High bifurcation of brachial artery with superficial radial artery in the left upper limb

2018 ◽  
Vol 67 ◽  
pp. S19
Author(s):  
Mahato Madhumita ◽  
Mandal Subhra
Keyword(s):  
Radial Artery ◽  
Upper Limb ◽  
Brachial Artery

scholarly journals Superficial radial artery - a rare variation and its clinical significance

2014 ◽  
Vol 03 (04) ◽  
pp. 225-228
Author(s):  
Sankaran PK ◽  
Gunapriya Raghunath ◽  
Sathyan R. ◽  
Keyword(s):  
Clinical Significance ◽  
Radial Artery ◽  
Upper Limb ◽  
Brachial Artery ◽  
Axillary Artery ◽  
Terminal Branch ◽  
Rare Variation ◽  
Female Cadaver ◽  
The Right

AbstractDuring routine dissection of upper limb, a variation in the origin of radial artery was observed in a female cadaver of about 60 years. The radial artery is usually a smaller terminal branch of the brachial artery in the forearm. On the right side of the cadaver the radial artery was found to originate from second part of the axillary artery, whereas on the left side the origin of radial artery was found to be normal. This variant of radial artery has been rarely documented in literature. Accurate anatomy of radial artery and its variations have definite diagnostic, interventional, and surgical significance.

scholarly journals Observation of modes of brachial artery termination in south Indian cadavers

2017 ◽  
Vol 5 (12) ◽  
pp. 5347
Author(s):  
R. S. Jnanesh
Keyword(s):  
Radial Artery ◽  
Upper Limb ◽  
Brachial Artery ◽  
Elbow Joint ◽  
Ulnar Artery ◽  
Anatomical Variations ◽  
Accurate Knowledge ◽  
South Indian ◽  
Anatomical Knowledge ◽  
Relationship Of

Background: Variations in upper limb arteries have been frequently observed. Accurate knowledge of muscular and neurovascular variations is important for both surgeons and radiologists, which may prevent diagnostic errors.Methods: A study was done to note the variations in the termination of brachial artery in relation to the level of termination and the terminal branches. A total of 60 upper limbs (33 Right, 27 Left) were studied. The level of termination of brachial artery was identified based on the distance between the intercondylar line and the point of termination. The classic textbook description of brachial artery bifurcating into radial and ulnar arteries, 1 cm distal to elbow joint (ICL) was taken as normal.Results: A high origin of radial artery was noted in 11.67% of cases. Variations in the origin and relationship of median nerve to brachial artery, radial artery and ulnar artery was seen in 4 cases.Conclusions: Due to higher incidence of anatomical variations of arteries of the upper limb, prior anatomical knowledge of anomalies is of great clinical significance to vascular surgeons, orthopaedicians and radiologists performing angiographic studies.

Arteriovenous fistula and pre-surgery mapping: Potential role of physical exercise on endothelial function

2019 ◽  
Vol 20 (6) ◽  
pp. 652-658 ◽  
Author(s):  
Giulio Distefano ◽  
Luca Zanoli ◽  
Antonio Basile ◽  
Pasquale Fatuzzo ◽  
Antonio Granata
Keyword(s):  
Physical Exercise ◽  
Endothelial Function ◽  
Arteriovenous Fistula ◽  
Radial Artery ◽  
Upper Limb ◽  
Brachial Artery ◽  
Resistance Index ◽  
Resistive Index ◽  
Flow Mediated Dilation ◽  
The Impact

Background: The success of the construction of an arteriovenous fistula for haemodialysis is related to the vascular function of the vessels involved in the anastomosis, with particular reference to radial artery distensibility after reactive hyperaemia test and to the fall of resistance index. Only few studies have evaluated the impact of exercise protocols on the endothelial and morphological characteristics of the vessels of the upper limb with inconclusive results. In this pilot longitudinal study, we aimed to evaluate the impact of a standardized exercise protocol on the haemodynamic and resistive index of the arteries of the upper limb of uraemic patients. Methods: A total of 17 uraemic patients planned to construct arteriovenous fistula at the distal third of the forearm were enrolled and followed up for 30 days. All patients performed repeated handgrips for 30 min/day. The arterial parameters were detected before and after an ischaemic stress of 5 min and radial and brachial artery flow-mediated dilation was evaluated as well as radial artery resistance index. Results: Pre-exercise measurements of radial artery diameter and resistance index and brachial artery diameter were not modified by 30 days hand physical exercise, whereas the post-exercise haemodynamic were improved. Consequently, flow-mediated dilation of the radial artery was improved (21% ± 14% vs 30% ± 19%; p = 0.03) and resistance index of the radial artery was reduced ( p = 0.02). Conclusion: Exercise has beneficial effects on endothelial function of the radial artery by resistive index and, potentially, on the outcome of the arteriovenous fistula. Further studies with larger sample size are needed to confirm our preliminary data.

scholarly journals High Origin of Radial Arteries: A Report of Two Rare Cases

2010 ◽  
Vol 10 ◽  
pp. 1999-2002 ◽  
Author(s):  
Dong Zhan ◽  
Yi Zhao ◽  
Jun Sun ◽  
Eng-Ang Ling ◽  
George W. Yip
Keyword(s):  
Clinical Practice ◽  
Radial Artery ◽  
Upper Limb ◽  
Brachial Artery ◽  
Arterial Supply ◽  
Fundamental Importance ◽  
Upper Limbs ◽  
Prevalence Rates ◽  
Geographical Regions

Variations in the arterial supply of the upper limb are relatively common, with reported prevalence rates ranging from 11 to 24.4%. Of these, the most commonly encountered variation in the arm is a high origin of the radial artery. However, after consecutively dissecting and examining 600 Singaporean Chinese cadavers (1,200 upper limbs), we found only two cases of this. In both cases, the brachioradial artery originated from the upper one-third of the brachial artery and continued distally as the radial artery in the forearm. The local prevalence of 0.33% of this variation is significantly lower compared against populations from other geographical regions. Although rare, recognition of the variation is of fundamental importance to clinical practice.

scholarly journals Bilateral Tortuous Upper Limb Arterial Tree and Their Clinical Significance

2020 ◽  
pp. 1-3
Author(s):  
Alka Bhingardeo ◽  
Keyword(s):  
Radial Artery ◽  
Upper Limb ◽  
Brachial Artery ◽  
Axillary Artery ◽  
Ulnar Artery ◽  
Arterial System ◽  
Detailed Knowledge ◽  
Arterial Tree ◽  
Palmar Arch ◽  
First Case

The detailed knowledge about the possible anatomical variations of upper limb arteries is vital for the reparative surgery of the region. Brachial artery is the main artery of upper limb; it is a continuation of axillary artery from the lower border of teres major muscle. During routine cadaveric dissection, we found bilateral tortuous brachial artery which was superficial as well as tortuous throughout its course. It is called superficial as it was superficial to the median nerve. At the neck of radius, it was divided into two terminal branches radial and ulnar arteries which were also tortuous. Tortuosity of the radial artery was more near the flexor retinaculum. When observed, the continuation of ulnar artery as superficial palmar arch also showed tortuosity throughout, including its branches. Being superficial such brachial artery can be more prone to trauma. Tortuous radial artery is one of the causes of access failure in trans-radial approach of coronary interventions. To the best of our knowledge, this is the first case where entire post axillary upper limb arterial system is tortuous bilaterally. So knowledge of such tortuous upper limb arterial tree is important for cardiologist, radiologist, plastic surgeons and orthopedic surgeons

scholarly journals THE ARTERY BLOOD SUPPLY VARIANT OF THE UPPER LIMB

2015 ◽  
Vol 88 (4) ◽  
pp. 545-549
Author(s):  
Ivan Maslarski
Keyword(s):  
Radial Artery ◽  
Upper Limb ◽  
Brachial Artery ◽  
Vascular Anatomy ◽  
Ulnar Artery ◽  
Lateral Side ◽  
Palmar Arch ◽  
Male Cadaver ◽  
Hand Region ◽  
The Right

Variations of arterial patterns in the upper limb have represented the most common subject of vascular anatomy. Different types of artery branching pattern of the upper limb are very important for orthopedists in angiographic and microvascular surgical practice.The brachial artery (BA) is the most important vessel in the normal vascular anatomy of the upper limb. The classical pattern of the palmar hand region distribution shows the superficial palmar arch. Normally this arch is formed by the superficial branch of the ulnar artery and completed on the lateral side by one of these arteries: the superficial palmar branch of the radial artery, the princeps pollicis artery, the superficial palmar branch of the radial artery or the median artery.After the routine dissection of the right upper limb of an adult male cadaver, we found a very rare variant of the superficial arch artery – a division in a higher level brachial artery. We found this division at 10.4 cm from the beginning of the brachial artery. This superficial brachial artery became a radial artery and was not involved in the formation of the palm arch. In the forearm region, the artery variant was present with the median artery and the ulnar artery, which form the superficial palm arch.

scholarly journals ANOMALOUS HIGH ORIGIN OF RADIAL ARTERY: A CASE REPORT

2020 ◽  
pp. 123-123
Author(s):  
Ankita Chauhan ◽  
Suman Yadav
Keyword(s):  
Radial Artery ◽  
Upper Limb ◽  
Brachial Artery ◽  
Clinical Importance ◽  
Common Trunk ◽  
Arterial Tree ◽  
Arterial Blood ◽  
Male Cadaver ◽  
Therapeutic Procedures ◽  
The Right

The radial artery is commonly accessed for many vascular and reconstructive surgeries and also for arterial blood sampling and cannulation procedures. The radial artery commences from the brachial artery at the level of neck of the radius in the cubital fossa. Proximally, it is overlapped anteriorly by brachioradialis muscle, but elsewhere in its course it is covered only by the skin, superficial and deep fasciae. During routine dissection of left upper limb of adult male cadaver in accordance with ethical standards at the department of anatomy at Dr. RPGMC Kangra at Tanda, high origin of the radial artery from brachial artery was observed. The brachial artery after giving profunda brachii branch divides in the proximal 1/3rd of arm, corresponding to the origin of brachialis muscle into radial artery and a common trunk for ulnar and common interroseous arteries. The course of radial artery was superficial throughout the arm and forearm. The radial artery on the right side had normal origin and course. This high origin radial artery is termed as brachioradial artery in the literature. Variations in the arterial tree of upper limb are fairly common, having an embryological basis. Accurate anatomical knowledge of the variation is of great clinical importance in performing many diagnostic and therapeutic procedures so as to avoid any iatrogenic injury.

Estimation of culprit lesion using brachial artery RI and radial artery RI by ultrasound-guided vascular access

Choonpa Igaku ◽  
2018 ◽  
Vol 45 (6) ◽  
pp. 605-610
Author(s):  
Masahito MINAMI ◽  
Mayu TUJIMOTO ◽  
Ayako NISHIMOTO ◽  
Mika SAKAGUCHI ◽  
Yasuhiro OONO ◽  
...  
Keyword(s):  
Radial Artery ◽  
Vascular Access ◽  
Brachial Artery ◽  
Culprit Lesion ◽  
Ultrasound Guided

Vascular Reconstruction of a Brachial Artery Aneurysm Proximally to an Arteriovenous Malformation

2019 ◽  
Vol 54 (1) ◽  
pp. 75-79
Author(s):  
Curtis Woodford ◽  
Elizabeth Tai ◽  
Sebastian Mafeld ◽  
Husain A. Al-Mubarak ◽  
Arash Jaberi ◽  
...  
Keyword(s):  
Arteriovenous Malformation ◽  
Radial Artery ◽  
Brachial Artery ◽  
Arteriovenous Malformations ◽  
Femoral Vein ◽  
Artery Aneurysm ◽  
Vascular Reconstruction ◽  
Endovascular Embolization ◽  
Antecubital Fossa ◽  
Interposition Graft

Brachial artery aneurysms and arteriovenous malformations (AVM) are limb-threatening vascular anomalies. This patient presented with a bilobed brachial artery aneurysm in the antecubital fossa proximally to an AVM arising from the dorsal interosseous and ulnar arteries that had been treated with endovascular embolization, leaving the hand solely supplied by the radial artery. The aneurysm continued to increase in size and imaging revealed concomitant thrombus. A femoral vein interposition graft was used to repair the aneurysm, and postoperatively, the patient retained full left arm function.

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