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IJAR.2018.377

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Type of Article:  Case Report

Volume 6; Issue 4.2 (November 2018)

Page No.: 5926-5928

DOI: https://dx.doi.org/10.16965/ijar.2018.377

VARIANT BRANCHING PATTERN OF BRACHIAL ARTERY IN CONTEXT TO ITS HIGHER BIFURCATION: A CASE REPORT

Neha Udainiya *1, Neelam Sagwan 2, Isha Herswani 3,  Vikash Bhatnagar 4, Sandeep M Lahange 5.

*1 Assistant Professor,P. G.  Department of Sharir Rachana NIA, Jaipur, India.

2 M.D.  Scholar P. G. Department of   Sharir Rachana NIA, Jaipur, India.

3 Ph.D Scholar P. G. Department of   Sharir Rachana NIA, Jaipur, India.

4 Associate Professor, P. G.  Department of Sharir Rachana NIA, Jaipur, India.

5 Assistant Professor, P. G.  Department of Sharir Rachana NIA, Jaipur, India.

Address for Correspondence: Dr. Neha Udainiya, Assistant Professor, P. G.  Department of Sharir Rachana NIA, Jaipur, India. E-Mail: neha4186@gmail.com

ABSTRACT:

Unlike venous system, variations in arterial anatomy are less frequent and most of them affect visceral arteries. Knowledge regarding the normal and variant arterial anatomy of the upper extremity has significant importance from clinical point of view. As it can guide the vascular radiologist and surgeons for accurate diagnostic interpretation as well as in the conduct of interventional and surgical procedures on the upper extremity. The knowledge of branching pattern of the brachial artery is important during percutaneous arterial catheterization, so as to prevent any complications arising from accidental damage to the anomalous vessel and knowledge of the variations are important for plastic surgeons using flaps for reconstructive surgeries. This variation was found in while dissecting the right arm of a female cadaver aged around 50 yrs.  During dissection it was found that the brachial artery bifurcates in the arm and the ulnar artery course superficial to the superficial layer of flexor muscles. When this happens the ulnar artery may be mistaken for a vein. When certain drugs are injected into an artery, the capillary bed is damaged, followed by gangrene. The hand could be severely injured by injecting into superficial ulnar artery.

Key words: Brachial Artery, Variation.

REFERENCES

  1. Gray, Gray’s anatomy, the anatomical basis of medicine and surgery, edited by Peter L.Williams, published by Churchill Livingstone Robert Stevenson House 1-3 Baxter’s Place, Leith Walk, Edinburgh EH1 3AF, fortieth edition, pg no 827
  2. Gray, Gray’s anatomy, the anatomical basis of medicine and surgery, edited by Peter L.Williams, published by Churchill Livingstone Robert Stevenson House 1-3 Baxter’s Place, Leith Walk, Edinburgh EH1 3AF, fortieth edition,pg no 827
  3. Grant`s dissector, Patrick W. Tank, Fifteenth edition, pg no 44
  4. al. Study of variations in the branching pattern of brachial artery,Int J Cur Res Rev 2014;6(20).
  5. High Bifurcation of Brachial Artery and its Clinical Significance George Joseph Lufukuja, Journal of Anatomical Science and Research 2018;1(2):2.
  6. Shivanal U et al., A study of variations in brachial artery and its branching pattern Int J Res Med Sci. 2015 Jun;3(6):1392-1396.
  7. Chakravarthi KK, Siddaraju KS, Venumadhav N, Sharma A, Kumar N. Anatomical variations of brachial artery-its morphology, embryogenesis and clinical implications. Journal of clinical and diagnostic research: JCDR. 2014 Dec;8(12):AC17.

Cite this article: Neha Udainiya, Neelam Sagwan, Isha Herswani, Vikash Bhatnagar, Sandeep M Lahange. VARIANT BRANCHING PATTERN OF BRACHIAL ARTERY IN CONTEXT TO ITS HIGHER BIFURCATION: A CASE REPORT. Int J Anat Res 2018;6(4.2):5926-5928. DOI: 10.16965/ijar.2018.377