title: Accessory renal arteries in a Caribbean population: a computed tomography based study.
abstract: BACKGROUND
  The commonest variation to the classic anatomic description of renal arterial supply is the presence of accessory renal arteries. The incidence varies widely according to ethnicity. There is no data on the prevalence of these anomalies in persons of Caribbean ethnicity.
  
  
  METHODS
  All CT scans done over two years from July 1, 2010 to June 30, 2012 were retrospectively evaluated. The anatomy of the renal arterial supply was reported from these studies and the anatomy of accessory renal arteries was documented.
  
  
  RESULTS
  There were 302 CT scans evaluated and accessory renal arteries were present in 109/302 (36.1%) CT scans, 95% confidence interval 30.6%, 41.4%. There were 71/309 (23.5%) patients with accessory arteries on the left and 54/309 (17.9%) had them on the right (p 0.087). Of these, 16 (14.7%) patients had bilateral accessory renal arteries present. The most common origin for the accessory arteries was the abdominal aorta in 108 (99.1%) cases and in 1 case the accessory artery arose from the coeliac trunk. There were 80 left sided accessory renal arteries: 17 (21.3%) upper polar and 27 (33.8%) lower polar arteries. Of 62 right sided accessory arteries, 14 (22.6%) were upper polar and 26 (42%) were lower polar arteries.
  
  
  CONCLUSIONS
  This is the first population-based report of anatomic anomalies in renal arterial supply in a Caribbean population. These are important findings that may affect vascular and urologic procedures on persons of Caribbean ethnicity.
authors.affiliation: Section of Anatomy, Basic Medical Sciences, University of the West Indies, Mona Campus, Kingston 7, Mona, Jamaica.
authors.forename: Peter B
authors.initials: PB
authors.lastname: Johnson
authors.forename: Shamir O
authors.initials: SO
authors.lastname: Cawich
authors.forename: Sundeep D
authors.initials: SD
authors.lastname: Shah
authors.forename: William
authors.initials: W
authors.lastname: Aiken
authors.forename: Roy G
authors.initials: RG
authors.lastname: McGregor
authors.forename: Hilary
authors.initials: H
authors.lastname: Brown
authors.forename: Michael T
authors.initials: MT
authors.lastname: Gardner
keywords: Accessory; Artery; Renal; Variant; Vasculature
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