{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T21:14:31Z","timestamp":1792271671202,"version":"4.4.0"},"reference-count":15,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J NeuroIntervent Surg"],"accepted":{"date-parts":[[2018,3,6]]},"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background and purpose<\/jats:title>\n                    <jats:p>The thyrocervical trunk (TCT) is the second ascending branch of the subclavian artery. It is considered a \u2018border territory\u2019 between interventional vascular radiology and interventional neuroradiology because it gives rise to branches both cervical and to the upper limbs. We describe the TCT branches anatomy, the most frequent variants, and expose eight endovascular procedures performed through the thyrocervical trunk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of all the interventional radiology procedures carried out through the TCT in our tertiary care center from August 2014 to January 2017 is presented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of eight endovascular procedures through the TCT including six preoperative embolizations: three paragangliomas, a cervical vertebral metastasis, a cervical vertebral aneurysmal bone cyst, and a very rare case of nerve root extradural cervical hemangioblastoma, as well as two emergency embolizations: a patient with a cervical traumatic active bleeding hematoma and a recurrent hemoptysis in a single ventricle patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A correct knowledge of the vascular anatomy, anatomical variants, and anastomosis (especially with the anterior spinal artery) of the TCT is essential for a safe embolization, both preoperatively and on an emergency basis. In cases of recurrent hemoptysis and severe lower-neck injuries, the TCT should always be reviewed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/neurintsurg-2018-013808","type":"journal-article","created":{"date-parts":[[2018,3,29]],"date-time":"2018-03-29T12:20:21Z","timestamp":1522326021000},"page":"1012-1018","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["Embolization through the thyrocervical trunk: vascular anatomy, variants, and a case series"],"prefix":"10.1136","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5450-148X","authenticated-orcid":false,"given":"Carlos","family":"P\u00e9rez-Garc\u00eda","sequence":"first","affiliation":[{"name":"Department of Interventional Neuroradiology, Hospital General Universitario Gregorio Mara\u00f1\u00f3n, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Malfaz","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, Hospital General Universitario Gregorio Mara\u00f1\u00f3n, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariano","family":"del Valle Di\u00e9guez","sequence":"additional","affiliation":[{"name":"Department of Interventional Neuroradiology, Hospital General Universitario Gregorio Mara\u00f1\u00f3n, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Fortea Gil","sequence":"additional","affiliation":[{"name":"Department of Interventional Neuroradiology, Hospital General Universitario Gregorio Mara\u00f1\u00f3n, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Saura Lorente","sequence":"additional","affiliation":[{"name":"Department of Interventional Neuroradiology, Hospital General Universitario Gregorio Mara\u00f1\u00f3n, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Echenagusia Boyra","sequence":"additional","affiliation":[{"name":"Department of Vascular Interventional Radiology, Hospital General Universitario Gregorio Mara\u00f1\u00f3n, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Gonz\u00e1lez Leyte","sequence":"additional","affiliation":[{"name":"Department of Vascular Interventional Radiology, Hospital General Universitario Gregorio Mara\u00f1\u00f3n, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"P\u00e9rez-Higueras","sequence":"additional","affiliation":[{"name":"Department of Interventional Neuroradiology, Hospital Ruber Internacional, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrique","family":"Castro-Reyes","sequence":"additional","affiliation":[{"name":"Department of Interventional Neuroradiology, Hospital General Universitario Gregorio Mara\u00f1\u00f3n, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,3,29]]},"reference":[{"key":"2025092910470142000_10.10.1012.1","unstructured":"Moore KL Chapter 8, Neck. In: Moore KL , Dalley AF , Agur AMR , eds. Clinically oriented anatomy. 7th ed. Philadelphia: Lippincott Williams & Wilkins, 2006:985\u20131030."},{"key":"2025092910470142000_10.10.1012.2","doi-asserted-by":"crossref","unstructured":"Beale T . Chapter 4, The extracranial head and neck. In: Butler P , Mitchell A , Healy JC , eds. Applied Radiological Anatomy. 2nd ed. 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Chapter 16, Diagnostic Approach to Acute Limb Ischemia. In: Dieter R , Dieter Jr RA , Dieter III RA , et al . eds. Critical Limb Ischemia Acute and Chronic. 1st ed. Berlin: Springer, 2017:159\u201370.","DOI":"10.1007\/978-3-319-31991-9_16"},{"key":"2025092910470142000_10.10.1012.8","first-page":"255","article-title":"Efficacy of trisacryl gelatin microspheres versus polyvinyl alcohol particles in the preoperative embolization of meningiomas","volume":"21","author":"Bendszus","year":"2000","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025092910470142000_10.10.1012.9","doi-asserted-by":"publisher","DOI":"10.1148\/rg.226015180"},{"key":"2025092910470142000_10.10.1012.10","doi-asserted-by":"crossref","first-page":"1131","DOI":"10.2214\/ajr.158.5.1566680","article-title":"Left thyrocervical trunk bronchial artery supplying right lung: source of recurrent hemoptysis in cystic fibrosis","volume":"158","author":"Cohen","year":"1992","journal-title":"AJR Am J Roentgenol"},{"key":"2025092910470142000_10.10.1012.11","first-page":"37","article-title":"Endovascular embolization of paragangliomas: A safe adjuvant to treatment","volume":"1","author":"White","year":"2008","journal-title":"J Vasc Interv Neurol"},{"key":"2025092910470142000_10.10.1012.12","doi-asserted-by":"crossref","first-page":"88","DOI":"10.17116\/neiro201680688-92","article-title":"Extradural spinal cord hemangioblastoma (a case report and literature review)","volume":"80","author":"Konovalov","year":"2016","journal-title":"Zh Vopr Neirokhir Im N N Burdenko"},{"key":"2025092910470142000_10.10.1012.13","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1007\/s00256-013-1607-6","article-title":"Post-traumatic pseudoaneurysm of the thyrocervical trunk","volume":"42","author":"Mehta","year":"2013","journal-title":"Skeletal Radiol"},{"key":"2025092910470142000_10.10.1012.14","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1007\/BF01795701","article-title":"An unusual congenital arteriovenous fistula of the vertebral artery and its embolization by a detachable balloon catheter","volume":"11","author":"Brassel","year":"1988","journal-title":"Neurosurg Rev"},{"key":"2025092910470142000_10.10.1012.15","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2190"}],"container-title":["Journal of NeuroInterventional Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/neurintsurg-2018-013808","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T17:47:08Z","timestamp":1759168028000},"score":1,"resource":{"primary":{"URL":"https:\/\/jnis.bmj.com\/lookup\/doi\/10.1136\/neurintsurg-2018-013808"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,29]]},"references-count":15,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2018,9,17]]},"published-print":{"date-parts":[[2018,10]]}},"alternative-id":["10.1136\/neurintsurg-2018-013808"],"URL":"https:\/\/doi.org\/10.1136\/neurintsurg-2018-013808","relation":{},"ISSN":["1759-8478","1759-8486"],"issn-type":[{"value":"1759-8478","type":"print"},{"value":"1759-8486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,29]]}}}