The prevalence of thyroid ima artery and its clinical significance
Keywords:Thyroid ima artery, Thyroid, Thyroidectomy, Tracheostomy, Hemorrhage
Background: The thyroid ima artery (TIA) is an anatomical anomaly that commonly functions as an accessory blood supply for the isthmus and inferior aspect of the thyroid. Limited research has been performed to investigate the relative prevalence and clinical implications of the TIA in present literature.
Methods: Dissections were conducted on cadavers in the anatomy laboratory at Touro College of Osteopathic Medicine, New York (Harlem Campus), with 94 subjects examined using standard methods to identify thyroid vasculature and to determine the presence of a thyroid ima artery. Known origins of the thyroid ima artery were also examined for possible branching.
Results: Of the 94 cadavers, only one was found to have a thyroid ima artery present, suggesting a prevalence of 1.06 percent.
Conclusions: The thyroid ima artery is significant in its influence in head and neck procedures as well as emergent airway creation. With its relative rarity, its presence is worthy of consideration as a possible hematological source for hemorrhage.
Wolpert SM. The thyroidea ima artery: an unusual collateral vessel. Radiology. 1969;92(2):333-4
Neubauer J. De arteria thyreoidea ima rariare arteriae innominate ramo. 1786: 291-96.
Moriggl B, Sturm W. Absence of three regular thyroid arteries replaced by an unusual lowest thyroid artery (A. thyroidea ima): a case report. Surg Radiol Anat. 1996;18(2):147-50.
Lovasova K, Kachlik D, Santa M, Kluchova D. Unilateral occurrence of five different thyroid arteries-a need of terminological systematization: a case report. Surg Radiol Anat. 2017;39(8):925-29.
Toni R, Della Casa C, Mosca S, Malaguti A, Castorina S, Roti E. Anthropological variations in the anatomy of the human thyroid arteries. Thyroid. 2003;13(2):183-92.
Ullah SN, Nizami SM, Anjum, I. Incidence of Thyroid Ima Artery. Medical Forum Monthly. 2013;24(1):17-20.
Esen K, Ozgur A, Balci Y, Tok S, Kara E. Variations in the origins of the thyroid arteries on CT angiography. Jpn J Radiol. 2018;36(2):96-102.
Zhang YY, Liu YH, Wu KL, Wu J, Zhao Y, Yao CY, et al. The clinical anatomy of the inferior thyroid arteries and veins and the safety of the modified tracheotomy. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017;31(23):1815-18.
Krausen AS. The inferior thyroid veins--the ultimate guardians of the trachea. Laryngoscope. 1976;86(12):1849-55.
Dover K, Howdieshell TR, Colborn GL. The dimensions and vascular anatomy of the cricothyroid membrane: relevance to emergent surgical airway access. Clin Anat. 1996;9(5):291-5.
Yilmaz E, Celik HH, Durgun B, Atasever A, Ilgi S. Arteria thyroidea ima arising from the brachiocephalic trunk with bilateral absence of inferior thyroid arteries: a case report. Surg Radiol Anat. 1993;15(3):197-9.
Natsis K, Lazaridis N, Gkiouliava A, Didagelos M, Piagkou M. Retro-oesophageal right subclavian artery in association with thyroid ima artery: a case report, clinical impact and review of the literature. Folia Morphol (Warsz). 2016;75(1):130-35.
Tohno S, Tohno Y, Matsumoto H, Fujimoto S, Fujimoto T, Futamura N, et al. A case of the thyroidea ima artery arising from the aortic arch. Kaibogaku Zasshi. 1989;64(5):490-4.
Fujimoto Y, Suwa F, Kimura K. A case of the left superior thyroid artery arising from the left common carotid artery and the A. thyroidea ima. Okajimas Folia Anat Jpn. 1974;51(5):219-30.
Vasovic L, Arsic S, Vlajkovic S, Zdravković D. Morphological aspect of the thyroid ima artery in human fetuses. Ital J Anat Embryol. 2004;109(4):189-97.
Kau T, Sinzig M, Gasser J, Lesnik G, Rabitsch E, Celedin S, et al. Aortic development and anomalies. Semin Intervent Radiol. 2007;24(2):141-52.
Sannomiya T, Yamaki K, Doi Y, Aida K, Tanaka H, Hyakutake Y, et al. A rare case of the double thyroid ima artery. Kurume Med J. 1996;43(2):177-80.
Yohannan DG, Rajan R, Chandran AB, Krishnapillai R. An unusual origin and course of the thyroidea ima artery, with absence of inferior thyroid artery bilaterally. Surg Radiol Anat. 2019;41(2):235-37.
Krudy AG, Doppman JL, Brennan MF. The significance of the thyroidea ima artery in arteriographic localization of parathyroid adenomas. Radiology. 1980;136(1):51-45.
Ngo Nyeki AR, Peloni G, Karenovics W, Triponez F, Sadowski SM. Aberrant origin of the inferior thyroid artery from the common carotid artery: a rare anatomical variation. Gland Surg. 2016;5(6):644-46.
Ozguner G, Sulak O. Arterial supply to the thyroid gland and the relationship between the recurrent laryngeal nerve and the inferior thyroid artery in human fetal cadavers. Clin Anat. 2014;27(8):1185-92.
Bliss RD, Gauger PG, Delbridge LW. Surgeon's approach to the thyroid gland: surgical anatomy and the importance of technique. World J Surg. 2000;24(8):891-7.
Mizrachi A, Swartzwelder CE, Shaha AR. Proposal for anatomical classification of the superior pole in thyroid surgery. J Surg Oncol. 2015;112(1):15-7.
Koh YW, Park JH, Lee SW, Choi EC. The harmonic scalpel technique without supplementary ligation in total thyroidectomy with central neck dissection: a prospective randomized study. Ann Surg. 2008;247(6):945-9.
Materazzi G, Ambrosini CE, Fregoli L, De Napoli L, Frustaci G, Matteucci V, et al. Prevention and management of bleeding in thyroid surgery. Gland Surg. 2017;6(5):510-15.
Simon M, Metschke M, Braune SA, De Napoli L, Frustaci G, Matteucci V, et al. Death after percutaneous dilatational tracheostomy: a systematic review and analysis of risk factors. Crit Care. 2013;17(5):R258.
Kamparoudi P, Paliouras D, Gogakos AS, Rallis T, Schizas NC, Lazopoulos A, et al. Percutaneous tracheostomy-beware of the thyroidea-ima artery. Ann Transl Med. 2016;4(22):449.
McKenzie GA, Rook W. Is it possible to predict the need for sternotomy in patients undergoing thyroidectomy with retrosternal extension? Interact Cardiovasc Thorac Surg. 2014;19(1):139-43.
Shlugman D, Satya-Krishna R, Loh L. Acute fatal haemorrhage during percutaneous dilatational tracheostomy. Br J Anaesth. 2003;90(4):517-20.
Janus JR, Moore EJ, Price DL, Kasperbauer J. Robotic thyroid surgery: Clinical and anatomic considerations. Clin Anat. 2012;25(1):40-53.