Arterial anatomy of the anterior abdominal wall: ultrasound evaluation as a real-time guide to percutaneous instrumentation

Le Saint-Grant, A., Taylor, A., Varsou, O. , Grant, C., Cezayirli, E. and Bowness, J. (2021) Arterial anatomy of the anterior abdominal wall: ultrasound evaluation as a real-time guide to percutaneous instrumentation. Clinical Anatomy, 34(1), pp. 5-10. (doi: 10.1002/ca.23578) (PMID:32020693)

Abstract

Introduction: Instrumenting the anterior abdominal wall carries a potential for vascular trauma. We previously assessed the presence, position, and size of the anterior abdominal wall superior and inferior (deep) epigastric arteries with computed tomography (CT). We now present a study using ultrasound (US) assessment of these arteries, to evaluate its use for real time guidance of percutaneous procedures involving the rectus sheath. Materials and Methods: Twenty‐four participants (mean age 67.9 ± 9 years, 15 M:9 F [62:38%]) were assessed with US at three axial planes on the anterior abdominal wall: transpyloric plane (TPP), umbilicus, and anterior superior iliac spine (ASIS). Results: An artery was visible least frequently at the TPP (62.5 – 45.8%), compared with the umbilicus (95.8–100%) and ASIS (100%), on the left, χ2(2) = 20.571; p < .001, and right, χ2(2) = 27.842; p < .001, with a moderate strength association (Cramer's V = 0.535 [left] and 0.622 [right]). Arteries were most commonly observed within the rectus abdominis muscle at the level of the TPP and umbilicus, but posterior to the muscle at the level of the ASIS (95.8–100%). As with the CT study, the inferior epigastric artery was observed to be larger in diameter, start more laterally, and move medially as it coursed superiorly. Conclusions: These data corroborate our previous results and suggest that the safest level to instrument the rectus sheath (with respect to vascular anatomy) is at the TPP. Such information may be particularly relevant to anesthetists performing rectus sheath block and surgeons during laparoscopic port insertion.

• Item Type: Articles
• Additional Information: Funding information: University of St Andrews.
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Varsou, Dr Ourania
• Authors: Le Saint-Grant, A., Taylor, A., Varsou, O., Grant, C., Cezayirli, E., and Bowness, J.
• College/School: College of Medical Veterinary and Life Sciences > School of Life Sciences
• Journal Name: Clinical Anatomy
• Publisher: Wiley
• ISSN: 0897-3806
• ISSN (Online): 1098-2353
• Published Online: 04 February 2020
• Copyright Holders: Copyright © 2020 The Authors
• First Published: First published in Clinical Anatomy 34(1): 5-10
• Publisher Policy: Reproduced under a Creative Commons License