IJAR.2017.286

Type of Article:  Original Research

Volume 5; Issue 3.2 (August 2017)

Page No.: 4208-4211

DOI: https://dx.doi.org/10.16965/ijar.2017.286

RADIAL ARTERY- A MORPHOMETRIC STUDY FOR CLINICAL APPLICATION

Raviprasanna.K.H 1, Aditya Krishna Das *2.

1 Assistant Professor, Department of Anatomy, Sree Narayana Institute of Medical Sciences, Chalakka, North Kuthiathode post, Ernakulam, Kerala, India.

*2 Assistant Professor, Department of Anatomy, Sree Narayana Institute of Medical Sciences, NChalakka, North Kuthiathode post, Ernakulam, Kerala, India.

Address for correspondence: Dr. Aditya Krishna Das, Assistant Professor, Department of Anatomy, Sree Narayana Institute of Medical Sciences, Chalakka, North Kuthiathode post, Ernakulam, Kerala-683594, India. Phone no- +918589851223. Fax No- +91484-2478093.

E-Mail: adityakdas@gmail.com

ABSTRACT

Introduction: Knowledge regarding the course and termination of the radial artery before harvesting it for coronary artery bypass graft surgery (CABGS) is important. The brachial artery terminates at the neck of radius into radial and ulnar arteries.  The radial artery at wrist is commonly used to feel the pulse by clinicians.

Purpose of the study: To know the available length of the radial artery for CABG.

Materials and Methods: The study included 50 upper limb specimens from Department of Anatomy, Sree Narayana Institute of Medical Sciences, Ernakulam. The specimens were fixed with 10% neutral buffered formalin solution and the radial artery was measured in forearm till wrist joint.

Results: The mean length of radial artery from the origin of radial recurrent branch to origin of superficial palmar branch was 21.64 cms and the mean distance from interepicondylar line of humerus to the bifurcation of brachial artery was 3.17 cms with a range of 1.3 to 5.1 cms.

Conclusion: The present study has revealed the available length of the radial artery which can be used for CABG.

KEY WORDS: Radial artery, Bifurcation, Interepicondylar line.

REFERENCES

  1. STANDRING S, ELLIS H, HEALY JC, JOHNSON D, WILLIAMS A, COLLINS P, WIGLEY C. Gray’s Anatomy, 39th 2005 Elsevier Churchill Livingstone, New York, pp 883;925-929.
  2. A Carpentier, JL Guermonpez, A Deloche, C Frechette, C DuBost. The aorta-to-coronary radial artery bypass graft: a technique avoiding pathological changes in grafts. Ann Thorac Surg 1973;16:111-21.
  3. Acar C, Jebara VA, Portoghese M, Beyssen B, Pagny JY, Grare P et al. Revival of the radial artery for coronary artery bypass grafting. Ann Thorac Surg 1992;54:652-60.
  4. Calaiore AM, Di Giammarco N, Luciani N, Maddestra N, Di Nadro E, Angelini R. Composite arterial conduits for wider arterial myocardial revascularization. Ann Thorac Surg 1994;58:185-190.
  5. Possati G, Gsudino M, Alessandrini F, Trani C, Glieca F, Mazzari M, et al. Long term results of radial artery used for myocardial revascularization. Circulation 2003;108:1350-1354.
  6. Meharwal ZS, Trehan N. Functional status of the hand after radial artery harvesting: results in 3,977 cases. Ann Thorac Surg 2001;72:1557-61.
  7. Tanemote K, Kanaoka Y, Marakami T, Karoki K. Harmonic Scalpel in coronary artery bypass grafting. J Cardio-vasc. Surg.1992;39:493-495.
  8. Nitin R Mudiraj, Manisha R Dhobale. Morphometric study of radial artery. International Journal of Recent Trends in Science And Technology, 2015;15(1):06-10. ISSN 2277-2812 E-ISSN 2249-8109.
  9. Acar C, Jebara VA, Portoghese M, Fontaliran F, Dervanian P, Chachques JC, et al. Comparative anatomy and histology of the radial artery and the internal thoracic artery. Implication for coronary artery bypass. Surg Radiol Anat 1991;13:283-88.
  10. He G-W, Yang C-Q. Comparison among arterial grafts and coronary artery: an attempt at functional classification. J Thorac Cardiovasc Surg 1995;109:707-15.
  11. Cohen G, Tamariz MG, Sever JY, et al. The radial artery versus the saphenous vein graft in contemporary CABG: a case-matched study. Ann Thorac Surg. 2001;71:180-86.
  12. Hata M, Seevanayagam S, Manson N, et al. Radial artery 2000: risk analysis of mortality for coronary bypass surgery with radial artery. Ann Thorac Cardiovasc Surg. 2002;8:354–357.
  13. Borger MA, Cohen G, Buth KJ, et al. Multiple arterial grafts: radial versus right internal thoracic arteries. Circulation. 1998;98(suppl):II7–II14.
  14. Fazel S, Mallidi HR, Pelletier MP, et al. Radial artery use is safe in patients with moderate to severe left ventricular dysfunction. Ann Thorac Surg. 2003;75:1414–1421.
  15. Modine T, Al-Ruzzeh S, Mazrani W, et al. Use of radial artery graft reduces the morbidity of coronary artery bypass graft surgery in patients aged 65 years and older. Ann Thorac Surg. 2002;74:1144–1147.
  16. Deb, S., Cohen, E.A., Singh, S.K., Une, D., Laupacis, A. and Fremes, S.E. (2012) Radial Artery and Saphenous Vein Patency More than 5 Years after Coronary Artery Bypass Surgery: Results from RAPS (Radial Artery Patency Study). Journal of the American College of Cardiology, 2012;60:28-35.
  17. Desai, N.D., Cohen, E.A., Naylor, C.D. and Fremes, S.E. (2004) A Randomized Comparison of Radial-Artery and Saphenous-Vein Coronary Bypass Grafts. The New England Journal of Medicine 2004;351:2302-2309.
  18. Tatoulis J, Buxton BF, Fuller JA. Bilateral radial artery grafts in coronary reconstruction: technique and early results in 261 patients. Ann Thorac Surg. 1998;66:714–720.

Cite this article: Raviprasanna.K.H, Aditya Krishna Das. RADIAL ARTERY- A MORPHOMETRIC STUDY FOR CLINICAL APPLICATION. Int J Anat Res 2017;5(3.2):4208-4211. DOI: 10.16965/ijar.2017.286