Bilaterally symmetrical congenital absence of radial artery: a case report

Zheng, Yingying; Shao, Lingyun; Mao, Jing

doi:10.1186/1471-2482-14-15

Cited by 10 publications

(12 citation statements)

References 8 publications

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“…Since the radial artery is often used in vascular, plastic, and reconstructive surgery [ 2 , 3 ] and routinely used for puncture and cannulation [ 32 , 33 , 35 ], knowledge of its variations can be of great clinical significance. Transradial access can be hindered by the presence of an unusual origin and course of the vessel [ 26 , 34 ]. It has been recently noted that the presence of a high origin of the radial artery (namely, the brachioradial artery) “considerably contributed to the development of tortuosity”, which can increase the risk of failure of transradial catheterization [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

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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%

“…However, the artery can display a high origin from the brachial artery or even from the axillary artery [ 7 , 8 , 10 , 12 – 14 , 21 , 22 ]. Moreover, in rare cases, the radial artery may demonstrate a more distal origin, under the pronator teres muscle [ 15 , 23 – 25 ], or even it can be absent [ 26 ].…”

Section: Introductionmentioning

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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“…These interventions will not be possible at the typical location on the radial aspect of the forearm in patients presenting with the variation described herein. Similarly, in these individuals the access of coronary angiography, percutaneous coronary intervention, and coronary artery bypass surgery via the radial artery will fail [Zheng et al, 2014]. Otherwise, a persistent median artery may complicate frequently performed surgical interventions in the region of the wrist (e.g., carpal tunnel release).…”

Section: Discussionmentioning

confidence: 99%

“…Besides, coronary angiography, percutaneous coronary intervention, and coronary artery bypass surgery via the radial artery will fail [Zheng et al, 2014].…”

mentioning

confidence: 99%

Congenital Bilateral Absence of the Radial Artery: A Very Rare Variation in Humans - Phylogenetic and Ontogenetic Aspects

Pretterklieber¹,

Martschini²,

Pretterklieber³

2016

Cells Tissues Organs

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In an 80-year-old Caucasian woman, both radial arteries were found to be replaced by an enlarged anterior interosseous artery. Additionally, the right forearm revealed a persistent median artery which formed the superficial palmar arch together with the ulnar artery. In both hands, the replaced radial artery was connected only to the deep but not the superficial palmar arch. In clinical practice, lack of an arterial pulse on the radial aspect of the wrist joint may indicate the presence of this anatomic variation. In this case, arterial blood sample collections, application of contrast media, invasive measurements of blood pressure, and several angiographic interventions cannot be performed via the radial artery. As this is the fourth reported case since 1830, bilateral aplasia of the radial artery appears to be an exceptional variation in humans. Thus, the phylo- and ontogenetic aspects of this anomaly are discussed.

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“…A case of trifurcation of the brachial artery with a variant course of RA passing deep to the tendon of the pronator teres muscle was recorded by Vollala et al ( 2008 ). There were also rare reports of hypoplasia (Gruber 1870a , b ; Thomson 1884 ), and even the congenital absence of RA (Zheng et al 2014 ). On the other hand, few studies have systematically analyzed the variant anatomy of the radial recurrent artery (RRA).…”

Section: Introductionmentioning

confidence: 99%

Low origin of the radial artery: a case study including a review of literature and proposal of an embryological explanation

et al. 2016

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A low origin of the radial artery is a rare anatomical variation, with the incidence estimated at 0.2 %. This report presents a previously unrecorded case of an unusual distal origin of the radial artery, co-occurring with a double recurrent radial artery. The radial artery arose under the pronator teres muscle, 76 mm below the intercondylar line of the humerus. After emerging from under the tendon of the pronator teres muscle, the radial artery took a typical course and terminated in the deep palmar arch. Additionally, the double radial recurrent artery branched directly off the brachial artery, near the level of the radial neck. A well-developed muscular branch of the first radial recurrent artery ran beneath the brachioradialis muscle and supplied the brachioradialis, extensor carpi radialis longus and brevis, as well as supinator muscles. The second (accessory) radial recurrent artery took origin from the posterior aspect of the brachial artery, ran deep to the distal tendon of the biceps brachii muscle and terminated by joining the articular network of elbow. According to recent theories, the plexiform appearance of the arteries at early stages of upper limb development allows for formation of alternative pathways of blood flow, which may give rise to variations in the definitive arterial pattern.

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Bilaterally symmetrical congenital absence of radial artery: a case report

Cited by 10 publications

References 8 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

Congenital Bilateral Absence of the Radial Artery: A Very Rare Variation in Humans - Phylogenetic and Ontogenetic Aspects

Low origin of the radial artery: a case study including a review of literature and proposal of an embryological explanation

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