scholarly journals VARIATIONS IN BRANCHING PATTERN OF BRACHIAL ARTERY - A STUDY IN CADAVERS

2019 ◽  
pp. 33-36
Author(s):  
(Mrs) Parveen Ojha ◽  
(Mrs) Seema Prakash
Keyword(s):  
Brachial Artery ◽  
Axillary Artery ◽  
Ulnar Artery ◽  
Branching Pattern ◽  
Medical College ◽  
Hemodynamic Forces ◽  
Arterial Variations ◽  
Chemical Factors ◽  
Lateral Branches ◽  
Catheterization Angiography

Brachial artery in arm is commonly used for percutaneous arterial catheterization, angiography, vascular flaps for reconstructive surgeries, and can be injured in fractures of arm or elbow region. Knowledge of variations in branching pattern is must for all clinicians and especially for vascular and orthopaedic surgeons to avoid complications like haemorrhage, ischemia and necrosis during various surgical procedures. This study was done to observe variations in branching pattern of brachial artery in cadavers and its clinical applications. The study was conducted on eighty upper limbs of 40 cadavers (30 males and 10 females) of age group 50-70 years in the Dept of Anatomy, R.N.T. Medical College, Udaipur (Raj). In 30 cadavers branching pattern of brachial artery was normal. In 10 cadavers either unilaterally or bilaterally variable branching pattern was noticed in the form of (1) Absence of profunda brachial artery (2) Origin of Profunda brachii artery from axillary artery (3) Termination of brachial artery i.e. in the middle of arm into radial and ulnar artery (4) Termination of brachial artery in arm into medial and lateral branches continuing distally as radial and ulnar artery respectively. Genetic predisposition, chemical factors or hemodynamic forces can be the reasons for arterial variations in the upper limb.

scholarly journals Variations in the branching pattern of brachial, ulnar and radial arteries

2015 ◽  
Vol 04 (02) ◽  
pp. 107-109
Author(s):  
Ashwini Mutalik ◽  
Chandrashekhar Hanji ◽  
Sanjeev I Kolagi ◽  
GB Rairam
Keyword(s):  
Clinical Significance ◽  
Radial Artery ◽  
Undergraduate Students ◽  
Brachial Artery ◽  
Ulnar Artery ◽  
Vascular Anomalies ◽  
Branching Pattern ◽  
Medical College ◽  
Collateral Arteries ◽  
Interosseous Artery

AbstractDuring routine dissection of a cadaver alloted to the undergraduate students in the department of anatomy in SN Medical College, Bagalkot, the authors found multiple variations in the branching pattern of brachial, ulnar and radial arteries. There was high division of brachial artery into ulnar and radial arteries. The profunda brachii originated from brachial artery as usual while superior and inferior ulnar collateral arteries originated from ulnar artery. The radial artery gave origin to common interosseous artery which further divided into anterior and posterior interosseous arteries. All the three arteries i.e. brachial, ulnar and radial were considered as superficial arteries as they were superficial throughout the course. These observations of vascular anomalies are of clinical significance to vascular and plastic surgeons.

scholarly journals Variations in the Axillary Artery Branching Pattern

2020 ◽  
Author(s):  
Deepshikha Singh ◽  
Minakshi Malhotra ◽  
Sneh Agarwal
Keyword(s):  
Axillary Artery ◽  
Ulnar Artery ◽  
Point Of View ◽  
Common Trunk ◽  
New Delhi ◽  
Branching Pattern ◽  
Medical College ◽  
Lateral Thoracic Artery ◽  
Pectoral Nerve ◽  
The Right

Variations in axillary artery branching pattern can lead to iatrogenic injuries during invasive procedures. Knowledge of the same is critical to prevent such events. Multiple bilateral variations were observed in the branching pattern of axillary artery. These variations were noted in a female cadaver, during routine undergraduate dissection in September 2019 in Lady Hardinge Medical College, New Delhi. On the left side, an anomalous branch running with the medial pectoral nerve was found. A common stem arising from the 2nd part of left axillary artery divided to give the lateral thoracic artery, the subscapular artery and an alar artery. Another alar branch arose from the left subscapular artery before it bifurcated into thoraco-dorsal and circumflex scapular arteries. The right axillary artery gave an aberrant branch proximal to the lateral thoracic artery. A common trunk arising from the 2nd part of right axillary branched out to give the posterior circumflex humeral artery, the subscapular artery and an alar artery. The brachial artery divided 13.5 cm proximal to the intercondylar line of humerus on the left and 14.4 cm on the right side. On both sides, the ulnar artery arose proximally and the radial and common inter-osseous arteries continued as a common trunk and divided distally. This case study reports multiple bilateral axillary artery anomalies and complements to the existing knowledge of vascular anomalies. Comprehensive knowledge of these variations is essential from anatomical, radiological and surgical point of view. During surgeries involving axillary and pectoral group of lymph nodes, such variations should be kept in mind.

scholarly journals Upper limb arterial pattern: clinical correlation and embryological perspective

2021 ◽  
Vol 20 ◽  
Author(s):  
Laishram Sophia ◽  
Darshita Singh ◽  
Neha Xalxo ◽  
Anjoo Yadav ◽  
Sneh Agarwal ◽  
...  
Keyword(s):  
Upper Limb ◽  
Brachial Artery ◽  
Axillary Artery ◽  
Common Trunk ◽  
New Delhi ◽  
Palmar Arch ◽  
Medical College ◽  
Human Cadavers ◽  
Median Artery ◽  
Development Methods

Abstract Background Variations in the upper limb arterial pattern are commonplace and necessitate complete familiarity for successful surgical and interventional procedures. Variance in the vascular tree may involve any part of the axis artery of the upper limb, including the axillary artery and brachial artery or its branches, in the form of radial and ulnar arteries, which eventually supply the hand via anastomosing arches. Objectives To study the peculiarities of the arterial pattern of the upper limb and to correlate them with embryological development. Methods The entire arterial branching of forty-two upper limbs of formalin fixed adult human cadavers was examined during routine dissection for educational purposes, conducted over a 3-year period in the Department of Anatomy, Lady Hardinge Medical College, New Delhi. Results The study found: 1) One case in which a common trunk arose from the third part of the axillary artery, which immediately splayed into four branches (2.4%); 2) High division of the brachial artery into ulnar and radial arteries, in 3 cases (7.1%); 3) Pentafurcation of the brachial artery into ulnar, interosseus, radial, and radial recurrent arteries and a muscular twig to the brachioradialis in 1/42 cases (2.4%); 4) Incomplete Superficial Palmar arch in 3/42 cases (7.1%); and 5) Presence of a median artery in 2/42 case(4.8%) Conclusions This study observed and described the varied arterial patterns of the upper limb and identified the various anomalous patterns, supplementing the surgeon’s armamentarium in various surgical procedures, thereby helping to prevent complications or failures of reconstructive surgeries, bypass angiography, and many similar procedures.

scholarly journals Unilateral high division of brachial artery

2016 ◽  
Vol 05 (02) ◽  
pp. 266-272
Author(s):  
T. M. Sucharitha ◽  
L. Hema ◽  
S. V. Phanindra
Keyword(s):  
Upper Limb ◽  
Brachial Artery ◽  
Clinical Importance ◽  
Branching Pattern ◽  
Invasive Procedures ◽  
Arterial Variations ◽  
Female Cadaver ◽  
Variation Patterns ◽  
Cubital Fossa ◽  
The Right

AbstractArterial variations in the arm are of great clinical importance as this area is commonly involved in many surgical and invasive procedures. During dissection, we observed in the right upper limb a variation in the division and branching pattern of brachial artery in a female cadaver. The short segmented brachial artery divided about 6 cms. above the line joining the epicondyles of the humerus, but not in the cubital fossa. The course of the two divisions in the forearm is normal. Knowledge of these variation patterns is useful during surgeries.

scholarly journals Variant Branching Pattern of Axillary Artery: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Swamy Ravindra Shantakumar ◽  
K. G. Mohandas Rao
Keyword(s):  
Case Report ◽  
Cardiovascular Diseases ◽  
Axillary Artery ◽  
Diagnostic Procedures ◽  
Common Trunk ◽  
Branching Pattern ◽  
Undergraduate Medical Students ◽  
Medical College ◽  
The Third ◽  
Male Cadaver

During routine dissection of an approximately 50-year-old male cadaver for the undergraduate medical students at Melaka Manipal Medical College, Manipal University, Manipal, we came across a variation in branching pattern of right axillary artery. The second part of axillary artery gave rise to a common trunk which divided into the subscapular and lateral thoracic arteries. The third part of right axillary artery gave rise to anterior and posterior circumflex humeral arteries. Variations in the branching pattern of axillary artery are important for the surgeons performing interventional or diagnostic procedures in cardiovascular diseases.

scholarly journals A Perplexing Presentation of Entrapment of the Brachial Artery

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Deniz Cevirme ◽  
Eray Aksoy ◽  
Taylan Adademir ◽  
Hasan Sunar
Keyword(s):  
Computed Tomography ◽  
Physical Examination ◽  
Operating Room ◽  
Brachial Artery ◽  
Axillary Artery ◽  
Ulnar Artery ◽  
Acute Onset ◽  
Antecubital Fossa ◽  
Intravenous Heparin ◽  
Extremity Ischemia

A 45-year-old male being otherwise healthy presented acute onset of right upper extremity ischemia. On physical examination, axillary artery could be palpated whereas the brachial artery could not be palpated below the level of the antecubital fossa, including radial and ulnar artery pulses. Pulses were also inaudible with pocket-ultrasound below the level of the brachial artery bifurcation. The patient was initially diagnosed to have acute thromboembolic occlusion and given 5000 IU intravenous heparin. The patient was taken to the operating room. We noticed that the ischemic symptoms disappeared within a couple of minutes just before we began the operation. However, ischemic symptoms reappeared six hours later and computed tomography angiography showed lack of enhancement below the elbow crease. We were taking the patient to the operating room for the second time when the symptoms recovered in a few minutes, again. The operation was not canceled anymore. In the operation, the brachial artery was found anomalously perforating and it was entrapped by the bicipital aponeurosis. The artery was relieved by resecting the aponeurosis and there was no need for any other intervention. The patient had no more recurrence of symptoms postoperatively.

scholarly journals Anomalous superficial ulnar artery based flap

2014 ◽  
Vol 47 (01) ◽  
pp. 124-126 ◽  
Author(s):  
C. V. Ramani ◽  
Girish K. Kundagulwar ◽  
Jaiswal Dushyanth ◽  
Yadav S. Prabha
Keyword(s):  
Case Report ◽  
Upper Limb ◽  
Brachial Artery ◽  
Ulnar Artery ◽  
Vascular Anomalies ◽  
Pedicle Flap ◽  
Arterial Variations ◽  
Main Vessel ◽  
Upper Third ◽  
Superficial Ulnar Artery

ABSTRACTUpper limb shows a large number of arterial variations. This case report describes the presence of additional superficial ulnar artery which was used to raise a pedicle flap to cover an arm defect thus avoided using the main vessel of the forearm - radial or ulnar artery. Vascular anomalies occurring in the arm and forearm tend to increase the likelihood of damaging the superficial anomalous arteries during surgery. Superficial ulnar or radial arteries have been described to originate from the upper third of the brachial artery; here we report the origin of the anomalous superficial ulnar artery originating from the brachial artery at the level of elbow with the concomitant presence of normal deep radial and ulnar arteries.

A CADAVERIC STUDY OF VARIATIONS IN THE ANATOMY OF BRACHIAL ARTERY AND ITS BRANCHING PATTERS

2021 ◽  
pp. 52-54
Author(s):  
Soumya Soumya ◽  
Birendra Kumar Sinha ◽  
Debarshi Jana
Keyword(s):  
Upper Extremity ◽  
Brachial Artery ◽  
Clinical Importance ◽  
Diagnostic Procedures ◽  
Branching Pattern ◽  
Traumatic Injuries ◽  
Medical College ◽  
Diagnostic Interpretation ◽  
Anatomical Knowledge ◽  
Arterial Anatomy

Background: Knowledge of the normal and variant arterial anatomy of the upper extremity is of signicant clinical importance for the vascular radiologist and surgeons for accurate diagnostic interpretation as well as in the conduct of interventional and surgical procedures on the upper extremity. The anatomical knowledge of the anomalous branching pattern of the brachial artery is important during percutaneous arterial catheterization, so as to prevent any complications arising from accidental damage to the anomalous vessel and knowledge of the variations are important for plastic surgeons using aps for reconstructive surgeries. Methods: The present study was undertaken on 50 upper limbs of both sexes from embalmed adult human cadaver in department of Anatomy, Patna Medical College, Patna, Bihar. Results: In the present study, normal brachial artery was found in 42 specimens accounting for 84%. Variations were found in 8 specimens (16%); of these ve specimens presented with trifurcation of brachial artery into radial, ulnar and radial recurrent arteries (10%); one specimen presented with double profunda brachii artery (2%); one specimen showed high origin of radial artery (2%) and one specimen presented with high division of brachial artery in the proximal third of arm (2%). Conclusions: Accurate anatomical knowledge about the brachial artery and its branching pattern with their variations are important for physicians, cardiologists, vascular surgeons and interventional radiologists. Study of these variations and its awareness helps in avoiding the iatrogenic injuries of the blood vessels, in the management of accidental/traumatic injuries to arteries in upper limb and during diagnostic procedures (like arteriograms).

Unilateral variation in branching pattern of Right Axillary Artery - A Case Report

2018 ◽  
Vol 3 (3) ◽  
Author(s):  
B. Muraleedhar ◽  
Chandrasekar Kuppi
Keyword(s):  
Case Report ◽  
Medical Students ◽  
Axillary Artery ◽  
Common Trunk ◽  
Branching Pattern ◽  
Medical College ◽  
Thoracoacromial Artery ◽  
Lateral Thoracic Artery ◽  
Male Cadaver ◽  
Posterior Circumflex Humeral Artery

The Axillary artery is the continuation of the subclavian artery and is a major artery of the upper limb. During the routine dissection for Undergraduate Ayurvedic Medical Students of Sharada Ayurvedic Medical College, Yadgir, Karnataka, India, in the Department of Anatomy, we come across a variation in branching pattern of second and third part of right axillary artery in male cadaver approximately 55 years of age. The first part of axillary artery was found to be normal. In the second part of axillary artery we observed two branches, first one is thoracoacromial artery arose as usual second branch given common trunk which is further divided into lateral thoracic artery and subscapular artery. Even third part of axillary artery gave one common trunk that terminated by bifurcating into Anterior Circumflex Humeral Artery and Posterior Circumflex Humeral Artery.

scholarly journals A cadaveric study of brachial artery and its variations with its ontogenic basis: An Anatomical Perspective

2021 ◽  
Vol 9 (9) ◽  
pp. 7844-7850
Author(s):  
Monika Lalit ◽  
◽  
Sanjay Piplani ◽  
Keyword(s):  
Upper Limb ◽  
Brachial Artery ◽  
Ulnar Artery ◽  
Branching Pattern ◽  
Age Group ◽  
Upper Limbs ◽  
Morphological Pattern ◽  
Superficial Brachial Artery ◽  
Interosseous Artery ◽  
Cubital Fossa

Introduction: Conventional knowledge of the brachial artery, the principal artery of the upper limb & its branches has played a major role in vascular surgeries. Literature along with various cadaveric & clinical studies suggest that brachial artery vary widely in origin, course and branching pattern. The great variability of this arterial pattern may be attributed to the failure of regression of some paths of embryonic arterial trunks. Anatomical knowledge of this principal artery and its variations has many clinical implications especially in surgeries related to orthopedic and vascular re-constructive procedures. MATERIALS AND METHODS: The present study was conducted on 56 upper limbs of different age group and sex (19 Male and 9 Female) The brachial arteries were identified and branching pattern and relations of the brachial artery with brachial plexus in arm was observed and presence or absence of variations were documented. Results: Out of 56 upper limbs studies, 53 (94.64%) limbs showed normal morphological pattern of brachial artery, 3 (5.35%) limbs showed superficial brachial artery, 1 limb (1.78%) showed tortuous and SBA with trifurcation into radial artery, ulnar artery and common interosseous artery in the cubital fossa. Conclusion: The study of Brachial artery and variation in its course and branching pattern is clinically important for surgeons, ortho-paedicians operating on the supracondylar fracture of humerus and radiologists performing angiographic studies on the upper limb. KEY WORDS: Common Interosseous Artery, Median Nerve, Superficial Brachial Artery, Trifurcation, Ulnar Artery.

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