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在肯尼亚黑人人群中,桡动脉出现异常高位起源:一项尸体研究。

The Unusual High Origin Radial Artery in a Black Kenyan Population: A Cadaveric Study.

机构信息

Department of Human Anatomy and Medical Physiology, University of Nairobi, Kenya.

Starschema Inc., Office of Intramural Research, Arlington, VA, USA.

出版信息

Ethiop J Health Sci. 2022 Mar;32(2):445-452. doi: 10.4314/ejhs.v32i2.25.

DOI:10.4314/ejhs.v32i2.25
PMID:35693573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9175225/
Abstract

BACKGROUND

The anatomy of the radial artery draws great interests among anatomists for its frequent involvement in variations. Equally, these variations have gained significant attention from clinicians because of the preference to use the radial artery for catheterization. The commonest of radial artery variations involve its site of origin. In published literature, data on this variations exist, but the prevalence of such variations in a Kenyan population has hitherto been unknown.

METHODS

Sixty-two upper limbs from 50 formalin-fixed cadavers were studied during dissection in the Department of Human Anatomy, University of Nairobi.

RESULTS

Fifty-four (87.1%) radial arteries arose within the cubital fossa, while eight (12.9%) had a high origin. Out of the eight high arteries, two (3.2%) branched off from the axillary artery, another two (3.2%) were branches of the proximal third of the brachial artery and four (6.5%) arose from the middle third of the brachial artery. The high origin radial arteries were more common on the right upper limbs (5 out of the 8 cases). Both axillary and brachial origins were seen bilaterally.

CONCLUSION

The present study details important variations in the anatomy of the radial artery in a Kenyan population. With the radial artery being utilized during clinical, surgical and radiological interventions so frequently, an increased understanding and anticipation of such topographic variances is paramount.

摘要

背景

桡动脉的解剖结构因其频繁涉及变异而引起解剖学家的极大兴趣。同样,由于偏爱使用桡动脉进行导管插入术,这些变异也引起了临床医生的高度关注。桡动脉最常见的变异涉及其起源部位。在已发表的文献中,有关于这些变异的数据,但迄今为止,肯尼亚人群中这种变异的流行情况尚不清楚。

方法

在肯尼亚内罗毕大学人体解剖学系的解剖过程中,研究了 50 具福尔马林固定尸体的 62 个上肢。

结果

54 条(87.1%)桡动脉发自肘窝,8 条(12.9%)有高位起源。在这 8 条高位动脉中,有 2 条(3.2%)发自腋动脉,2 条(3.2%)发自肱动脉近段,4 条(6.5%)发自肱动脉中段。高位起源的桡动脉在上肢更为常见(8 例中有 5 例)。腋动脉和肱动脉起源均为双侧。

结论

本研究详细描述了肯尼亚人群桡动脉解剖结构的重要变异。由于桡动脉在临床、外科和放射学干预中经常被使用,因此增加对这些局部变异的理解和预测至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/177d/9175225/d7285b8b9591/EJHS3202-0445Fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/177d/9175225/c53d9f32427b/EJHS3202-0445Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/177d/9175225/440ed76768bd/EJHS3202-0445Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/177d/9175225/7d917d152b76/EJHS3202-0445Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/177d/9175225/f2b57d7d10a4/EJHS3202-0445Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/177d/9175225/d7285b8b9591/EJHS3202-0445Fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/177d/9175225/c53d9f32427b/EJHS3202-0445Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/177d/9175225/440ed76768bd/EJHS3202-0445Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/177d/9175225/7d917d152b76/EJHS3202-0445Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/177d/9175225/f2b57d7d10a4/EJHS3202-0445Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/177d/9175225/d7285b8b9591/EJHS3202-0445Fig5.jpg

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本文引用的文献

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Anatomical variations of the superficial ulnar artery: case series observed on historical specimens prepared by Ludwik Karol Teichmann.尺侧浅动脉的解剖变异:Ludwik Karol Teichmann 制作的历史标本中观察到的病例系列。
Folia Morphol (Warsz). 2022;81(1):227-233. doi: 10.5603/FM.a2021.0014. Epub 2021 Feb 12.
2
The High Origin of the Radial Artery (Brachioradial Artery): Its Anatomical Variations, Clinical Significance, and Contribution to the Blood Supply of the Hand.桡动脉(肱桡动脉)的高起源:其解剖变异、临床意义及其对手部血液供应的贡献。
Biomed Res Int. 2018 Jun 11;2018:1520929. doi: 10.1155/2018/1520929. eCollection 2018.
3
Low origin of the radial artery: a case study including a review of literature and proposal of an embryological explanation.
桡动脉低位起源:一项病例研究,包括文献综述及胚胎学解释的提出
Anat Sci Int. 2017 Mar;92(2):293-298. doi: 10.1007/s12565-016-0371-9. Epub 2016 Sep 15.
4
An arterial island pattern of the axillary and brachial arteries: a case report with clinical implications.腋窝和肱动脉的动脉岛状模式:一例具有临床意义的病例报告。
Surg Radiol Anat. 2016 Oct;38(8):975-8. doi: 10.1007/s00276-016-1631-z. Epub 2016 Jan 30.
5
Coincidence of superficial brachiomedian artery and bitendinous palmaris longus: a case report.肱正中浅动脉与双腱掌长肌并存:一例报告
Surg Radiol Anat. 2016 Jan;38(1):147-51. doi: 10.1007/s00276-015-1512-x. Epub 2015 Jul 2.
6
Frequency of radial artery anatomic variations in patients undergoing transradial heart catheterization.经桡动脉心脏导管插入术患者桡动脉解剖变异的频率
Acta Clin Croat. 2015 Mar;54(1):65-72.
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An unusual high bifurcation and variable branching of the axillary artery in a Greek male cadaver.一名希腊男性尸体中腋动脉罕见的高位分叉和分支变异。
Springerplus. 2014 Oct 28;3:640. doi: 10.1186/2193-1801-3-640. eCollection 2014.
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Niger Med J. 2014 May;55(3):276-7. doi: 10.4103/0300-1652.132071.
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