Arterio-arterial malformation between a high origin radial artery and brachial artery within the cubital fossa - its clinical and embryological significance: a case report

Docimo, Salvatore; Kornitsky, Dellene E; Hill, Robert V.; Elkowitz, David E.

doi:10.4076/1757-1626-2-6836

Cited by 5 publications

(5 citation statements)

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“…Such “loop-like” formations were observed by Tiedemann [ 46 ], who was the first to systematically describe variations of the upper limb arteries and then by Adachi [ 7 ] in his classical studies. Docimo et al [ 47 ] describe such anastomosis as “arterio-arterial malformation between a high origin radial artery and brachial artery” within the cubital fossa. In a study conducted by McCormack et al [ 10 ], the cubital crossover was found in 17.8% of the limbs with a high origin of the radial artery, with only 5 cases (4.7% of limbs with the brachioradial artery; 26.3% of specimens with the anastomosis) in which a cubital anastomosis passed posterior to the distal biceps tendon.…”

Section: Discussionmentioning

confidence: 99%

The High Origin of the Radial Artery (Brachioradial Artery): Its Anatomical Variations, Clinical Significance, and Contribution to the Blood Supply of the Hand

Haładaj

Wysiadecki

Dudkiewicz

et al. 2018

BioMed Research International

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Background This study thoroughly analyzes the anatomic variations of the brachioradial artery (radial artery of high origin) based on the variability of its origin, the presence and types of anastomosis with the brachial artery in the cubital fossa (“cubital crossover” or “cubital connection”), and the pattern of radial recurrent arteries, as well as the vascular territory within the hand. Material and Methods One hundred and twenty randomly selected, isolated upper limbs fixed in 10% formalin solution were dissected. Results The radial artery was found to have a high origin in 9.2% of total number of the limbs: two cases from the axillary artery; nine cases from the brachial artery. Anastomosis between the brachioradial and “normal” brachial arteries in the cubital fossa was also frequently observed (54.6%). The anastomosis (“cubital crossover”) was dominant in one case, balanced in three cases, minimal in two cases, and absent in five cases. Conclusions The brachioradial artery may originate from the brachial and, less frequently, from the axillary artery. Anastomosis between the brachioradial and “normal” brachial arteries in the cubital fossa may be dominant, balanced, minimal, or absent. A complete radioulnar arch was found more often when the brachioradial artery was present as a variant.

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Section: Discussionmentioning

confidence: 99%

The High Origin of the Radial Artery (Brachioradial Artery): Its Anatomical Variations, Clinical Significance, and Contribution to the Blood Supply of the Hand

Haładaj

Wysiadecki

Dudkiewicz

et al. 2018

BioMed Research International

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“…Since ischemia of the upper extremity accounts for approximately 4% of all vascular procedures, knowledge regarding any type of arterial variations is crucial [22]. Hence the findings reported in the present study become highly relevant in adding to the literature.…”

Section: Discussionmentioning

confidence: 51%

An anatomical study of variations in termination of brachial artery: embryological basis and clinical implication

R¹,

G²,

Mekala³

et al. 2013

IOSR-JDMS

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“…Most significant research of detailed arterial variations of the upper limb are articles by Adachi [ 1 ], Bouchet & Cuilleret [ 3 ] Coleman & Anson [ 4 ]; according to these authors summative of more than a thousand cases, 18.5% are anatomical variations, 77% being cases with high origin of radial artery, while the ulnar artery was a persisting 12.2% of the variations. Docimo et al [ 6 ] described a case of arterial malformation in an old female cadaver, whereby the radial artery was formed in the axillary artery with a superficial path in an anterior region of the arm, converging deeply at the brachial artery in the cubital fossa. According to Pelin et al [ 12 ] the high origin of the radial artery is 14.27% in dissections of cadavers and 9.75% in an angiographic study.…”

Section: Discussionmentioning

confidence: 99%

The Artery Blood Supply Variant of the Upper Limb

Maslarski

2015

Medicine and Pharmacy Reports

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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.

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Arterio-arterial malformation between a high origin radial artery and brachial artery within the cubital fossa - its clinical and embryological significance: a case report

Cited by 5 publications

References 16 publications

The High Origin of the Radial Artery (Brachioradial Artery): Its Anatomical Variations, Clinical Significance, and Contribution to the Blood Supply of the Hand

The High Origin of the Radial Artery (Brachioradial Artery): Its Anatomical Variations, Clinical Significance, and Contribution to the Blood Supply of the Hand

An anatomical study of variations in termination of brachial artery: embryological basis and clinical implication

The Artery Blood Supply Variant of the Upper Limb

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