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International Journal of Current Research and Review
ISSN: 2231-2196 (Print)ISSN: 0975-5241 (Online)
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IJCRR DOI Prefix (CrossRef): 10.31782/2231-2196

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IJCRR - 5(13), July, 2013

Pages: 93-94

Date of Publication: 17-Jul-2013


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UNILATERAL ANATOMICAL VARIATION OF RADIAL ARTERY - CLINICAL IMPLICATION OF SUPERFICIAL RADIAL ARTERY

Author: Prabha Udayakumar, Vinodhadevi, Vijayakumar D.A.

Category: Healthcare

Abstract:The anatomical variations with respect to the origin of radial artery has been reported extensively in the literature. The incidence of superficial radial artery is 0.5% and associated with high origin of radial artery. Awareness about normal variation and the possibility of unilateral variation of radial artery course could prevent complications during intravenous and arterial cannulation in the upper limb.

Keywords: Unilateral Anatomical variation, Superficial Radial Artery, Arterial cannulation

Full Text:

INTRODUCTION
A 65yr old male patient belonging to American Society of Anesthesiologists Class 3 was posted for Thoracic Pott’s spine decompression and stabilisation. A wide bore intravenous cannulation and an arterial cannulation was planned for invasive monitoring. An abnormal pulsation of the blood vessel in the origin of cephalic vein region was noted on the right distal forearm as we were about to cannulate the cephalic vein (Fig 1). Normal radial artery pulsation on the right side was absent. Surprisingly, the radial artery course on the distal left forearm was normal and was cannulated. Postoperatively, we confirmed that there was no history of bony or soft tissue injury. The anatomical variations with respect to the origin of radial artery has been reported extensively in the literature by anatomists. The incidence of superficial radial artery is 0.5% and associated with high origin of radial artery.1 Abnormal course of radial artery and its implications during percutaneous coronary intervention and radial artery graft retrieval during coronary artery bypass grafting, has been reported by interventional cardiologist 2 and cardiothoracic surgeons.3 Anaesthetic implication of such variation would be inadvertent arterial cannulation and accidental injection of the drugs intra-arterially. Inadvertent injection of drugs intra-arterially, would lead to arterial spasm, gangrene.4 To conclude, awareness about normal variation and the possibility of unilateral variation of radial artery course could prevent complications during intravenous and arterial cannulation in the upperlimb. All medical personnel should be aware of such variations and to be borne in mind even during simple procedures like intravenous cannulation. Whenever Cephalic vein is prominent or tortuous do look for the pulsatality of the vessel before cannulation.

References:

1. Rodríguez-Niedenführ M, Vázquez T, Nearn L, Ferreira B, Parkin I, Sañudo JR. Variations of the arterial pattern in the upper limb revisited: a morphological and statistical study, with a review of the literature. J Anat 2001;199:547-566.

2. Jelev L, Surchev L. Radial artery coursing behind the bicepsbrachii tendon: significance for the transradial catheterization and a clinically oriented classification of the radial artery variations. Cardiovasc Intervent Radiol 2008;31:1008-1012.

3. Alameddine AK, Alimov VK, Engelman RM, Rousou JA, Flack JE 3rd, Deaton DW, Engelman DT. Anatomic variations of the radial artery: Significance when harvesting for coronary artery bypass grafting. J Thorac Cardiovasc Surg 2004;127:1825-1827.

4. MacPherson RD, McLeod LJ, Grove AJ. Intra-arterial thiopentone is directly toxic to vascular endothelium. Br J Anaesth 1991;67:546-552

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Dr. Pramod Kumar Manjhi joined Editor-in-Chief since July 2021 onwards

COPE guidelines for Reviewers

SCOPUS indexing: 2014, 2019 to 2021

Awards, Research and Publication incentive Schemes by IJCRR

Best Article Award: 

One article from every issue is selected for the ‘Best Article Award’. Authors of selected ‘Best Article’ are rewarded with a certificate. IJCRR Editorial Board members select one ‘Best Article’ from the published issue based on originality, novelty, social usefulness of the work. The corresponding author of selected ‘Best Article Award’ is communicated and information of award is displayed on IJCRR’s website. Drop a mail to editor@ijcrr.com for more details.

Women Researcher Award:

This award is instituted to encourage women researchers to publish her work in IJCRR. Women researcher, who intends to publish her research work in IJCRR as the first author is eligible to apply for this award. Editorial Board members decide on the selection of women researchers based on the originality, novelty, and social contribution of the research work. The corresponding author of the selected manuscript is communicated and information is displayed on IJCRR’s website. Under this award selected women, the author is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.

Emerging Researcher Award:

‘Emerging Researcher Award’ is instituted to encourage student researchers to publish their work in IJCRR. Student researchers, who intend to publish their research or review work in IJCRR as the first author are eligible to apply for this award. Editorial Board members decide on the selection of student researchers for the said award based on originality, novelty, and social applicability of the research work. Under this award selected student researcher is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.

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List of Awardees

A Study by Ese Anibor et al. "Evaluation of Temporomandibular Joint Disorders Among Delta State University Students in Abraka, Nigeria" from Vol 13 issue 16 received Emerging Researcher Award

A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" from Vol 13 issue 06 received Emerging Researcher Award

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