Surgical anatomy of the axillary artery: clinical implications for open shoulder surgery

Stone, Michael A.; Ihn, Hansel; Gipsman, Aaron; Iglesias, Brenda; Minneti, Michael; Noorzad, Ali S.; Omid, Reza

doi:10.1016/j.jse.2020.09.018

Cited by 6 publications

(2 citation statements)

References 26 publications

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“…Clinically, the variations of the axillary artery are relevant due to its size, irrigation territory and the anatomical relationships established with the brachial plexus. In this sense, a positional anomaly could generate difficulties during shoulder surgical procedures, either to perform the exploration of anatomical structures, as well as to perform surgical procedures (Clarke et al, 2021;Stone et al, 2021). For example, in arterial catheterization procedures to perform cardiac valve replacement, the axillary artery can be used as an alternative access, with special relevance to the caliber of the arterial variant presented here, which is similar to that of the third portion of the axillary artery reported.…”

Section: Discussionsupporting

confidence: 59%

Common Arterial Trunk for the Branches of the Third Portion of the Axillary Artery. Description of a Case and its Clinical Application

et al. 2022

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Variations of the axillary artery may have clinical implications capable of generating unexpected situations during surgical procedures of arterial reconstruction or vascular catheterization. The objective of this work was to report the finding of an anatomical variant of the axillary artery, which may have clinical and surgical implications. A descriptive study was conducted, in which a unilateral vascular variation found during a routine dissection in a right upper limb of a male cadaver was reported. From the second portion of the axillary artery originated a common arterial trunk that gave rise to the subscapular, anterior humeral circumflex, posterior humeral circumflex and deep brachial arteries. The third portion of the axillary artery did not emit branches. The common arterial trunk originated from the second portion, 62.64 mm from the beginning of the axillary artery. Its total length was 23.72 mm and its thickness was 6.1 mm. The caliber of the branches originating from the common arterial trunk was: subscapular artery 5.1 mm, anterior humeral circumflex of 1.66 mm, posterior humeral circumflex 3.18 mm and deep brachial 3.73 mm. The vascular variant detected altered the anatomical relationship of the axillary artery with the brachial plexus, generating a modification in the position of the fascicles and their terminal branches. Anatomical variations of the axillary artery are not infrequent, knowing them may be necessary during surgical procedures or anatomical dissections.

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Section: Discussionsupporting

confidence: 59%

Common Arterial Trunk for the Branches of the Third Portion of the Axillary Artery. Description of a Case and its Clinical Application

et al. 2022

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“…The axillary artery variation is a concern during these procedures [12][13][14]. For better clinical procedures, detailed knowledge of anatomical relationships of the axillary artery and distribution of its branches is crucial [15][16][17][18]. Therefore, topography of the axillary artery and its branches should be studied and their association needed to be discussed.…”

Section: Introductionmentioning

confidence: 99%

Topography and Anatomical Variations of the Axillary Artery

Yang

Lee

Choi

et al. 2021

BioMed Research International

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Knowledge of anatomical variations of the limb’s main arteries is significant for the clinicians. Thus, this study is aimed at examining the branching pattern and anatomical variations of the axillary artery. We conducted research on 59 upper limbs of adult human donated cadavers. All axillary artery branches’ origins were assessed, and the correlations between points of origins and variations of specific branches were evaluated. The average length of the axillary artery was found to be 11.22 cm, and this length was defined as reference line. Based on this reference line, the first, second, and third parts were 37.56%, 39%, and 30.05%, respectively. The STA was originated from 25.11%. The TAA and LTA were 42.67% and 54.82%, respectively. The SSA, ACHA, and PCHA were 64.72%, 83.89%, and 84.53%, respectively. The origin of LTA was correlated with that of SSA ( R = 0.473 , P < 0.05 ) and AHCA ( R = 0.307 , P < 0.05 ), respectively. And there was a positive correlation between AHCA and PHCA ( R = 0.705 , P < 0.05 ). The number of branches ranged from 3~6, and 9 types were shown. The most frequent branching pattern was common origin of the LTA and SSA (22/59). And AHCA and PHCA were originated together in 19 cases, and both patterns were combined in 12 cases. TTA and LTA branched together in 9 cases, and common trunk for the SSA, PHCA, and AHCA was found in 2 cases. According to this pattern, the origin of LTA and PCHA was significantly different. This information is particularly useful for surgeons and clinicians.

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Anatomical Description and Technical Considerations of the Portal of Willingboro for All-Arthroscopic Biceps Tenodesis

McMillan,

Clancy,

Ford

2024

Arthroscopy Techniques

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Surgical anatomy of the axillary artery: clinical implications for open shoulder surgery

Cited by 6 publications

References 26 publications

Common Arterial Trunk for the Branches of the Third Portion of the Axillary Artery. Description of a Case and its Clinical Application

Common Arterial Trunk for the Branches of the Third Portion of the Axillary Artery. Description of a Case and its Clinical Application

Topography and Anatomical Variations of the Axillary Artery

Anatomical Description and Technical Considerations of the Portal of Willingboro for All-Arthroscopic Biceps Tenodesis

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