The radial artery and its variations: anatomical study and clinical implications

• Autorzy: Nasr A.Y.
• Języki publikacji: EN

Abstrakty

EN

Background: To describe the radial artery and its variants in origin, branching pattern, mode of termination, and measurements of its length and external diameter. Material and methods: One hundred upper limbs of 30 men and 20 women adult cadavers were used in this study. The cadavers were obtained from the Anatomy Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia. The axillary region, arm, forearm, and hand of each limb were dissected to clarify the course and branches of the radial artery. This anatomical descriptive study was conducted between September 2010 and August 2012 after approval of the Ethical Committee. Results: The mean distance of the normal origin of the radial artery as one of two terminal branches of the brachial artery was 38.7 ± 9.5 mm in men and 36.5 ± 8.5 mm in the upper limbs of women below the intercondylar line, and variant origin of the radial artery was found in eight limbs. The mean of radial artery length was 226.2 ± 21.7 mm in men and 209.9 ± 13.9 mm in women and that of its external diameter was 3.3 ± 0.7 mm in men and 3.2 ± 0.66 mm in women at 1 cm distal to its origin; 3.1 ± 0.73 mm in men and 3.0 ± 0.66 in women at 2 cm proximal to the styloid process of the radius. The radial artery showed different branching patterns and three modes of termination. Conclusions: Knowledge of radial artery description and its variants has great importance in different clinical fields and basic medical studies. (Folia Morphol 2012; 71, 4: 252–262)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2012
• Tom: 71
• Numer: 4
• Opis fizyczny: p.252-262,fig.,ref.

Twórcy

autor

Nasr A.Y.

• Anatomy Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt
• King Abdulaziz University, Jeddah,PO Box 80205, Jeddah 21589, Kingdom of Saudi Arabia

Bibliografia

• 1. Bidarkotimath S, Ramakrishna A, Arunachalam K (2012) An anatomical study of primary pattern of arteries of upper limb with relevance to their variations. NUJHS, 2: 2249–7110.
• 2. de Rezende MR, Mattar Júnior R, Cho AB, Hasegawa OH, Ribak S (2004) Anatomic study of the dorsal arterial system of hand. Rev Hosp Clin Fac Med Sao Paulo, 59: 71–76.
• 3. Dhar P, Lall K (2008) An atypical anatomical variation of palmar vascular pattern. Singapore Med J, 49: 245–249.
• 4. Dong Z, Yi Z, Jun S, Eng-Ang L, Yip GW (2010) High origin of radial arteries: a report of two rare cases. Scientific World J,10: 1999–2002.
• 5. Fazan VP, Borges CT, Da Silva JH, Caetano AG, Filho OA (2004) Superficial palmar arch: an arterial diameter study. J Anat, 204: 307–311.
• 6. Franchi E, Marino P, Biondi-Zoccai GG, De Luca G, Vassanelli C, Agostoni P (2009) Transradial versus transfemoral approach for percutaneous coronary procedures. Curr Cardiol Rep, 11: 391–397.
• 7. Guo WH (2006) Arterial grafting for coronary artery bypass surgery. 2nd Ed. Springer, Heidelberg, Berlin.
• 8. Gupta C, Ray B, Dsouza AS, Nair N, Pai SR, Manju M (2012) A morphological study of variations in the branching pattern and termination of the radial artery. Singapore Med J, 53: 208.
• 9. Jelev L, Surchev L (2008) Radial artery coursing behind the biceps brachii tendon: significance for the transradial catheterization and a clinically oriented classification of radial artery variations. Cardiovasc Intervent Radiol, 31: 1008–1012.
• 10. Joseph J, Ranjit D, Jatin D (2005) Superficial ulnar artery. Eur J Cardiothorac Surg, 28: 495–496.
• 11. Loh YJ, Nakao M, Tan WD, Lim CH, Tan YS, Chua YL (2007) Factors influencing radial artery size. Asian Cardiovasc Thorac Ann, 15: 324–326.
• 12. Madhyastha S, Murlimanju BV, Jiji P, Saralaya VV, Rai A, Vadgaonkar R (2011) Morphological variants of the human superficial palmar arch and their clinical implications. Morphol. Sci, 28: 261–264.
• 13. Madssen E, Petter H, Rune W (2006) Radial artery diameter and vasodilatory properties after transradial coronary angiography. Ann Thorac Surg, 82: 1698–1703.
• 14. Malcic-Gurbuz j, Gurunluoglu R, Ozdogmus O, Yalin A (2002) Unique case of trifurcation of the grachial artery: its clinical significance. Clin Anat, 15: 224–227.
• 15. Moore KL, Dalley AF (2006) Upper limb. Clinically oriented anatomy. 4th Ed. Lippincott Williams & Wilkins, Philadelphia.
• 16. Morris G, Rowe M, Delacure D (2005) Superficial dorsal artery of the forearm: case report and review of the literature. Ann Plast Surg, 55: 538–541.
• 17. Natsis K, Noussios G, Paraskevas G, Lazaridis N (2009) Study of two cases of high-origin radial artery in humans. Eur J Anat, 13: 97–103.
• 18. Patnaik VVG, Kalsey G, Singla RK (2002) Branching pattern of brachial artery: a morphological Study. J Anatom Soc India, 51: 176–186.
• 19. Pelin C, Zagyapan R, Mas N, Karabay G (2006) An unusual course of the radial artery. Folia Morphol, 65: 410–413.
• 20. Riekkinen HV, Karkola KO, Kankainen A (2003) The radial artery is larger than the ulnar. Ann Thorac Surg, 75: 882–884.
• 21. Rodriguez-Niedenfuhr M, Vazquez T, Nearn L, Ferreira B, Parkin I, Sanudo JR (2001) Variations of the arterial pattern in the upper limb revisited: a morphological and statistical study, with a review of the literature. J Anat, 199: 547–66.
• 22. Rodriguez-Niedenführ M, Vazquez T, Parkin IG, Sanudo JR (2003) Arterial patterns of the human upper limb: update of anatomical variations and embryological development. Eur J Anat, 7: 21–28.
• 23. Satyanarayanana N, Sunitha P, Shaik MM, Satyavathidevi P (2010) Brachial artery with high up division with its embryological basis and clinical significance. IJAV, 3: 56–58.
• 24. Shetty D S, Raghu J, Cliwyn S, Braganza S, Nayak B, Somayaji SN (2010) Presence of a median arterial arch associated with high origin of radial artery. IJAV, 3: 158–159.
• 25. Shima H, Ohno K, Michi K, Egawa K, Takiguchi R (1996) An anatomical study of the forearm vascular system. J Craniomaxillofac Surg, 24: 293–299.
• 26. Standring S (2008) Gray’s anatomy: the anatomical basis of clinical practice. 40th Ed. Churchill Livingstone, Elsevier, Edinburgh, London.
• 27. Swaroop N, Dakshayani KR (2011) The high origin of radial artery and its clinical significance. Anatomica Karnataka, 5: 32–35.
• 28. Tariq Ashraf, Ziauddin P, Sultana H, Muhammad AM, Fahad S, Javed A (2010) Size of radial and ulnar artery in local population. J Pak Med Assoc, 60: 817–819.
• 29. Uglietta JP, Kadir S (1989) Arteriographic study of variant arterial anatomy of the upper extremities. Cardiovasc Intervent Radiol,12: 145–148.
• 30. Valsecchi O, Vassileva A, Musumeci G, Rossini R, Tespili M, Guagliumi G, Mihalcsik L, Gavazzi A, Ferrazzi P (2006) Failure of transradial approach during coronary interventions: anatomic considerations. Catheter Cardiovasc Interv, 67: 870–878.
• 31. Vollala VR, Nagahhooshana S, Bhat SM (2008) Trifurcation of brachial artery with variant course of radial artery: rare observation. Anat Sci Int, 83: 307–309.
• 32. Yang HJ, Gil YC, Jung WS, Lee HY (2008) Variations of the superficial Brachial artery in Korean Cadavers. J Korean Med Sci, 23: 884–887.
• 33. Yokoyama N, Takeshita S, Ochiai M, Koyama Y, Hoshino S, Isshiki T, Sato T (2000) Anatomic variations of the radial artery in patients undergoing transradial coronary intervention. Catheter Cardiovasc Interv, 49: 357–62.
• 34. Yoo BS, Yoon J, Ko JY, Kim JY, Lee SH, Hwang SO, Choe KH (2005) Anatomical consideration of the radial artery for transradial coronary procedures: arterial diameter, branching anomaly and vessel tortuosity. Int J Cardiol, 101: 421–427.