E Heilek. Anatomo-clinical findings on the ascending pharyngeal artery. Anat Anz 1984; 156 (3): 177-207. – reference: 28) Boll DT, Merkle EM, Paulson EK, et al. Calcified vascular plaque specimens: assessment with cardiac dual-energy multidetector CT in anthropomorphically moving heart phantom. Radiology 2008; 249 (1): 119-126. – reference: 10) Zumre O, Salbacak A, Cicekcibasi AE, et al. Investigation of the bifurcation level of the common carotid artery and variations of the branches of the external carotid artery in human fetuses. Ann Anat 2005; 187 (4): 361-369. – reference: 24) 藤内 祝．頭頸部癌に対する動注化学療法．癌と化学療法社，2005; 32 (13): 2024-2029. – reference: 7) Shima H, von Luedinghausen M, Ohno K, et al. Anatomy of microvascular anastomosis in the neck. Plast Reconstr Surg 1998; 101 (1): 33-41. – reference: 20) Banna M, Lasjaunias P. The arteries of the lingual thyroid: angiographic findings and anatomic variations. AJNR Am J Neuroradiol 1990; 11 (4): 730-732. – reference: 27) Tan O, Kantarci M, Parmaksizoglu D. Determination of the recipient vessels in the head and neck using multislice spiral computed tomography angiography before free flap surgery: a preliminary study. J Craniofac Surg 2007; 18 (6): 1284-1289. – reference: 19) Toni R, Della CC, Castorina S, et al. A meta-analysis of superior thyroid artery variations in different human groups and their clinical implications. Ann Anat 2004; 186 (3): 255-262. – reference: 26) Gailloud P, Khan HG, Khaw N, et al. The supraisthmic anastomotic arch: a potential pitfall in Doppler sonography of the thyroid gland. AJR Am J Roentgenol 1998; 170 (2): 497-498. – reference: 17) Pribram HF. Selective catheterization of the external carotid artery. Radiology 1966; 87 (2): 315-320. – reference: 3) Adachi, B. A. carotis externa. Das Arteriensystem der Japaner. Bd 1928; 1: 58-96. – reference: 11) Lohan DG, Barkhordarian F, Saleh R, et al. MR angiography at 3 T for assessment of the external carotid artery system. AJR Am J Roentgenol 2007; 189 (5): 1088-1094. – reference: 22) Newton TH, Young DA. Anomalous origin of the occipital artery from the internal carotid artery. Radiology 1968; 90 (3): 550-552. – reference: 18) Gray H. Carotid system of arteries. Gray′s anatomy 38th ed 1995; 1513-1523. – reference: 25) 松本 恒．頭頸部癌の動注化学療法：動注化学療法の原理と基本手技．日本 IVR 会誌，2009; 24 (1): 11-15. – reference: 1) 中里龍彦．頭頸部癌の動注化学療法：頭頸部の領域別血管解剖．日本 IVR 会誌，2009; 24 (1): 5-10. – reference: 21) Hasegawa H, Kano M, Sato E. Surgical method for catheter placement via the occipital artery by an approach from the posterior of the mastoid process. Int J Oral Maxillofac Surg 2008; 37 (1): 82-85. – reference: 5) Poisel S, Golth D. Variability of large arteries in the carotid trigone. Wien Med Wochenschr 1974; 124 (15): 229-232. – reference: 8) Hayashi N, Hori E, Ohtani Y, et al. Surgical anatomy of the cervical carotid artery for carotid endarterectomy. Neurol Med Chir (Tokyo). 2005; 45 (1): 25-30. |
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| Title | 頭頸部癌の超選択的動注化学療法に有用な外頸動脈分枝の分岐様式の検討 |
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