Anatomic comparison of veins of Labbé between autopsy, digital subtraction angiography and computed tomographic venography
Abstract Objective The drainage portion of the vein of Labbé varies, and it is difficult to predict whether the operation is likely to damage this vein. The aim of this study was to correlate the microanatomy of the vein of Labbé with digital subtraction angiography (DSA) and computed tomographic ve...
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doaj-dcc926fb4d8d4e01a4da2b2e25964b8f2020-11-24T21:28:55ZengBMCBioMedical Engineering OnLine1475-925X2017-06-0116111110.1186/s12938-017-0374-3Anatomic comparison of veins of Labbé between autopsy, digital subtraction angiography and computed tomographic venographyQiong Fang0Anhong Jiang1Wei Tao2Lin Xin3Department of Anatomy, Anhui Medical CollegeDepartment of Radiology, The Second Affiliated Hospital of Anhui Medical UniversityDepartment of Anatomy, School of Medicine, Anhui University of Science & TechnologyDepartment of Cardiology, Guangzhou General Hospital of Guangzhou Military Region, PLAAbstract Objective The drainage portion of the vein of Labbé varies, and it is difficult to predict whether the operation is likely to damage this vein. The aim of this study was to correlate the microanatomy of the vein of Labbé with digital subtraction angiography (DSA) and computed tomographic venography (CTV), in order to provide a basis for the preservation of the vein of Labbé during a supratentorial surgical approach. Methods A total of 30 human cadavers (60 sides) and 61 living patients (110 sides) were examined in this study. Each cadaver head was injected with blue latex via the superior sagittal sinus and the internal jugular veins. The venograms of each patient were obtained from the venous phases of DSA (60 sides for 36 patients) or CTV (50 sides for 25 patients). Results The patients were divided into four subgroups based on the location where a vein entered the dural sinus: the transverse sinus group, the tentorial group, the petrosal group, and the upper-transverse sinus group. The veins of Labbé in transverse sinus group and petrosal group directly entered dural sinus. The veins of Labbé in tentorial group and upper-transverse sinus group indirectly entered transverse sinus via the tentorium sinus or the upper-transverse sinus. These sinuses were meningeal veins running through two layers of the cerebral dura mater. The length of meningeal veins in these groups was 10.0 ± 7.2 mm. The veins of Labbé were mainly localized around the STP junction, which was the confluence of sigmoid sinus, transverse sinus, and superior petrosal sinus. The distance between the dural entrance of veins and the STP junction was 16.8 ± 10.2 mm. There was no significant difference in the results of the DSA and CTV examinations when compared to the observations in cadavers. Conclusions Preoperative venograms are useful to design an individualized surgical approach for the preservation of the vein of Labbé. In general, the supratentorial median approach has the least chance to damage this vein. However, when preoperative venograms show that the vein of Labbé is too close to the confluence of sinuses or the meningeal veins are too long, an alternative approach should be chosen.http://link.springer.com/article/10.1186/s12938-017-0374-3Veins of LabbéSupratentorial approachMicroanatomyDigital subtraction angiographyComputed tomographic venography |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Qiong Fang Anhong Jiang Wei Tao Lin Xin |
spellingShingle |
Qiong Fang Anhong Jiang Wei Tao Lin Xin Anatomic comparison of veins of Labbé between autopsy, digital subtraction angiography and computed tomographic venography BioMedical Engineering OnLine Veins of Labbé Supratentorial approach Microanatomy Digital subtraction angiography Computed tomographic venography |
author_facet |
Qiong Fang Anhong Jiang Wei Tao Lin Xin |
author_sort |
Qiong Fang |
title |
Anatomic comparison of veins of Labbé between autopsy, digital subtraction angiography and computed tomographic venography |
title_short |
Anatomic comparison of veins of Labbé between autopsy, digital subtraction angiography and computed tomographic venography |
title_full |
Anatomic comparison of veins of Labbé between autopsy, digital subtraction angiography and computed tomographic venography |
title_fullStr |
Anatomic comparison of veins of Labbé between autopsy, digital subtraction angiography and computed tomographic venography |
title_full_unstemmed |
Anatomic comparison of veins of Labbé between autopsy, digital subtraction angiography and computed tomographic venography |
title_sort |
anatomic comparison of veins of labbé between autopsy, digital subtraction angiography and computed tomographic venography |
publisher |
BMC |
series |
BioMedical Engineering OnLine |
issn |
1475-925X |
publishDate |
2017-06-01 |
description |
Abstract Objective The drainage portion of the vein of Labbé varies, and it is difficult to predict whether the operation is likely to damage this vein. The aim of this study was to correlate the microanatomy of the vein of Labbé with digital subtraction angiography (DSA) and computed tomographic venography (CTV), in order to provide a basis for the preservation of the vein of Labbé during a supratentorial surgical approach. Methods A total of 30 human cadavers (60 sides) and 61 living patients (110 sides) were examined in this study. Each cadaver head was injected with blue latex via the superior sagittal sinus and the internal jugular veins. The venograms of each patient were obtained from the venous phases of DSA (60 sides for 36 patients) or CTV (50 sides for 25 patients). Results The patients were divided into four subgroups based on the location where a vein entered the dural sinus: the transverse sinus group, the tentorial group, the petrosal group, and the upper-transverse sinus group. The veins of Labbé in transverse sinus group and petrosal group directly entered dural sinus. The veins of Labbé in tentorial group and upper-transverse sinus group indirectly entered transverse sinus via the tentorium sinus or the upper-transverse sinus. These sinuses were meningeal veins running through two layers of the cerebral dura mater. The length of meningeal veins in these groups was 10.0 ± 7.2 mm. The veins of Labbé were mainly localized around the STP junction, which was the confluence of sigmoid sinus, transverse sinus, and superior petrosal sinus. The distance between the dural entrance of veins and the STP junction was 16.8 ± 10.2 mm. There was no significant difference in the results of the DSA and CTV examinations when compared to the observations in cadavers. Conclusions Preoperative venograms are useful to design an individualized surgical approach for the preservation of the vein of Labbé. In general, the supratentorial median approach has the least chance to damage this vein. However, when preoperative venograms show that the vein of Labbé is too close to the confluence of sinuses or the meningeal veins are too long, an alternative approach should be chosen. |
topic |
Veins of Labbé Supratentorial approach Microanatomy Digital subtraction angiography Computed tomographic venography |
url |
http://link.springer.com/article/10.1186/s12938-017-0374-3 |
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