Evidence map›Paper›PMID 38847826›Full record

ReviewSurgical and radiologic anatomy : SRA2024

The vertical topography of the carotid bifurcation - original study and review.

Mihaela Daniela Manta, Mugurel Constantin Rusu, Sorin Hostiuc, Răzvan Costin Tudose, Bogdan Adrian Manta, Adelina Maria Jianu

Abstract readReview
In one paragraph

Review in Surgical and radiologic anatomy : SRA, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
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  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Double ascending pharyngeal artery: the first evidence.Anatomical science international · 2025
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  11. Review
  12. Article
  13. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mihaela Daniela MantaDepartment of Anatomy and Embryology, Faculty of Medicine, "Victor Babeş" University of Medicine and Pharmacy, Timișoara, 300041, Romania.
Mugurel Constantin RusuDivision of Anatomy, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, 8 Eroilor Sanitari Blvd, Bucharest, RO-050474, Romania. mugurel.rusu@umfcd.ro.
Sorin HostiucDivision of Legal Medicine and Bioethics, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, Bucharest, 050474, Romania.
Răzvan Costin TudoseDivision of Anatomy, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, 8 Eroilor Sanitari Blvd, Bucharest, RO-050474, Romania.
Bogdan Adrian MantaDivision of Clinical Practical Skills, Faculty of Medicine, "Victor Babeş" University of Medicine and Pharmacy, Timișoara, 300041, Romania.
Adelina Maria JianuDepartment of Anatomy and Embryology, Faculty of Medicine, "Victor Babeş" University of Medicine and Pharmacy, Timișoara, 300041, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe vertical level of carotid bifurcation (CB) is commonly indicated at the superior margin of the thyroid cartilage. Few studies observed the CB vertical topography. It was aimed at studying the vertical location of the CB as referred to vertebral and anterior cervical landmarks.

methodsAn archived lot of 147 computed tomography angiograms was documented for the vertical level of CB referred to vertebral and anterior cervical landmarks. The topography of the CB in relation to anterior landmarks was classified into seven types: (1) at the superior margin of the thyroid cartilage; (2) between the hyoid and the thyroid cartilage; (3) at the hyoid level; (4) between the hyoid and mandible; (5) subgonial or supragonial CB; (6) lower cervical level; (7) intrathoracic.

resultsThe most common locations of CB were at C3 (27.21%), C3/C4 (26.19%) and C4 (25.51%). Bilateral symmetry of CB was found in 51.7%, except for C2 and C5/C6. Type 7 was not found, type 3 occurred in 39.12%, type 2 in 24.49%, type 1 in 13.95%, type 4 in 13.61%, type 5 in 6.12%, and type 6 in 2.72% (294 CBs). Bilateral symmetry of anterior types was found in 59.86%. Statistically significant correlations were found between sex and both left and right types and vertebral levels of CB.

conclusionsThe vertical topography of the CB is highly variable and has sex-related specificity. This detail should be included in the teaching of anatomy. Surgeons and interventionists should better document the carotid anatomy on a case-by-case basis.

Indexed as

Anatomic VariationComputed Tomography AngiographyAdultAgedAnatomic LandmarksCarotid ArteriesCervical VertebraeFemaleHumansMaleMiddle AgedThyroid CartilageAnatomyCarotid arteryComputed tomographyHyoid boneThyroid cartilage of larynx

Identifiers

PMID38847826
PMCPMC11246274

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.