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Czasopismo

2006 | 65 | 4 |

Tytuł artykułu

An unusual course of the radial artery

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Radial artery variations are of importance for clinicians, whether in angiographic examinations or surgical approaches. The high origin radial artery is the most frequent arterial variation observed in the upper limb, showing an incidence of 14.27% in dissection material and 9.75% in angiographic examination. In the present study an unusual course of the radial artery and its relation with the median nerve has been evaluated. During embryological development the radial artery sprouts from two arterial buds arising from the lateral side of the brachial artery and coalescing with each other. The artery lies in the forearm and is overlapped by the brachioradial muscle. In this particular case the radial artery originated from the medial side of the brachial artery and crossed the median nerve twice in an unusual manner 8 cm below the point at which the deep brachial artery arose and 12 cm above the intercondylar line. These results will enhance anatomical knowledge of the region and reduce complication in surgical approaches.

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

65

Numer

4

Opis fizyczny

p.410-413,fig.,ref.

Twórcy

autor
  • Faculty of Medicine, Baskent University, Baglica, Etimesgut, Ankara, Turkey
autor
autor
autor

Bibliografia

  • 1. Braun RM, Spinner RJ (1991) Spontaneous bilateral median nerve compressions in the distal arm. J Hand Surg, 16: 244–247.
  • 2. Coleman SS, Anson BJ (1961) Arterial patterns in the hand based upon a study of 650 specimens. Surg Gynecol Obsted, 113: 409–424.
  • 3. Gabe ED, Figal JC, Wisner JN, Laguens R (2001) Radial artery graft vasospasm. Eur J Cardiothorac Surg, 19: 102–104.
  • 4. Gessini L, Jandolo B, Pietrangeli A (1983) Entrapment neuropathies of the median nerve at and above the elbow. Surg Neurol, 19: 112–116.
  • 5. Gonzales-Compta X (1991) Origin of the radial artery from the axillary artery and associated hand vascular anomalies. J Hand Surg, 16: 293–296.
  • 6. Haden P, Gylbert L (1990) Anomaly of the radial artery encountered during elevation of the radial forearm flap. J Reconst Microsurg, 6: 139–141.
  • 7. Jurjus A, Sfeir R, Bezirjian R (1986) Unusual variation of the arterial pattern of the human upper limb. Anatom Rec, 215: 82–83.
  • 8. Karlsson S, Niechajev IA (1982) Arterial anatomy of the upper extremity. Acta Radiol, 23: 115–123.
  • 9. Keller FS, Rösch J, Dotter CT, Porter JM (1980) Proximal origin of radial artery: potential pitfall in hand angiography. Am J Radiol, 134: 169–170.
  • 10. Kumar MR (2004) Multiple arterial variations in the upper limb of a South Indian female cadaver. Clin Anat, 17: 233–235.
  • 11. Madaree A, McGibbon IC (1993) Anatomic variation in the blood supply of the radial forearm flap. J Reconstr Microsurg, 9: 277–279.
  • 12. Mc Cromac LJ, Cauldwell EW, Anson BJ (1953) Brachial and antebrachial arterial patterns. Surg Gynecol Obstet, 96: 43–54.
  • 13. Moore KL, Dalley II AF (1999) Clinically oriented anatomy. Lippincott Williams and Wilkins, Philadelphia, pp. 753–754.
  • 14. Moore KL, Persaud TVN (1998) The developing human: Clinically oriented embryology. W.B. Saunders Company, Philadelphia, pp. 442–443.
  • 15. Mordick TG (1995) Vascular variation of the radial forearm flap: a case report. J Reconstr Microsurg, 11: 345–346.
  • 16. Patterson RB, Smail D (2003) Radial artery as conduit for distal renal artery reconstruction. J Vasc Surg, 38: 609–612.
  • 17. Potreat WL (1986) Report of a rare human variation: absence of the radial artery. Anat Rec, 214: 89–95.
  • 18. Rodriguez-Baeza A, Nebot J, Ferreira B, Reina F, Perez J, Sanudo JR (1995) An anatomical study and ontogenetic explanation of 23 cases with variations in the main pattern of the human brachio-antebrachial arteries. J Anat, 187: 473–479.
  • 19. Snell RS (1995) Clinical anatomy for medical students. Little Brown and Company, Boston, pp. 431–433.
  • 20. Williams PL, Warwick R, Dyson M, Bannister LH (1989) Anatomy. Williams and Warwick. Churchill Livingstone, London, pp. 760–761.
  • 21. Valantine RJ, Modrall JG, Clagett GP (2005) Hand ischemia after radial artery cannulation. J Am Coll Surg, 201: 18–22.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

bwmeta1.element.agro-article-8c80f0d4-4f2e-4b09-bef1-5dacb602a651
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