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Anatomic Variation in the Origin and Course of Radial Artery: A Descriptive Cross-Sectional Study
Muna Kadel1, Shanta Hada2, Bishwo Prachanda Sedhain3
1Department of Anatomy, Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal.
Insights
Most radial arteries originate normally in the cubital fossa. However, this study found variations in radial artery origin in 13.21% of specimens, highlighting potential procedural complications.
Area of Science:
- Anatomy
- Vascular Anatomy
- Human Anatomy
Background:
- The radial artery, typically originating from the brachial artery in the cubital fossa, is crucial for various cardiovascular procedures.
- Anomalies such as high origin or tortuosity can lead to procedural failures.
Purpose of the Study:
- To investigate the variations in the origin and course of the radial artery in adult human cadavers.
Main Methods:
- A descriptive cross-sectional study was conducted on 53 upper limb specimens from 27 formalin-fixed cadavers.
- Data analysis included frequency, proportion, and point estimates at a 95% confidence interval.
Main Results:
- A normal origin of the radial artery in the cubital fossa was observed in 86.79% of specimens.
- Variations in origin were noted in 13.21% of specimens, including origins from the axilla and different parts of the arm.
- Bilateral radial artery tortuosity was observed in one cadaver.
Conclusions:
- The majority of radial arteries exhibit a typical origin from the brachial artery in the cubital fossa.
- A small percentage of radial arteries show variations in origin, which is important for clinicians to consider.
Introduction:
The radial artery is commonly originated from the brachial artery in the cubital fossa at the level of the neck of the radius. It is the artery of choice for coronary artery angiography, percutaneous coronary artery intervention, cannulation, and others. Radial artery anomalies like high origin, tortuosity, and accessory branches are associated with the failure of such procedures. The main objective of this study is to study the variation in origin and course of the radial artery in cadavers.
Methods:
A descriptive cross-sectional study was conducted in 27 formalin-fixed adult human cadavers in the Department of Anatomy, KIST Medical College and Teaching Hospital, Lalitpur, Nepal, from 2075/4/2 to 2076/4/2. Ethical approval was taken on date 02/04/2075 (IRC No. 2074/75/38). Altogether, 53 specimens were enrolled in the study by convenience sampling method. Point estimate at 95% Confidence Interval was done for binary data along with frequency and proportion. The data was analyzed by and Statistical Package for the Social Sciences version 20.
Results:
Out of of 53 upper limbs, forty-six (86.79%) specimens, the origin of the radial artery was observed to be normal in the cubital fossa, 34.5±6.31mm below the level of the intercondylar line of the humerus with the superficial course. In seven (13.21%) specimens, the radial artery showed variation in the origin. Among them, variations in origin were found to be from sites like the axilla, upper-middle, and lower part of the arm. One cadaver showed a tortuous radial artery bilaterally.
Conclusions:
This study concludes that most of the radial artery originates in the cubital fossa from the brachial artery with few variations.
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