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Erschienen in: Surgical and Radiologic Anatomy 9/2023

14.07.2023 | Original Article

Anatomical and biometric study of the radial artery on human cadavers dissected in the anatomy laboratory

verfasst von: Misbaou Barry, Mesut Gun, Yuthiline Chabry, Majid Harmouche, Paul Padurean, Johann Peltier, Thierry Caus, Eric Havet

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 9/2023

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Abstract

Objective

To study the anatomy and biometry of the radial artery and to report the implications of this study for daily practice in Cardiac Surgery.

Method

Radial arteries from 45 human cadavers (28 males and 17 females, average age 79.2 (92) fixed in 10% formalin were dissected. The proximal and distal internal calibers and lengths of these radial arteries were measured.

Results

Our results showed the presence of a single radial artery variation in 2.3% of the entire sample (1.1% of the 90 dissected upper limbs). The distance between the epicondyle and the emergence of the radial artery was 32.4 (6.67) mm in men and 30.7 (9.00) mm in women, with an average of 31.8 (7.58) mm. For the right upper limb, the mean proximal internal caliber of the radial artery was 3.16 (0.56) mm and its mean distal internal caliber was 2.62 (0.66) mm. For the left upper limb, the mean proximal internal caliber of the radial artery was 3.17 (0.59) mm and its mean distal internal caliber was 2.64 (0.68) mm. The mean length of the left radial artery was 197.0 (17) mm. The mean length of the right radial artery was 201.0 (33) mm.

Conclusion

It is very important to be aware of the possible anatomical variation of the radial artery. Despite its rarity, this knowledge may ensure a better safety and reliability of the harvesting technique for use as a graft.
Literatur
1.
Zurück zum Zitat Adachi B (1982) Das Arteriensystem der Japaner. Maruzen, Kyoto 1:285–356 Adachi B (1982) Das Arteriensystem der Japaner. Maruzen, Kyoto 1:285–356
2.
Zurück zum Zitat Anya SB, Kumar N, Aithal Padur A, Shetty SD (2016) Variant superficial branch of the radial artery with additional tendons on the dorsum of the hand and their surgical implications. Rep Surg Case 95:817–859 Anya SB, Kumar N, Aithal Padur A, Shetty SD (2016) Variant superficial branch of the radial artery with additional tendons on the dorsum of the hand and their surgical implications. Rep Surg Case 95:817–859
3.
Zurück zum Zitat Barry M, Nader J, Hun Y, Havet E, Barry F, Laude M, Bonnaire B, Caus T (2018) Aberrant birth of a radial artery in the upper third of the forearm: a case report. Morphological 102(337):101–105CrossRef Barry M, Nader J, Hun Y, Havet E, Barry F, Laude M, Bonnaire B, Caus T (2018) Aberrant birth of a radial artery in the upper third of the forearm: a case report. Morphological 102(337):101–105CrossRef
4.
Zurück zum Zitat Barry MM, Foulon P, Touati G, Ledoux B, Sevestre H, Carmi D, Laude M (2003) Comparative histological and biometric study of the coronary, radial and left internal thoracic arteries. Surg Radiol Anat 25:284–289CrossRefPubMed Barry MM, Foulon P, Touati G, Ledoux B, Sevestre H, Carmi D, Laude M (2003) Comparative histological and biometric study of the coronary, radial and left internal thoracic arteries. Surg Radiol Anat 25:284–289CrossRefPubMed
5.
Zurück zum Zitat Berry CL, Grow TH (1973) Development and healing of large arteries. Ann Coll Surg 53:246–257 Berry CL, Grow TH (1973) Development and healing of large arteries. Ann Coll Surg 53:246–257
6.
Zurück zum Zitat Carpentier A, Guermonprez JL, Deloche A, Frechette C, Dubost C (1973) Aorta-coronary artery bypass: a technique avoiding pathological changes in grafts. Ann Thorac Surg 16:111–121CrossRefPubMed Carpentier A, Guermonprez JL, Deloche A, Frechette C, Dubost C (1973) Aorta-coronary artery bypass: a technique avoiding pathological changes in grafts. Ann Thorac Surg 16:111–121CrossRefPubMed
7.
Zurück zum Zitat Celik HH, Sargon MF, Konan A, Kural E (1996) High brachial artery bifurcation: a report of 2 cases. Bull Assoc Anat 80:13–14 Celik HH, Sargon MF, Konan A, Kural E (1996) High brachial artery bifurcation: a report of 2 cases. Bull Assoc Anat 80:13–14
8.
Zurück zum Zitat Dworeck C, Redfors B, Völz S, Haraldsson I, Råmunddal T, Ioanes D, Myredal A, Odenstedt J, Hirlekar G, Koul S, Fröbert F, Linder R, Venetsanos D, Hofmann R, Ulvenstam A, Petursson P, Sarno G, James S, Erlinge D, Omerovic E (2020) Radial artery access is associated with lower mortality in patients undergoing primary PCI: a report from the SWEDEHEART registry. Eur Heart J Soins Cardiovasculaires Aigus 9(4):323–332 Dworeck C, Redfors B, Völz S, Haraldsson I, Råmunddal T, Ioanes D, Myredal A, Odenstedt J, Hirlekar G, Koul S, Fröbert F, Linder R, Venetsanos D, Hofmann R, Ulvenstam A, Petursson P, Sarno G, James S, Erlinge D, Omerovic E (2020) Radial artery access is associated with lower mortality in patients undergoing primary PCI: a report from the SWEDEHEART registry. Eur Heart J Soins Cardiovasculaires Aigus 9(4):323–332
9.
Zurück zum Zitat Fujii Y, Teragawa H, Soga J et al (2013) Flow-mediated vasodilation and anatomical variation of the brachial artery (Double brachial artery) in healthy subjects and patients with cardiovascular disease. Circ J 77(4):1073–1080CrossRefPubMed Fujii Y, Teragawa H, Soga J et al (2013) Flow-mediated vasodilation and anatomical variation of the brachial artery (Double brachial artery) in healthy subjects and patients with cardiovascular disease. Circ J 77(4):1073–1080CrossRefPubMed
10.
Zurück zum Zitat Gaudino M, Crea F, Cammertoni F, Mazza A, Toesca A, Massetti M (2014) I technical ssues with using the radial artery as a coronary bypass conduit. Ann Thorac Surg 98:2247–2254CrossRefPubMed Gaudino M, Crea F, Cammertoni F, Mazza A, Toesca A, Massetti M (2014) I technical ssues with using the radial artery as a coronary bypass conduit. Ann Thorac Surg 98:2247–2254CrossRefPubMed
11.
Zurück zum Zitat Guarracini F, Martin M, Marini M, Branzoli S, Casagranda G, Muser D, Giovanni B, Gasperetti A, Di Marco M, Guarracini S, Bonmassari R, Mazzone P, Calafiore A, Di Mauro M (2022) Left atrial appendage closure: a current overview focused on technical aspects and different approaches. Rev Cardiovasc Med 23(5):155CrossRef Guarracini F, Martin M, Marini M, Branzoli S, Casagranda G, Muser D, Giovanni B, Gasperetti A, Di Marco M, Guarracini S, Bonmassari R, Mazzone P, Calafiore A, Di Mauro M (2022) Left atrial appendage closure: a current overview focused on technical aspects and different approaches. Rev Cardiovasc Med 23(5):155CrossRef
12.
Zurück zum Zitat Haładaj R, Wysiadecki G, Dudkiewicz Z, Polguj M, Topol M (2018) the high origin of the radial artery (brachioradial artery): its anatomical variations, clinical significance, and contribution to the blood supply of the hand. Biomed Res Int 2018:1520929CrossRefPubMedPubMedCentral Haładaj R, Wysiadecki G, Dudkiewicz Z, Polguj M, Topol M (2018) the high origin of the radial artery (brachioradial artery): its anatomical variations, clinical significance, and contribution to the blood supply of the hand. Biomed Res Int 2018:1520929CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Karlsson S, Niechajev I (1982) Arterial anatomy of the upper extremity. Acta Radiol 23(2):115–121 Karlsson S, Niechajev I (1982) Arterial anatomy of the upper extremity. Acta Radiol 23(2):115–121
14.
Zurück zum Zitat Keen JA (1961) study of the arterial variations in the limbs, with special reference to symmetry of vascular patterns. Am J Anat 108(3):245–261CrossRefPubMed Keen JA (1961) study of the arterial variations in the limbs, with special reference to symmetry of vascular patterns. Am J Anat 108(3):245–261CrossRefPubMed
15.
Zurück zum Zitat Kokkalis ZT, Tolis KE, Megaloikonomos PD, Panagopoulos GN, Igoumenou VG, Mavrogenis AF (2016) Aberrant radial artery causing carpal tunnel syndrome. Arch Bone Joint Surg 4(3):282–284PubMedPubMedCentral Kokkalis ZT, Tolis KE, Megaloikonomos PD, Panagopoulos GN, Igoumenou VG, Mavrogenis AF (2016) Aberrant radial artery causing carpal tunnel syndrome. Arch Bone Joint Surg 4(3):282–284PubMedPubMedCentral
16.
Zurück zum Zitat McCormack LJ, Cauldwell EW, Anson BJ (1953) Brachial and antebrachial arterial patterns; a study of 750 extremities. Surg Gynecol Obstet 96:43–54PubMed McCormack LJ, Cauldwell EW, Anson BJ (1953) Brachial and antebrachial arterial patterns; a study of 750 extremities. Surg Gynecol Obstet 96:43–54PubMed
17.
18.
Zurück zum Zitat Nkomozepi P, Xhakaza N, Swanepoel E (2017) Superficial brachial artery: a possible cause for idiopathic median nerve entrapment neuropathy. Folia Morphol 76(3):527–531CrossRef Nkomozepi P, Xhakaza N, Swanepoel E (2017) Superficial brachial artery: a possible cause for idiopathic median nerve entrapment neuropathy. Folia Morphol 76(3):527–531CrossRef
19.
Zurück zum Zitat Nasr AY (2012) The radial artery and its variations: anatomical study and clinical implications. Folia Morphol 71(4):252–262 Nasr AY (2012) The radial artery and its variations: anatomical study and clinical implications. Folia Morphol 71(4):252–262
20.
Zurück zum Zitat Patel T, Shah PS, Rao S, Bertrand OF, Kwan T (2014) Balloon-assisted tracking: a must-have technique for overcoming difficult anatomy in a transradial approach catheter. Cardiovasc Interv 83:211–220 Patel T, Shah PS, Rao S, Bertrand OF, Kwan T (2014) Balloon-assisted tracking: a must-have technique for overcoming difficult anatomy in a transradial approach catheter. Cardiovasc Interv 83:211–220
21.
Zurück zum Zitat Rodriguez-Niedenfu M, Vazquez T, Nearn L, Ferreira B, Parkin I, Sanudo JR (2001) Variations of the arterial pattern in the upper limb revisited: a morphological and statistical study, with a review of the literature. J Anat 199(Pt 5):547–66CrossRef Rodriguez-Niedenfu M, Vazquez T, Nearn L, Ferreira B, Parkin I, Sanudo JR (2001) Variations of the arterial pattern in the upper limb revisited: a morphological and statistical study, with a review of the literature. J Anat 199(Pt 5):547–66CrossRef
22.
Zurück zum Zitat Rodriguez-Baeza A, Nebot J, Ferreira B et al (1995) An anatomical study and ontogenetic explanation of 23 cases with variations in the main pattern of the human brachio-antebrachial arteries. J Anat 2:473–479 Rodriguez-Baeza A, Nebot J, Ferreira B et al (1995) An anatomical study and ontogenetic explanation of 23 cases with variations in the main pattern of the human brachio-antebrachial arteries. J Anat 2:473–479
23.
Zurück zum Zitat Sendrail-Pesque M, Julian M (1999) Le vieillissement aortique. Pathol Biol 17:233–234 Sendrail-Pesque M, Julian M (1999) Le vieillissement aortique. Pathol Biol 17:233–234
24.
Zurück zum Zitat Sisto T (1998) Atherosclerosis in internal mammary and related arteries. Scand J Tho-rac Cardiovasc Surg 24:7–11 Sisto T (1998) Atherosclerosis in internal mammary and related arteries. Scand J Tho-rac Cardiovasc Surg 24:7–11
25.
Zurück zum Zitat Thevenet A, Baudet E, Duacilar C, Roque X, Laborde MN (1982) L’endartériectomie coronaire associée aux pontages aorto-coronariens. Ann Chir Thorac Cardiovasc 36:587–592 Thevenet A, Baudet E, Duacilar C, Roque X, Laborde MN (1982) L’endartériectomie coronaire associée aux pontages aorto-coronariens. Ann Chir Thorac Cardiovasc 36:587–592
26.
Zurück zum Zitat Thevenet A, Ducailar CL, Wintrebert P (1999) Chirurgie des artères coronaires. Encycl Med Chir, Paris, Techniques chirurgicales, Thorax 42700, 4.9.04 Thevenet A, Ducailar CL, Wintrebert P (1999) Chirurgie des artères coronaires. Encycl Med Chir, Paris, Techniques chirurgicales, Thorax 42700, 4.9.04
27.
Zurück zum Zitat Wysiadecki G, Polguj M, Haładaj R, Topol M (2016) Low origin of the radial artery: a case study including a review of the literature and proposal of an embryological explanation. Anat Sci Int 92(2):293–298CrossRefPubMedPubMedCentral Wysiadecki G, Polguj M, Haładaj R, Topol M (2016) Low origin of the radial artery: a case study including a review of the literature and proposal of an embryological explanation. Anat Sci Int 92(2):293–298CrossRefPubMedPubMedCentral
28.
Zurück zum Zitat Weathersby HT (1956) Anomalies of brachial and antebrachial arteries of surgical signi-ficance. South Med J 49(1):46–49CrossRefPubMed Weathersby HT (1956) Anomalies of brachial and antebrachial arteries of surgical signi-ficance. South Med J 49(1):46–49CrossRefPubMed
29.
Zurück zum Zitat Wadhwa S, Tomar V (2016) Abnormal medial branch of the radial artery: a rare variant. Acta Medica (Hradec Kralove) 59(3):100–103CrossRefPubMed Wadhwa S, Tomar V (2016) Abnormal medial branch of the radial artery: a rare variant. Acta Medica (Hradec Kralove) 59(3):100–103CrossRefPubMed
30.
Zurück zum Zitat Yatzouta C (1927) Bulletins and memoirs of the anthropological society of Paris, VII Se-ries. Volume 8 fascicle 1–3: 31–38 Yatzouta C (1927) Bulletins and memoirs of the anthropological society of Paris, VII Se-ries. Volume 8 fascicle 1–3: 31–38
Metadaten
Titel
Anatomical and biometric study of the radial artery on human cadavers dissected in the anatomy laboratory
verfasst von
Misbaou Barry
Mesut Gun
Yuthiline Chabry
Majid Harmouche
Paul Padurean
Johann Peltier
Thierry Caus
Eric Havet
Publikationsdatum
14.07.2023
Verlag
Springer Paris
Erschienen in
Surgical and Radiologic Anatomy / Ausgabe 9/2023
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-023-03190-z

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