Abstract
Purpose and background
Detailed knowledge of the thyroid ima artery is essential for surgeons consequently we conducted an analysis investigating the arterial vasculature of the thyroid gland in 290 cases by dissection of formalin-fixed cadavers and by studying computed tomography angiographies.
Methods
Our study was conducted on 82 cases obtained from the dissection of formalin-fixed cadavers while 208 cases were computed tomography angiographies. The following aspects were observed: the frequency of the thyroid ima artery, its origin, course, and diameter. All were studied, comparing right to left and according to sex.
Results
Following the study of thyroid gland vasculature on a number of 290 cases, the thyroid ima artery was discovered in 16 cases (5.52% of cases), from which 3.45% of cases were in male subjects, and 2.07% of cases in female subjects. Of these, 4.14% of the total cases were left thyroid ima artery, and 1.38% of cases were on the right, found only in female subjects. In 5.17% of the total cases, the thyroid ima artery originated from the aortic arch, of which 3.45% were in the male sex and 1.72% were in the female sex. In one case only (0.35%) in the female sex did the thyroid ima artery originate from the brachiocephalic trunk. In 2.76% of cases, the thyroid ima artery existed with a left-sided inferior thyroid artery originating from the subclavian artery, either directly or from a thyrocervical trunk.
Conclusions
The thyroid ima artery has proven to be one of the highly variable arteries in terms of its presence and origin and the knowledge surrounding it is useful for surgical interventions.
Similar content being viewed by others
Data availability
The data presented in this study are available upon reasonable request to the corresponding author.
References
Adachi B (1928) Das Arteriensystem der Japaner. In: Adachi B (ed) Anatomie der Japaner I. Kenkyusha, Tokyo, pp 138–174
Bergman RA, Thompson SA, Afifi AK, Saadeh FA (1988) Compendium of human anatomic variation. Urban & Schwarzenberg, Baltimore Munich, pp 64–71
Branca JJV, Lascialfari Bruschi A, Pilia AM, Carrino D, Guarnieri G, Gulisano M, Pacini A, Paternostro F (2022) The thyroid gland: a revision study on its vascularization and surgical implications. Medicina 58:137–140. https://doi.org/10.3390/medicina58010137
Cochard RL (2002) Artѐres des arcs aortiques. In: Masson (ed) Atlas d'embryologie humaine de Netter. Paris, pp 88–89
Dover K, Howdieshell TR, Colborn GL (1996) The dimensions and vascular anatomy of the cricothyroid membrane: relevance to emergent surgical airway access. Clin Anat 9(5):291–295. https://doi.org/10.1002/(SICI)1098-2353(1996)9:5%3c291::AID-CA1%3e3.0.CO;2-G
Esen K, Ozgur A, Balci Y, Tok S, Kara E (2018) Variations in the origins of the thyroid arteries on CT angiography. Jpn J Radiol 36(2):96–102. https://doi.org/10.1007/s11604-017-0710-3
Faller A, Scharer O (1947) Über die Variabilität der Arteriae thyroideae. Acta Anat 4:119–122
Gruber W (1872) Über die Arteria thyroidea ima. Virchow’s Archiv Abteilung A 54:445–484
Henle J (1868) Handbuch der Gefäßlehre des Menschen. Vieweg, Braunschweig, pp 247–256
Hollinshead WH (1982) Anatomy for surgeons. The head and neck, vol 1, 3rd edn. Harper & Row, Philadelphia, pp 505–507
Kamparoudi P, Paliouras D et al (2016) Percutaneous tracheostomy—beware of the thyroidea-ima artery. Ann Transl Med 4:449. https://doi.org/10.21037/atm.2016.11.04
Krudy AG, Doppman JL, Brennan MF (1980) The significance of the thyroidea ima artery in arteriographic localization of parathyroid adenomas. Radiology 136(1):51–55. https://doi.org/10.1148/radiology.136.1.7384523
Langman J, Sadler T-WW (1995) Développement des vaisseaux. Artѐres. In: Pradel (ed) Embryologie médicale. Paris, pp 227–234
Lippert H, Pabst R (1985) Arterial variations in man. In: JF Műnchen Verlag, pp 78–81
Lovasova K, Kachlik D, Santa M, Kluchova D (2017) Unilateral occurrence of five different thyroid arteries—a need of terminological systematization: a case report. Surg Radiol Anat 39(8):925–929. https://doi.org/10.1007/s00276-016-1793-8
Mada S, Hisatomi K, Kawahara K, Matsuo T (1955) Über die A. thyreoidea ima des Japaners in Kyushu. J Kurume Med Assoc 18:1128–1132
Moriggl B, Sturm W (1996) Absence of three regular thyroid arteries replaced by an unusual lowest thyroid artery (A. thyroidea ima): a case report. Surg Radiol Anat 18:147–150. https://doi.org/10.1007/BF01795238
Natsis K, Piagkou M, Lazaridis N, Kalamatianos T, Chytas D, Manatakis D, Anastasopoulos N, Loukas M (2021) A systematic classification of the left-sided aortic arch variants based on cadaveric studies’ prevalence. Surg Radiol Anat 43(3):327–345. https://doi.org/10.1007/s00276-020-02625-1
Natsis KI, Tsitouridis IA, Didagelos MV, Fillipidis AA, Vlasis KG, Tsikaras PD (2009) Anatomical variations in the branches of the human aortic arch in 633 angiographies: clinical significance and literature review. Surg Radiol Anat 31:319–323. https://doi.org/10.1007/s00276-008-0442-2
Pratt GW (1916) The thyroidea ima artery. J Anat 50:239–242
Romanes GJ (2000) Cunningham’s manual of practical anatomy head and neck and brain, 15th edn. Oxford University Press, Oxford, pp 64–75
Singh R (2022) Study of thyroidea ima artery: narrative review of its prevalence and clinical significance. Basic Sci Med 11(1):1–4. https://doi.org/10.5923/j.medicine.20221101.01
Thomson A (1893) Third Annual report of committee of collective investigation of anatomical society of great Britain and Ireland for the year 1891–92. J Anat Physiol 27:183–194
Toh H, Kodama J, Ohomori T (1992) The anatomical consideration of the thyroidea ima artery. J Fukuoka Dent Coll 18:448–451
Toni R, Della Casa C, Mosca S, Malaguti A, Castorina S, Roti E (2003) Anthropological variations in the anatomy of the human thyroid arteries. Thyroid 13(2):183–192. https://doi.org/10.1089/105072503321319495
Tsegay AT, Tesfamichael B, Fasika A, Hintsanesh H (2019) Variations on arterial supply of thyroid gland and its clinical significance in selected universities of north Ethiopia. Int J Anat Res 7:6830–6834. https://doi.org/10.16965/ijar.2019.237
Yilmaz E, Celik HH, Durgun B, Atasever A, Ilgi S (1993) Arteria thyroidea ima arising from the brachiocephalic trunk with bilateral absence of inferior thyroid arteries: a case report. Surg Radiol Anat 15:197–199. https://doi.org/10.1007/BF01627705
Yohannan DG, Rajan R, Chandran AB, Krishnapillai R (2019) An unusual origin and course of the thyroidea ima artery, with absence of inferior thyroid artery bilaterally. Surg Radiol Anat 41(2):235–237. https://doi.org/10.1007/S00276-018-2122-1
Yurasakpong L, Nantasenamat C, Janta S, Eiamratchane P, Coey J, Chaiyamoon A, Kruepunga N, Senarai T, Langer MF, Meemon K, Suwannakhan A (2022) The decreasing prevalence of the thyroid ima artery: a systematic review and machine learning assisted meta-analysis. Ann Anat 239:151803. https://doi.org/10.1016/J.AANAT.2021.151803
Funding
None.
Author information
Authors and Affiliations
Contributions
M-CB, PB: Protocol/project development; M-CB, I-CB, PB: Data collection or management; M-CB, TS, L-MR, PB: Data analysis; M-CB: Manuscript writing/editing; All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of interest
None.
Ethical approval
The study has the accord of the local Ethics Commission (34490 / 08.08.2019) within the institution of "Sf. Apostol Andrei" Clinical County Emergency Hospital from Constanța and respects the principles of the General Regulation on Personal Data Protection (EU) 679/2016. The research was conducted in accordance with the Helsinki Declaration and in compliance with all relevant national regulations regarding patient studies. Also, informed consent was obtained from the patients.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Bunea, M.C., Rusali, L.M., Tudorache, S.I. et al. Considerations on the morphology of the thyroid ima artery. Surg Radiol Anat 46, 91–99 (2024). https://doi.org/10.1007/s00276-023-03268-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00276-023-03268-8