Öz
Çalışmamızda bilateral olarak arteria brachialis’ten yüksek orijin alan arteria radialis varyasyonunun sunulması amaçlanmıştır.Anatomi laboratuvarımızda rutin eğitim diseksiyonu esnasında formaldehit ile fikse edilmiş 45 yaşında erkek kadavrada arteria radialis’in bilateral olarak arteria brachialis’ten yüksek orijin alarak başladığı gözlenmiştir. Her iki taraftaki arteria radialis humerus’un proksimal 1/3’ü seviyesinde, arteria brachialis’ten orijin almaktaydı. Her iki tarafta da humerusun 1/3 üst ve orta kısmında nervus medianus’un medial kısmında seyrediyordu. Humerus distal 1/3’ü seviyesinde ise arteria radialisler nervus medianus’un yüzeyelinden onu çaprazlayarak lateraline geçmekteydi. Arteriaradialisler ön kolda normal seyrinde devam etmekteydi.Sunulan varyasyonun bilinmesinin tanıda, kardiyak katetetrizasyon, arteriyel greft ve diğer anjiyografik prosedürlerde radyologlara, cerrahlara ve diğer klinisyenlere yararlı olacağını düşünüyoruz.
Anahtar Kelimeler
Arteria radialis arteria brachialis anatomik varyasyon diseksiyon arteria brachioradialis
Kaynakça
- 1. Arıncı K, Elhan A. Anatomi. 5 ed. Ankara: Güneş Tıp Kitabevleri; 2014. 47-8 p.
- 2. Atlasi MA. A brachioulnoradial artery: a short report. Surg Radiol Anat. 2014;36(1):99-101.
- 3. Haladaj R, Wysiadecki G, Dudkiewicz Z, Polguj M, Topol M. 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;2018:1520929.
- 4. Poteat WL. Report of a rare human variation: absence of the radial artery. Anat Rec. 1986;214(1):89-95.
- 5. Rodríguez-Niedenführ M, Vazquez T, Nearn L, Ferreira B, Parkin I, Sanudo J. Variations of the arterial pattern in the upper limb revisited: a morphological and statistical study, with a review of the literature. J Anat. 2001;199(5):547-66.
- 6. Yazar F, Acar HI. Supracondylar process with a high origin of the radial artery. Clin Anat. 2006;19(8):730-1.
- 7. Sarikcioglu L, Yildirim FB. High origin of the radial artery accompanied by muscular and neural anomalies. Ann Anat. 2003;185(2):179-82.
- 8. Pelin C, Zagyapan R, Mas N, Karabay G. An unusual course of the radial artery. Folia Morphol (Warsz). 2006;65(4):410-3.
- 9. Melling M, Wilde J, Schnallinger M, Karimian-Teherani D, Behnam M, Firbas W. Rare variant of the brachial artery: superficial lateral inferior type VII EAB. Clin Anat. 2000;13(3):216-22.
- 10. Shetty SD, Nayak BS, Madhav NV, Sirasanagandla SR, P A. The abnormal origin, course and the distribution of the arteries of the upper limb: a case report. J Clin Diagn Res. 2012;6(8):1414-6.
- 11. Standring S. Gray's anatomy: the anatomical basis of clinical practice. Edinburgh: Churchill Livingstone; 2008.
- 12. Rodriguez-Niedenfuhr M, Vazquez T, Parkin I, Sanudo J. Arterial patterns of the human upper limb: update of anatomical variations and embryological development. Eur J Anat. 2003;7(S1):21-8.
- 13. Natsis K, Papadopoulou AL, Paraskevas G, Totlis T, Tsikaras P. High origin of a superficial ulnar artery arising from the axillary artery: anatomy, embryology, clinical significance and a review of the literature. Folia Morphol (Warsz). 2006;65(4):400-5.
- 14. Haladaj R, Wysiadecki G, Polguj M, Topol M. Hypoplastic superficial brachioradial artery coexisting with atypical formation of the median and musculocutaneous nerves: a rare combination of unusual topographical relationships. Surg Radiol Anat. 2019;41(4):441-6.
- 15. Zhan D, Zhao Y, Sun J, Ling EA, Yip GW. High origin of radial arteries: a report of two rare cases. ScientificWorldJournal. 2010;10:1999-2002.
- 16. Krstonosic B, Srdic B, Maric D, Gudovic R, Mijatov S, Babovic SS. An anatomical study of double brachial arteries–a case reportanterior. IJAV. 2010;3(1).
- 17. Maslarski I. The artery blood supply variant of the upper limb. Clujul Medical. 2015;88(4):545-9.
- 18. Klimek-Piotrowska W, Pacholczak R, Walocha J. Multiple variations of the arterial pattern in upper extremities: a case report and embryological pathogenesis. Clin Anat. 2013;26(8):1031-5.
- 19. Babu S. Relation of median nerve to brachial artery: variations, embryological basis and clinical significance. IOSR-JDMS. 2013;9:56-9.
- 20. Rodriguez-Niedenfuhr M, Burton GJ, Deu J, Sanudo JR. Development of the arterial pattern in the upper limb of staged human embryos: normal development and anatomic variations. J Anat. 2001;199(Pt 4):407-17.
- 21. Gullapalli A. Study of Variations In The Branching Pattern of Upper Limb Arteries and Its Embryological Significance. Glob J Res Anal. 2017;6(6):37-9.
Öz
The aim of this study is to present dissection findings of variational high origin of the radial artery in a male cadaver. During routine dissection in our laboratory, the high origin of the radial arteries were observed in a formaline-fixed 45 years old male cadaver, bilaterally. The radial arteries arose from the brachial arteries at the level of proximal 1/3 of the humeri. Radial arteries were on the medial side of the median nerves at the proximal 1/3 and the middle parts of the humeri. Radial arteries were running superficial and crossing lateral to the median nerves at the level of the distal 1/3 of the humerus. The radial arteries continued in the usual course in the forearms. We consider that the knowledge of this variation might be beneficial in diagnostic procedures, cardiac catheterization, arterial grafting and other angiographic practices to radiologists, surgeons and other clinicians.
Anahtar Kelimeler
Radial artery brachial artery anatomic variation dissection brachioradial artery
Kaynakça
- 1. Arıncı K, Elhan A. Anatomi. 5 ed. Ankara: Güneş Tıp Kitabevleri; 2014. 47-8 p.
- 2. Atlasi MA. A brachioulnoradial artery: a short report. Surg Radiol Anat. 2014;36(1):99-101.
- 3. Haladaj R, Wysiadecki G, Dudkiewicz Z, Polguj M, Topol M. 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;2018:1520929.
- 4. Poteat WL. Report of a rare human variation: absence of the radial artery. Anat Rec. 1986;214(1):89-95.
- 5. Rodríguez-Niedenführ M, Vazquez T, Nearn L, Ferreira B, Parkin I, Sanudo J. Variations of the arterial pattern in the upper limb revisited: a morphological and statistical study, with a review of the literature. J Anat. 2001;199(5):547-66.
- 6. Yazar F, Acar HI. Supracondylar process with a high origin of the radial artery. Clin Anat. 2006;19(8):730-1.
- 7. Sarikcioglu L, Yildirim FB. High origin of the radial artery accompanied by muscular and neural anomalies. Ann Anat. 2003;185(2):179-82.
- 8. Pelin C, Zagyapan R, Mas N, Karabay G. An unusual course of the radial artery. Folia Morphol (Warsz). 2006;65(4):410-3.
- 9. Melling M, Wilde J, Schnallinger M, Karimian-Teherani D, Behnam M, Firbas W. Rare variant of the brachial artery: superficial lateral inferior type VII EAB. Clin Anat. 2000;13(3):216-22.
- 10. Shetty SD, Nayak BS, Madhav NV, Sirasanagandla SR, P A. The abnormal origin, course and the distribution of the arteries of the upper limb: a case report. J Clin Diagn Res. 2012;6(8):1414-6.
- 11. Standring S. Gray's anatomy: the anatomical basis of clinical practice. Edinburgh: Churchill Livingstone; 2008.
- 12. Rodriguez-Niedenfuhr M, Vazquez T, Parkin I, Sanudo J. Arterial patterns of the human upper limb: update of anatomical variations and embryological development. Eur J Anat. 2003;7(S1):21-8.
- 13. Natsis K, Papadopoulou AL, Paraskevas G, Totlis T, Tsikaras P. High origin of a superficial ulnar artery arising from the axillary artery: anatomy, embryology, clinical significance and a review of the literature. Folia Morphol (Warsz). 2006;65(4):400-5.
- 14. Haladaj R, Wysiadecki G, Polguj M, Topol M. Hypoplastic superficial brachioradial artery coexisting with atypical formation of the median and musculocutaneous nerves: a rare combination of unusual topographical relationships. Surg Radiol Anat. 2019;41(4):441-6.
- 15. Zhan D, Zhao Y, Sun J, Ling EA, Yip GW. High origin of radial arteries: a report of two rare cases. ScientificWorldJournal. 2010;10:1999-2002.
- 16. Krstonosic B, Srdic B, Maric D, Gudovic R, Mijatov S, Babovic SS. An anatomical study of double brachial arteries–a case reportanterior. IJAV. 2010;3(1).
- 17. Maslarski I. The artery blood supply variant of the upper limb. Clujul Medical. 2015;88(4):545-9.
- 18. Klimek-Piotrowska W, Pacholczak R, Walocha J. Multiple variations of the arterial pattern in upper extremities: a case report and embryological pathogenesis. Clin Anat. 2013;26(8):1031-5.
- 19. Babu S. Relation of median nerve to brachial artery: variations, embryological basis and clinical significance. IOSR-JDMS. 2013;9:56-9.
- 20. Rodriguez-Niedenfuhr M, Burton GJ, Deu J, Sanudo JR. Development of the arterial pattern in the upper limb of staged human embryos: normal development and anatomic variations. J Anat. 2001;199(Pt 4):407-17.
- 21. Gullapalli A. Study of Variations In The Branching Pattern of Upper Limb Arteries and Its Embryological Significance. Glob J Res Anal. 2017;6(6):37-9.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Anatomi |
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Nisan 2021 |
| Gönderilme Tarihi | 20 Ağustos 2019 |
| Yayımlandığı Sayı | Yıl 2021Cilt: 12 Sayı: 2 |
