The costocervical trunk: A detailed review

Clin Anat. 2022 Nov;35(8):1130-1137. doi: 10.1002/ca.23929. Epub 2022 Jul 16.


The number of studies on the anatomy of the costocervical trunk (CCT) is scarce, and the actual prevalence of this structure is unknown. Therefore, the authors of the present study would like to propose a set of four types of CCT, which were created based on observations of computed tomography angiographies (75 CCTs). A retrospective study was conducted to establish variations and the morphometric properties of the CCT. The results of 55 consecutive patients who underwent neck and thoracic computed tomography angiography (CTA) were analyzed in March 2022. The analysis was performed on a total of 75 CCTs. Of these, 32 were from women (42.7%) and 43 were from men (57.3%). Branching variations of each CCT were thoroughly analyzed. A classification of the branching pattern of the CCTs was made and consisted of four types. In the present study, the variety of branching and morphology of CCT was analyzed, proposing its novel classification based on the four most frequently observed types. Type 1 was the most prevalent (76.1%), having a similar origin and branching pattern as described in the major anatomical books. CCT was found to be absent in 23.94% of the cases, making it a somewhat less consistent branch of the SA. Understanding the variability of the anatomy of the CCT can be a great tool for physicians performing endovascular procedures in the cervical region.

Keywords: costocervical trunk; deep cervical artery; endovascular anatomy; subclavian artery; supreme intercostal artery.

Publication types

  • Review

MeSH terms

  • Angiography* / methods
  • Female
  • Humans
  • Male
  • Neck / diagnostic imaging
  • Retrospective Studies
  • Subclavian Artery* / anatomy & histology
  • Tomography, X-Ray Computed