Multiple arterial variations in the upper limb of a South Indian female cadaver

Kumar, Manoj

doi:10.1002/ca.10167

Cited by 5 publications

(2 citation statements)

References 11 publications

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“…The deep disposition of the radial artery with regard to the biceps brachii muscle, as described in this study, has been observed by Kumar (2004). However, the case of Kumar revealed a biceps brachii muscle of normal characteristics, which is quite unlike the case described in the present study.…”

Section: Discussionsupporting

confidence: 44%

An Unusual Case of Primate Arterial Pattern in a Human Upper Limb

et al. 2020

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During routine undergraduate dissections of the upper limb, variations on the usual arterial and muscular patterns were observed in a 68 year-old male cadaver. The arterial and muscular pattern found in our specimen is similar to that of some primates in the following terms. 1) Brachial artery duplicity, on the right side, with a superficial brachio-ulnoradial artery. 2) In the right upper limb, the biceps brachii muscle continued with the superficial muscles of the forearm. 3) The brachial artery on the left side, cross over in front of the median nerve, as the only artery of the arm with a network axillary pattern. 4) On both sides, the ulnar artery was superficial and originated at the elbow from superficial brachial arteries. 5) The right anterior interosseous artery intervened in the vascularization of the hand. These results suggest that this may be a case of early detention of human embryonic development and/or the persistence of phylogenetic older patterns. In the literature, we have found no reference to the presence of all these variations in the same individual. The objective of our study was to analyze these variations from an embryological and phylogenetic perspective.

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Section: Discussionsupporting

confidence: 44%

An Unusual Case of Primate Arterial Pattern in a Human Upper Limb

et al. 2020

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“…In addition, the superficial position of the radial or ulnar arteries makes them more vulnerable to trauma [1]. Moreover, the possibility of a SBUR variant should always be born in mind when using the arm or forearm as a source or as a recipient of microvascular flaps, or when using the radial artery as vascular graft [14-16]. …”

Section: Discussionmentioning

confidence: 99%

A rare variant of the ulnar artery with important clinical implications: a case report

et al. 2012

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BackgroundVariations in the major arteries of the upper limb are estimated to be present in up to one fifth of people, and may have significant clinical implications.Case presentationDuring routine cadaveric dissection of a 69-year-old fresh female cadaver, a superficial brachioulnar artery with an aberrant path was found bilaterally. The superficial brachioulnar artery originated at midarm level from the brachial artery, pierced the brachial fascia immediately proximal to the elbow, crossed superficial to the muscles that originated from the medial epicondyle, and ran over the pronator teres muscle in a doubling of the antebrachial fascia. It then dipped into the forearm fascia, in the gap between the flexor carpi radialis and the palmaris longus. Subsequently, it ran deep to the palmaris longus muscle belly, and superficially to the flexor digitorum superficialis muscle, reaching the gap between the latter and the flexor carpi ulnaris muscle, where it assumed is usual position lateral to the ulnar nerve.ConclusionAs far as the authors could determine, this variant of the superficial brachioulnar artery has only been described twice before in the literature. The existence of such a variant is of particular clinical significance, as these arteries are more susceptible to trauma, and can be easily confused with superficial veins during medical and surgical procedures, potentially leading to iatrogenic distal limb ischemia.

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Radial Artery Coursing Behind the Biceps Brachii Tendon: Significance for the Transradial Catheterization and a Clinically Oriented Classification of the Radial Artery Variations

Jelev

Surchev

2008

Cardiovasc Intervent Radiol

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In routine clinical practice the variations of the radial artery are the main reason for technical failure during transradial catheterization. If these variations are well documented, however, they do not represent a problem in the transradial approach. Therefore, we report here a rare case of the radial artery which is very strange but potentially valuable for the clinical practice: it arises at a right angle from the brachial artery and passes behind the biceps brachii tendon. Based on our findings and on an extensive literature review, we propose for the first time a clinically oriented classification of the variations of the radial artery. This classification is related to the catheterization success at the usual access site of the radial artery at the wrist.

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Multiple arterial variations in the upper limb of a South Indian female cadaver

Cited by 5 publications

References 11 publications

An Unusual Case of Primate Arterial Pattern in a Human Upper Limb

An Unusual Case of Primate Arterial Pattern in a Human Upper Limb

A rare variant of the ulnar artery with important clinical implications: a case report

Radial Artery Coursing Behind the Biceps Brachii Tendon: Significance for the Transradial Catheterization and a Clinically Oriented Classification of the Radial Artery Variations

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